针灸联合健脾滋肾汤治疗系统性红斑狼疮临床观察  

Acupuncture and Moxibustion Combined with Jianpi Zishen Decoction in the Treatment of Systemic Lupus Erythematosus

作　　者：张淑香 杨检生 ZHANG Shuxiang;YANG Jiansheng(Department of Traditional Chinese Medicine,Yudu Hospital of Traditional Chinese Medicine,Jiangxi Province,Yudu 342300,China;Department of General Surgery,Yudu County People’s Hospital,Jiangxi Province,Yudu 342300,China)

机构地区：[1]江西省于都县中医院中医内科,江西于都342300 [2]江西省于都县人民医院普外科,江西于都342300

出　　处：《中国中医药现代远程教育》2024年第22期156-158,共3页Chinese Medicine Modern Distance Education of China

摘　　要：目的 探讨针灸联合健脾滋肾汤治疗系统性红斑狼疮的效果。方法 回顾性分析于都县中医院于2020年6月—2022年6月收治的66例系统性红斑狼疮患者,以治疗方案的不同作为分组依据,将32例采用常规西药(泼尼松+硫酸羟氯喹)治疗的患者纳入常规组,34例应用常规治疗+针灸联合健脾滋肾汤治疗的患者则归为研究组。治疗3个月后,比较两组C反应蛋白(CRP)、红细胞沉降率(ESR)以及补体C_(3)、C_(4)水平,同时对比中医证候积分,对临床疗效开展评估。结果 治疗后,研究组CRP、ESR水平低于常规组,补体C_(3)、C_(4)水平高于常规组(P<0.05);研究组高热面赤、斑疹鲜红、肌肉关节酸痛评分均较常规组低(P<0.05)。研究组治疗总有效率为97.06%(33/34),高于常规组的81.25%(26/32)(P<0.05)。结论 针灸联合健脾滋肾汤治疗系统性红斑狼疮,可实现生化指标的改善,有助于缓解机体炎症状态,改善免疫功能,对中医证候积分的降低有重要意义,效果确切。Objective To investigate the effect of acupuncture and moxibustion combined with Jianpi Zishen decoction on systemic lupus erythematosus.Methods A total of 66 patients with systemic lupus erythematosus admitted to Yudu Hospital of Traditional Chi-nese Medicine from June 2020 to June 2022 were retrospectively analyzed,32 patients treated with conventional Western medicine(prednisone and hydrochloroquine sulfate)were included in the conventional group,and 34 patients treated with conventional therapy and acupuncture combined with Jianpi Zishen decoction were included in the study group.After 3 months of treatment,C-reactive protein(CRP),erythrocyte sedimentation rate(ESR)and complement levels of C_(3) and C_(4) were compared between the two groups,and TCM syndrome scores were compared to evaluate the clinical efficacy.Results After treatment,the levels of CRP and ESR in the study group were lower than those in the conventional group,and the levels of C_(3) and C_(4) were higher than those in the conventional group(P<0.05).The scores of red face,bright rash and muscle and joint pain in the study group were lower than those in the conven-tional group(P<0.05).The total effective rate of the study group was 97.06%(33/34),which was higher than that of the conventional group(81.25%,26/32)(P<0.05).Conclusion The application of acupuncture and moxibustion combined with Jianpi Zishen decoction in patients with systemic lupus erythematosus can improve the biochemical indexes,help to relieve the inflammatory state of the body,improve the immune function,have important significance for the reduction of TCM syndrome score,and has exact therapeutic effect.

关 键 词：温毒发斑 系统性红斑狼疮 针灸疗法 健脾滋肾汤 中西医结合疗法 

分 类 号：R259[医药卫生—中西医结合]