我们的网站为什么显示成这样?

可能因为您的浏览器不支持样式,您可以更新您的浏览器到最新版本,以获取对此功能的支持,访问下面的网站,获取关于浏览器的信息:

|本期目录/Table of Contents|

温针灸结合中药熏洗护理对类风湿关节炎患者的影响*(PDF)

《云南中医学院学报》[ISSN:1000-2723/CN:53-1048/R]

期数:
2021年06期
页码:
68-72
栏目:
针灸研究
出版日期:
2022-09-10

文章信息/Info

Title:
Effect of warming Needle Moxibustion Combined with Fumigating and Washing with Traditional Chinese Medicine on Patients with Rheumatoid Arthritis
文章编号:
1000 - 2723(2021)06- 0068 - 05
作者:
宋剑英谢超王方琴
(成都中医药大学附属医院针灸科,四川 成都 610000)
Author(s):
SONG Jianying XIE Chao WANG Fangqin
(Department of Acupuncture and Moxibustion,Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610000 ,China)
关键词:
温针灸中药熏洗类风湿关节炎疗效关节功能
Keywords:
warming needle moxibustion fumigating and washing with traditional Chinese medicine rheumatoid arthritis curative effect joint function
分类号:
R246
DOI:
10.19288/j.cnki.issn.1000-2723.2021.06.014
文献标识码:
A
摘要:
目的 研究温针灸结合自拟中药熏洗护理对类风湿关节炎(RA)患者的影响。方法 将本院2020年10月-2021年10月收治的150例RA患者以随机数表法简单分为观察组(75例)和对照组(75例)。对照组采取温针灸治疗,在此基础上,观察组联合自拟中药熏洗护理治疗。治疗1个月后,比较2组患者临床疗效、临床症状改善情况、实验室相关指标水平变化及免疫功能,同时观察不良反应发生情况。结果 观察组治疗总有效率为96.00%,高于对照组治疗总有效率85.33%,差异具有统计学意义(P<0.05);观察组临床各症状评分均低于对照组,差异具有统计学意义(P<0.05);观察组白介素-1(IL-1)、C反应蛋白(CRP)、血沉(ESR)、类风湿因子(RF)水平较对照组降低,差异具有统计学意义(P<0.05);观察组患者CD3+、CD4+、CD4+/CD8+ 水平较对照组升高,CD8+ 水平明显低于对照组,差异具有统计学意义(P<0.05);2组患者不良反应发生率比较差异无统计学意义(P>0.05)。结论 温针灸结合自拟中药熏洗护理能有效提高RA患者临床疗效,改善临床症状,并减轻患者局部炎症反应。
Abstract:
Objective To study the effect of warming needle moxibustion combined with fumigating and washing with traditional Chinese medicine on patients with rheumatoid arthritis(RA). Methods A total of 150 patients with RA admitted to the hospital from October 2020 to October 2021 were divided into observation group(75 cases) and control group (75 cases) by random number table method. The control group underwent warming needle moxibustion, and the observation group underwent warming needle moxibustion combined with fumigating and washing with self-made traditional Chinese medicine. The two group were compared in terms of clinical effect, improvement of clinical symptoms, changes in laboratory indicators, and immune function after 1 month of treatment. Adverse reactions were observed. Results The total treatment response rate in the observation group(96.00%) was significantly higher than that in the control group(85.33%) (P<0.05). The clinical symptom scores of observation group were significantly lower than those of the control group (P<0.05). The levels of interleukin-1(IL-1), C-reactive protein(CRP), erythrocyte sedimentation rate(ESR) and rheumatoid factor(RF) in the observation group were significantly lower than those in the control group (P<0.05). The levels of CD3+, CD4+ and CD4+/CD8+ were significantly higher, and the level of CD8+ was significantly lower in the observation group than in the control group (P<0.05). The incidence of adverse reactions showed no significant difference between the two groups (P>0.05). Conclusion Warming needle moxibustion combined with fumigating and washing with self-made traditional Chinese medicine can effectively improve the clinical effect in patients with RA, and relieve related clinical symptoms and local inflammatory response.

参考文献/References

[1] 尚磊,李映雪. 补肾通痹汤联合雷公藤多苷治疗老年类风湿关节炎疗效研究[J]. 陕西中医,2019,40(11):1552-1554.
[2] 杨越,李露,崔玮璐,等. Ca2+与类风湿关节炎的相关性研究[J]. 中国中医基础医学杂志,2021,27(10):1602-1605,1618.
[3] 邹秀娟,杨玉涛,马武开,等. 中医药对类风湿关节炎滑膜细胞作用机制研究概况[J]. 贵阳中医学院学报,2019,41(6):91-94.
[4] 周芬,刘丹,梁青鑫,等. 类风湿关节炎常见适宜中医护理技术操作关键点的构建研究[J]. 护理管理杂志,2021,21(10):717-720.
[5] 李虹竹,袁思,赵家莹,等. 针灸联合独活寄生汤治疗类风湿性关节炎的Meta分析[J]. 中国组织工程研究,2021,25(32):5232-5239.
[6] 徐丹,董巡. 温针灸治疗类风湿关节炎的疗效观察及对炎症因子的影响[J]. 上海针灸杂志,2021,40(10):1228-1233.
[7] 聂智兴,韩大鹏,徐凯捷,等. 中药熏蒸联合推拿手法治疗膝关节类风湿关节炎的临床疗效观察[J]. 医学综述,2020,26(7):1452-1456.
[8] 项利利. 中药熏蒸联合磁热疗对类风湿关节炎患者生活质量及实验室指标的影响[J]. 新中医,2020,52(15):155-158.
[9] 中华医学会风湿病学分会. 类风湿关节炎诊断及治疗指南[J]. 中华风湿病学杂志,2010,14(4):265-270.
[10] 王承德,沈丕安,胡荫奇. 实用中医风湿病学[M]. 2版. 北京:人民卫生出版社,2009:504-505.
[11] 潘璐,赵华,牛刚,等. 戈利木单抗配合来氟米特治疗甲氨蝶呤疗效不佳活动性类风湿关节炎的疗效探析[J]. 河北医学,2020,26(2):302-307.
[12] 邱婧然,王源,赵永恒,等. 芍药甘草附子汤医治类风湿性关节炎机制的网络药理学预测分析[J]. 湖北医药学院学报,2021,40(5):472-478.
[13] 伍伟,何东初. 类风湿关节炎中医证型的客观化探讨[J]. 现代中西医结合杂志,2021,30(1):77-80.
[14] 李露,杨越,张解玉,等. 从“脾肾靶效应”浅论中医药治疗类风湿关节炎的思路[J]. 世界中西医结合杂志,2021,16(4):777-780.
[15] 张佳红,田杰祥,周淑红,等. 中医非药物治疗类风湿关节炎相关机制的研究进展[J]. 广西医学,2021,43(23):2871-2873.
[16] 徐丹,董巡. 温针灸治疗类风湿关节炎的疗效观察及对炎症因子的影响[J]. 上海针灸杂志,2021,40(10):1228-1233.
[17] 邱晓玲,高塬. 针灸配合中药熏蒸对类风湿性关节炎患者关节压痛、关节肿胀量的影响[J]. 贵州医药,2020,44(12):1928-1929.

备注/Memo

备注/Memo:
收稿日期: 2021 - 12- 03
* 基金项目: 四川省中医药管理局科研课题(2018LC017)
第一作者简介: 宋剑英(1973-),女,主管护师,从事中医康复护理工作。
更新日期/Last Update: 1900-01-01