中药熏蒸疗法治疗风湿寒性关节痛的临床疗效  

Clinical efficacy of Traditional Chinese Medicine fumigation therapy in the treatment of rheumatic cold joint pain

作　　者：黄琴 盛悦悦 王江 HUANG Qin;SHENG Yueyue;WANG Jiang(Department of the Pharmacy,General Hospital of the Northern Theater Command of the People's LiberationArmy of China,Shenyang,Liaoning,110840,China)

机构地区：[1]中国人民解放军北部战区总医院药剂科中草药房,辽宁沈阳110840

出　　处：《当代医学》2023年第26期71-74,共4页Contemporary Medicine

摘　　要：目的探究中药熏蒸疗法治疗风湿寒性关节痛的临床疗效。方法选取2020年8月至2021年8月于中国人民解放军北部战区总医院住院治疗的150例风湿寒性关节痛患者作为研究对象,按照随机数字表法分为常规组与研究组,各75例。常规组给予布洛芬缓释胶囊口服治疗,研究组给予中药熏蒸治疗。比较两组临床疗效、治疗前后关节疼痛程度、炎症因子[肿瘤坏死因子-α(TNF-α)、白细胞介素-8(IL-8)]水平、生命质量评分、复发情况。结果研究组治疗总有效率为93.3%,高于常规组的77.3%,差异有统计学意义(P<0.05)。两组视觉模拟评分法(VAS)评分组间、时间、交互比较差异有统计学意义(P<0.05)。治疗后1、2、3、4周,两组VAS评分均低于前一时间点,且研究组低于常规组,差异有统计学意义(P<0.05)。治疗后,两组TNF-ɑ、IL-8水平均低于治疗前,且研究组低于常规组,差异有统计学意义(P<0.05)。治疗后,两组躯体功能、社会功能、心理功能、物质生活评分均高于治疗前,且研究组高于对照组,差异有统计学意义(P<0.05)。研究组复发率低于常规组,差异有统计学意义(P<0.05)。结论中药熏蒸疗法治疗风湿寒性关节痛疗效确切,能缓解患者关节疼痛感,改善生命质量,下调血清炎症因子表达水平,降低患者远期复发风险,值得临床推广应用。Objective To explore the clinical efficacy of Traditional Chinese Medicine fumigation therapy in the treatment of rheumatic cold joint pain.Methods 150 patients with rheumatic cold joint pain who were hospitalized in General Hospital of the Northern Theater Command of the People's Liberation Army of China from August 2020 to August 2021 were selected as the study subjects,and they were divided into the convention-al group and the study group according to random number table method,with 75 cases in each group.The conventional group was given ibuprofen sustained-release capsule oral treatment,and the study group was given Traditional Chinese Medicine fumigation therapy.The clinical efficacy,joint pain degree before and after treatment,levels of inflammatory factors(tumor necrosis factor-α[TNF-α]and interleukin-8[IL-8]),quality of life score and recurrence were compared between the two groups.Results The total effective rate in the study group was 93.3%,which was higher than 77.3%in the conventional group,and the difference was statistically significant(P<0.05).There were statistically significant differences in visual analogue scale(VAS)between the two groups of group,time points and interaction(P<0.05).At 1,2,3 and 4 weeks after treatment,VAS scores in both groups were lower than the previous time point,and the study group was lower than the conventional group,and the differences were statistically sig-nificant(P<0.05).After treatment,the levels of TNF-αand IL-8 of the two groups were lower than before treatment,and the study group was lower than the conventional group,and the differences were statistically significant(P<0.05).After treatment,the scores of physical function,social func-tion,psychological function and material life of the two groups were higher than before treatment,and the study group was higher than the conven-tional group,the differences were statistically significant(P<0.05).The recurrence rate in the study group was lower than that in the conventional group,and the difference was statistica

关 键 词：风湿寒性关节痛 中药熏蒸疗法 临床疗效 视觉模拟评分法 生命质量 复发率 

分 类 号：R259[医药卫生—中西医结合]