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1、针药结合治疗类风湿关节炎的临床研究摘要目的：探讨针药结合治疗类风湿关节炎的临床效果。方法：选择于2010年10月-2012年10月在我院治疗的60例类风湿关节炎患者,随机分为治疗组与对照组，每组30例，治疗组采用针灸治疗+口服健脾化湿通络汤治疗，对照组给予甲氨蝶吟联合非當体抗炎约物治疗。3个月后比较两组治疗效果，类风湿因子、血沉、C反应蛋白等指标及疼痛积分的差异。结果：治疗组显效10例，总冇效率为90.4%(26/30),对照组显效7例，总有效率为66.6%(19/30),组间差异具有统计学意义(1X0.05)；两组患者的类风湿因子、血沉、
2、C反应蛋白等指标及疼痛积分均有所改善,但治疗组患者改善更为明显(P〈0.05)。结论：针笏结合治疗类风湿关节炎临床效果良好，能有效改善患者的RF、ESR等指标，减轻患者痛苫，值得临床推广。关键词类风湿关节炎针药并用健脾化湿通络汤中图分类号：R246；R242；R255.6文献标识码：B文章编号：1006-1533(2014)15-0036-04StudyonthetreatmentofrheumatoidarthritiswiththecombinationofacupunctureandmedicineZHOULi(ChenzhouHos
3、pitalofTraditionalChineseMedicineofIlunanProvince,Chenzhou423000,China)ABSTRACTObjective：Tostudytheeffectofthecombinationofacupunctureandmedicineonthetreatmentofrheumatoidarthritis.Methods：Sixtycasesofpatientswithrheumatoidarthritiswereselectedandrandomlydividedintoanobser
4、vationgroupandacontrolgroupwith30caseseachfromOctober2010toOctober2012・ThepatientsintheobservationgroupweretreatedwithacupuncturecombinedwithoralspleendampnessTongluodecoctionwhileinthecontrolgroupswithmethotrexateandnon-steroidalanti一inflammatorydrugs.Theindicatorssuchase
5、fficacy,rheumatoidfactor(RF),erythrocytesedimentationrate(ESR),C-reactiveproteinandthedifferencesinpainscoreswerecomparedafter3monthtreatment.ResuIts:Therewere10caseswithsignificanteffectintheobservationgroupandthetotaleffectiveratewas90.4%(26/30)whi1eonly7casesinthecontro
6、lgroupwiththetotaleffectiverate66.6%(19/30),andthedifferencebetweentwogroupswasstatisticallysignificant(P<0.05).TheindicatorssuchasRF,ESR,C-reactiveproteinandthedifferencesinpainscoreswereallimprovedintwogroups,however,theseindicatorswereimprovedmoresignificantlyintheobser
7、vationgroupthaninthecontrolgroup(P<0.05)・Conclusion：Combinationofacupunctureandmedicineinthetreatmentofrheumatoidarthritishasagoodclinicaleffect,caneffectivelyimprovethepatientJsRF,ESRandotherindicatorsandalleviatethesufferingofpatients,andisworthyofpromotion.KEYWORDrheuma
8、toidarthritis；combinedacupunctureandmedicine；spleendampnessTongluodecoction类风湿性关节炎(rheuma
