针刺输穴治疗类风湿性关节炎的临床观察  

Clinical Observations on Acupuncture at Shu-Stream Points for Rheumatoid Arthritis

作　　者：方永江[1] 王祖红[1] 柴琳[1] 刘蕾[1] 何艳[1] FANG Yong-jiang;WANG Zu-hong;CHAI Lin;LIU Lei;HE Yan(Kunming Hospital of Traditional Chinese Medicine,Kunming 650011,China)

机构地区：[1]昆明市中医医院,昆明650011

出　　处：《上海针灸杂志》2021年第3期324-327,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：云南省科技厅课题项目[2019FF002(-25)]。

摘　　要：目的观察健脾补肾强督壮骨法针刺输穴治疗类风湿性关节炎(RA)的临床疗效及对类风湿因子(RF)、血沉(ESR)、C反应蛋白(CRP)的影响。方法将60例RA患者随机分为治疗组和对照组,每组30例。治疗组采用健脾补肾强督壮骨法针刺输穴治疗,对照组采用常规针刺治疗。比较两组的视觉模拟量表(VAS)评分及RF、ESR、CRP的变化,并比较两组临床疗效。结果与治疗前比较,两组治疗后RA患者的VAS评分,以及血清RF、ESR、CRP均有改善(P<0.05);治疗组治疗后的VAS评分,以及血清RF、ESR、CRP优于对照组(P<0.05)。治疗组总有效率为86.7%,优于对照组的70.0%(P<0.05)。结论健脾补肾强督壮骨法针刺输穴对RA患者的治疗作用优于常规针刺。Objective To investigate the clinical efficacy of spleen-invigorating,kidney-tonifying,Du-reinforcing and bone-strengthening acupuncture at Shu-Stream points for rheumatoid arthritis(RA)and its effect on rheumatoid factor(RF),erythrocyte sedimentation rate(ESR)and hypersensitivity C-reactive protein(CRP).Method Sixty RA patients were randomized to treatment and control groups,30 cases each.The treatment group received spleeninvigorating,kidney-tonifying,Du-reinforcing and bone-strengthening acupuncture at Shu-Stream poin and the control group,conventional electroacupuncture.Changes in the Visual Analogue Scale(VAS)score and serum rheumatoid factor,erythrocyte sedimentation rate and hypersensitivity C-reactive protein,and the clinical therapeutic effects were compared between the two groups.Result After treatment,the VAS score and serum RF,ESR and CRP were improved in the two groups of RA patients compared with before(P<0.05).The VAS score and serum RF,ESR and CRP in the treatment group were better than in the control group(P<0.05).The total effective rate was 86.7%in the treatment,better than70.0%in the control group(P<0.05).Conclusion Spleen-invigorating,kidney-tonifying,Du-reinforcing and bone-strengthening acupuncture at Shu-Stream points has a specific therapeutic effect in RA patients.

关 键 词：针刺疗法 穴 输 关节炎 类风湿 类风湿因子 血沉 视觉模拟量表 

分 类 号：R246.2[医药卫生—针灸推拿学]