穴位揿针联合西药治疗类风湿关节炎临床研究
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R593.22

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Clinical Study on Thumb-tack Needling for Subcutaneous Embedding at Points Com⁃ bined with Western Medicine for Rheumatoid Arthritis
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    摘要:

    目的:观察穴位揿针联合西药治疗类风湿关节炎的临床效果。方法:选择100 例类风湿关节炎患 者,按照随机数字表法分为观察组与对照组各50 例。对照组给予甲氨蝶呤片联合塞来昔布胶囊治疗,观察组 在对照组基础上对阴陵泉、阳陵泉、阿是穴进行揿针治疗。2 组疗程均为8 周,比较2 组临床疗效,症状、体 征改善情况与实验室指标变化。结果:治疗4 周,观察组总缓解率为84.0%,对照组为60.0%,组间比较,差 异有统计学意义(P<0.05);治疗8 周,观察组总缓解率为96.0%,对照组为72.0%,组间比较,差异有统计 学意义(P<0.05)。治疗8 周,2 组晨僵时间、关节压痛数、关节肿胀数、休息痛评分均较治疗前及治疗4 周 减少(P<0.05);且观察组相同时间点上述各项指标水平均低于对照组(P<0.05)。治疗8 周,2 组红细胞沉 降率(ESR)、C-反应蛋白(CRP)、类风湿因子(RF) 水平均较治疗前及治疗4 周降低(P<0.05);且观察组 相同时间点ESR、CRP、RF 水平均低于对照组(P<0.05)。结论:穴位揿针联合西药治疗类风湿关节炎可提 高临床疗效,减轻临床症状体征,改善患者相关实验室指标。

    Abstract:

    Abstract:Objective:To observe the clinical effect of thumb-tack needling for subcutaneous embedding at points combined with western medicine for rheumatoid arthritis. Methods: A total of 100 cases of patients with rheumatoid arthritis were selected and divided into the control group and the observation group according to the random number table method,with 50 cases in each group. The control group was treated with Methotrexate Tablets combined with Celecoxib Capsules, and the observation group was additionally treated with thumb- tack needling for subcutaneous embedding at Yinlingquan point (SF 9), Yanglingquan point (GB 34),and Ashi point based on the treatment of the control group. Both groups were treated for eight treatment courses. The laboratory indicators and the improvement of clinical symptoms and signs were compared in the two groups. Results:After four-week treatment,the total remission rate was 84.0% in the observation group and 60.00% in the control group, the difference being significant (P< 0.05); after eight- week treatment, the total remission rate was 96.0% in the observation group and 72.00% in the control group,the difference being significant (P<0.05). After eight- week treatment,the scores of the time of morning stiffness, the number of joint tenderness, the number of joint swelling, and pain at rest in the two groups were decreased when compared with those before treatment and after four- week treatment (P<0.05), and the improvement of above indexes at the same time points in the observation group was better than that in the control group (P<0.05). After eight- week treatment, the levels of erythrocyte sedimentation rate (ESR), C- reactive protein (CRP), and rheumatoid factors in the two groups were decreased when compared with those before treatment and after four- week treatment (P<0.05),and the three levels at the same time points in the observation group were lower than those in the control group (P<0.05). Conclusion: Thumb- tack needling for subcutaneous embedding at points combined with western medicine for rheumatoid arthritis can enhance clinical effects, relieve clinical symptoms and signs of patients,and improve laboratory indicators.

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黄卫东,李倩.穴位揿针联合西药治疗类风湿关节炎临床研究[J].新中医,2023,55(12):126-129

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  • 在线发布日期: 2023-06-27
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