壮医联合治疗类风湿关节炎患者的临床效果分析  

Clinical Effect Analysis of Combined Zhuang Medicine in Treating Patients with Rheumatoid Arthritis

作　　者：徐健 钟秋园 兰菲菲 XU Jian;ZHONG Qiuyuan;LAN Feifei(Department of Ultrasound,Guangxi International Zhuang Medical Hospital,Nanning,Guangxi Zhuang Autonomous Region,530000 China)

机构地区：[1]广西国际壮医医院超声科,广西南宁530000

出　　处：《中外医疗》2023年第11期47-50,共4页China & Foreign Medical Treatment

基　　金：广西壮族自治区中医药管理局自筹经费科研课题(GZZC2020136)。

摘　　要：目的探讨壮医联合治疗类风湿关节炎(rheumatoid arthritis,RA)患者的临床效果。方法随机选取2021年4月—2022年5月期间广西国际壮医医院收治的50例RA患者,随机分为对照组(n=25)和观察组(n=25)。对照组给予艾拉莫德治疗,观察组给予清毒伸筋汤和壮医针挑疗法联合治疗,两组均治疗6个月。对比两组临床疗效、不良反应情况、治疗前后28个关节疾病活动度评分(DAS28评分)以及C反应蛋白(CRP)、血沉(ESR)、类风湿因子(RF)水平。结果观察组临床疗效高于对照组,差异有统计学意义(P<0.05)。治疗后,两组患者DAS28评分、CRP、ESR、RF均较治疗前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组总体不良反应严重程度低于对照组,差异有统计学意义(P<0.05)。结论清毒伸筋汤联合壮医针挑疗法治疗类风湿关节炎疗效显著,安全可行。Objective To explore the clinical effect of combined Zhuang medicine in treating patients with rheumatoid arthritis(RA).Methods Randomly selected 50 RA patients admitted to Guangxi International Zhuang Medical Hospital from April 2021 to May 2022,and randomly divided them into a control group(n=25)and an observation group(n=25).The control group was treated with Eramode,while the observation group was treated with a combination of Qingdu Shenjin decoction and Zhuang medicine needle picking therapy.Both groups were treated for 6 months.The clinical efficacy,adverse reactions,28 joint disease activity scores(DAS28 scores),C-reactive protein(CRP),erythrocyte sedimentation rate(ESR),and rheumatoid factor(RF)levels were compared between the two groups before and after treatment.Results The clinical efficacy of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment the DAS28 score,CRP,ESR,and RF of the two groups of patients decreased compared to before treatment,and the observation group was lower than the control group,and the difference was statistically significant(P<0.05).The overall severity of adverse reactions in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Conclusion The treatment of rheumatoid arthritis with the combination of Qingdu Shenjin decoction and Zhuang medicine needle picking therapy was effective,safe and feasible.

关 键 词：类风湿关节炎 壮医 清毒伸筋汤 壮医针挑疗法 临床疗效 

分 类 号：R274.9[医药卫生—中西医结合] R593.22[医药卫生—中医骨伤科学]