自血穴位注射疗法结合中药治疗类风湿性关节炎临床观察
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R593.22

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Clinical Observation of Autologous Blood Injection Therapy Combined with Chinese Medicine for Rheumatoid Arthritis
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    摘要:

    目的:观察自血穴位注射疗法结合中药汤剂内服治疗类风湿性关节炎(风寒湿痹型)的临床疗效。方法:将48例类风湿性关节炎(风寒湿痹型)患者随机平分为2组各24例,对照组采用中药养血通痹汤内服治疗,治疗组采用自血穴位注射疗法结合中药养血通痹汤水煎内服。观察治疗前后2组患者临床症状、体征积分及实验室指标的变化情况。结果:2组临床疗效比较,总有效率治疗组91.67%,对照组79.17%,差异无统计学意义(P>0.05);疗程结束时,2组总体症状、体征积分、血沉(ESR)、C-反应蛋白(CRP)较治疗前均下降,与治疗前比较,差异均有统计学意义(P<0.01,P<0.05)。且治疗结束时,2组总体症状、体征积分分别比较,差异均有统计学意义(P<0.05)。结论:2组疗法均可有效改善患者的临床症状与体征,总有效率相当;治疗结束时治疗组总体症状、体征积分下降程度高于对照组;2组治疗均可有效降低ESR、CRP数值。

    Abstract:

    objective:To observe the clinical effect of autologous blood injection therapy combined with Chinese medicine for rheumatoid arthritis of wind-cold dampness arthralgia type.Methods:Divided 48 patients with rheumatoid arthritis of wind-cold dampness arthralgia type into control group and treatment group randomly,24 cases in each group.Both groups receivedYangxue Tongbi tang for treatment,while the treatment group additionally received oral water decoction of autologous blood injection.Observed changes of clinical symptoms,scores of body signs and laboratory indexes of patients before and after treatment in both groups.Results:Compared the clinical effect of both groups,the total effective rate was 91.67%in the treatment group and was 79.17%in the control group,there was no significance in the difference(P>0.05).After treatment,general symptoms,scores of body signs,erythrocyte sedimentation rate(ESR)and C reactive protein(CRP)were decreased in both groups when compared with those before treatment,differences being significant(P<0.01,P<0.05).After treatment,the comparisons of general symptoms and scores of body signs between the two groups showed significance in differences(P<0.05).Conclusion:Both therapies can effectively improve clinical symptoms and body signs of patients with approximate total effective rate.After treatment,the decreasing degrees of general symptoms and body signs in the treatment group are higher than those in the control group.Treatments of both groups can effectively decrease values of ESR and CRP.

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胡莎,李金香,旷惠桃,章薇,黄洁,陈成,石文英.自血穴位注射疗法结合中药治疗类风湿性关节炎临床观察[J].新中医,2018,50(1):108-111

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  • 在线发布日期: 2018-01-05
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