老年手痹症应用桂枝芍药汤治疗的效果及对中医证候积分的影响探讨  

Effect of Guizhi Shaoyao Decoction in the treatment of hand arthralgia syndrome in the elderly and its influence on traditional Chinese medicine syndrome score

作　　者：乔伟 QIAO Wei(Tai'an Maternal and Child Health Care Hospital,Tai'an 271000,China)

机构地区：[1]山东省泰安市妇幼保健院,271000

出　　处：《中国实用医药》2024年第4期27-31,共5页China Practical Medicine

摘　　要：目的分析桂枝芍药汤治疗老年手痹症患者的效果及对中医证候积分的影响。方法30例老年手痹症患者,随机分为实验组和对照组,各15例。对照组患者接受双氯芬酸钠缓释片治疗,实验组患者在对照组基础上接受桂枝芍药汤治疗。比较两组患者中医证候积分、不良事件发生率、治疗效果及对治疗效果满意度。结果实验组患者手指关节屈伸不利、肿胀变形及疼痛程度积分分别为(1.02±0.09)、(0.98±0.07)、(1.08±0.10)分,均低于对照组的(3.21±0.21)、(2.91±0.17)、(2.89±0.16)分,数据差异有统计学意义(P<0.05)。实验组不良事件发生率13%低于对照组的47%,数据差异有统计学意义(P<0.05)。实验组治疗总有效率93%高于对照组的60%,数据差异有统计学意义(P<0.05)。实验组对治疗效果的总满意度87%明显高于对照组的53%,数据差异有统计学意义(P<0.05)。结论老年手痹症应用桂枝芍药汤治疗的效果突出,对中医证候积分的影响十分明显。Objective To analyze the effect of Guizhi Shaoyao Decoction in the treatment of hand arthralgia syndrome in the elderly and its influence on traditional Chinese medicine syndrome score.Methods 30 elderly patients with hand arthralgia syndrome were randomly divided into an experimental group and a control group,with 15 cases in each group.The control group was treated with diclofenac sodium sustained-release tablets,while the control group was treated with Guizhi Shaoyao Decoction on the basis of the control group.The traditional Chinese medicine syndrome score,incidence of adverse events,treatment effect,and satisfaction with treatment were compared between the two groups.Results The scores of poor flexion and extension of finger joint,swelling and deformation and pain in the experimental group were(1.02±0.09),(0.98±0.07)and(1.08±0.10)points,respectively,which were lower than(3.21±0.21),(2.91±0.17)and(2.89±0.16)points in the control group.The difference was statistically significant(P<0.05).The incidence of adverse events in the experimental group was 13%,which was lower than 47%in the control group,and the difference was statistically significant(P<0.05).The total effective rate of 93%in the experimental group was higher than 60%in the control group,and the difference was statistically significant(P<0.05).The total satisfaction of 87%in the experimental group was significantly higher than 53%in the control group,and the difference was statistically significant(P<0.05).Conclusion The application of Guizhi Shaoyao Decoction has a prominent effect in the treatment of elderly hand arthralgia syndrome,and has a significant impact on the traditional Chinese medicine syndrome score.

关 键 词：手痹症 桂枝芍药汤 双氯芬酸钠缓释片 中医证候积分 

分 类 号：R259[医药卫生—中西医结合]