电针联合火针治疗寒湿痹阻型类风湿关节炎临床研究  

Clinical Study of EA Combined with Fire Acupuncture in Treating RA of Cold-Dampness Obstruction Pattern

作　　者：赵乐成 霍新慧[1] 马忠[2] 汪毅明 帕茹克·鲁提夫拉 姚晓兵 ZHAO Lecheng;HUO Xinhui;MA Zhong;WANG Yiming;Paruke·Lutifula;YAO Xiaobing(Xinjiang Medical University,Urumqi 830000,China;Affiliated Hospital of Traditional Chinese Medicine,Xinjiang Medical University,Urumqi 830000,China)

机构地区：[1]新疆医科大学,新疆乌鲁木齐830000 [2]新疆医科大学附属中医医院,新疆乌鲁木齐830000

出　　处：《针灸临床杂志》2025年第2期14-19,共6页Journal of Clinical Acupuncture and Moxibustion

基　　金：国家自然科学基金,编号:81860890。

摘　　要：目的:研究电针联合火针治疗寒湿痹阻型类风湿关节炎(RA)血清学水平影响及疗效观察。方法:选取符合纳排标准的68例寒湿痹阻型RA病患,凭随机数字表均分为对照组和观察组,各34例。对照组口服常规药物结合电针,观察组基于对照组施加火针疗法,疗程为28 d。检测两组患者治疗前后血清学水平并计算视觉模拟量表(VAS)疼痛评分、中医症候积分。结果:两组治疗前各项指标比较,差异无统计学差异(P>0.05);治疗后两组C-反应蛋白(CRP)、类风湿因子(RF)、红细胞沉降率(ESR)水平、VAS评分和中医症候较治疗前均改善明显,差异具有统计学意义(P<0.05);观察组较对照组VAS评分、中医症候改善明显,差异具有统计学意义(P<0.05);两组治疗前后抗环瓜氨酸肽(CCP)抗体水平比较,差异无统计学意义(P>0.05);观察组与对照组的总有效率分别是87.10%(27/31)和61.29%(19/31),显效率分别是38.71%(12/31)和12.90%(4/31),差异具有统计学意义(P<0.05)。结论:电针联合火针治疗寒湿痹阻型RA患者疗效显著,可有效改善临床症状及CRP、RF和ESR水平,在改善中医症候和镇痛方面电针联合火针较单纯电针疗法更优,且安全性强,无不良反应。Objective:To study the effect of electro-acupuncture(EA)combined with fire acupuncture on serum levels of rheumatoid factors and therapeutic efficacy in treating rheumatoid arthritis(RA)of cold-dampness obstruction pattern.Methods:68 patients with RA of cold-dampness obstruction pattern were randomly divided into the control group and the observation group,with 34 cases in each group.The control group received conventional medication combined with EA;on which basis,the observation group was also treated with fire acupuncture.The treatment duration lasted for 28 days.Serum levels of rheumatoid factors and the scores of VAS and TCM symptoms were observed before and after the treatment in both groups.Results:There were no statistical differences in the indicators between the two groups before the treatment(P>0.05).The levels of CRP,RF and ESR,as well as the scores of VAS and TCM symptoms were all significantly improved after the treatment compared to those before the treatment in the two groups(P<0.05).The observation group showed more significant improvements in the scores of VAS and TCM symptoms compared to the control group(P<0.05).There was no statistical difference in the level of anti-cyclic citrullinated peptide(Anti-CCP)antibody between before and after the treatment in the two groups(P>0.05).The total effective rate was 87.10%(27/31)in the observation group and 61.29%(19/31)in the control group;the remarkable effective rate was 38.71%(12/31)in the observation group and 12.90%in the control group(4/31);in which there were statistical differences between the two groups(P<0.05).Conclusion:The effectiveness of EA combined with fire acupuncture is significant in treating RA of cold-dampness obstruction pattern.It can greatly improve the clinical symptoms and the levels of CRP,RF and ESR.EA combined with fire acupuncture is superior to EA therapy alone in terms of improving TCM symptoms and analgesic effect.The therapy is safe with no adverse reactions.

关 键 词：类风湿关节炎 电针 火针 类风湿因子 抗环瓜氨酸肽抗体 

分 类 号：R246.2[医药卫生—针灸推拿学]