| 引用本文: |
皮桂芳, 张月娟, 薛柯, 刘娟, 刘梨, 陈青.隔药灸联合中医五行手指操治疗寒湿痹阻型类风湿关节炎的疗效观察[J].湖南中医药大学学报,2024,44(8):1415-1421[点击复制] |
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| 隔药灸联合中医五行手指操治疗寒湿痹阻型类风湿关节炎的疗效观察 |
| 皮桂芳,张月娟,薛柯,刘娟,刘梨,陈青 |
| (湖南中医药大学第一附属医院, 湖南 长沙 410007) |
| 摘要: |
| 目的 探讨隔药灸联合中医五行手指操改善寒湿痹阻型类风湿关节炎（rheumatoid arthritis, RA）的临床疗效。方法 将90例寒湿痹阻型RA患者随机分为对照组和观察组，每组45例。对照组予以来氟米特片、艾拉莫德片、塞来昔布胶囊口服；观察组在对照组基础上行隔药灸联合中医五行手指操，其中隔药灸选取脾俞、阳陵泉、腰阳关、命门及手阳明大肠经、手少阳三焦经、手太阳小肠经上的阿是穴，每日1次，每次30 min。两组均治疗10 d。分别于治疗前后观察两组患者的疼痛视觉模拟评分(visual analogue scale, VAS）、炎症指标红细胞沉降率（erythrocyte sedimentation rate, ESR）、C反应蛋白（C-reactive protein, CRP）、焦虑自评量表（self-rating anxiety scale, SAS）、健康评估问卷（health assessment questionnaire, HAQ）、中医证候积分，并于治疗后评定两组患者的临床疗效。结果 治疗后，两组患者的VAS、ESR、CRP、SAS、HAQ及中医证候积分均较治疗前降低（P＜0.05，P＜0.01），且观察组上述指标均低于对照组（P＜0.05，P＜0.01）。观察组总有效率为80.00%，高于对照组的55.56%（P＜0.01）。结论 隔药灸联合中医五行手指操能改善寒湿痹阻型RA患者临床症状，提高患者生存质量。 |
| 关键词: 类风湿关节炎 寒湿痹阻 隔药灸 中医五行手指操 临床疗效 中医证候积分 生存质量 |
| DOI：10.3969/j.issn.1674-070X.2024.08.009 |
| 投稿时间：2024-01-29 |
| 基金项目:国家自然科学基金项目（822746271005499）；湖南省中医药科研计划项目（D2022029）；湖南省中医药科研课题（A2023010）；湖南省卫生健康委科研重点课题（202114011882）；湖南省教育厅科学研究项目重点课题（22A0247）；国家中医优势专科-护理学（国中医药医政函〔2024〕90号）。 |
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| Clinical efficacy of moxibustion on medicines combined with finger exercise guided by TCM five elements theory in treating rheumatoid arthritis of cold dampness impediment pattern |
| PI Guifang, ZHANG Yuejuan, XUE Ke, LIU Juan, LIU Li, CHEN Qing |
| (The First Hospital of Hunan University of Chinese Medicine, Changsha, Hunan 410007, China) |
| Abstract: |
| Objective To explore the clinical efficacy of moxibustion on medicines combined with finger exercise guided by TCM five elements theory in treating rheumatoid arthritis (RA) of cold dampness impediment pattern. Methods Ninety patients diagnosed with RA of cold dampness impediment pattern were randomly divided into control group and observation group, with 45 cases in each group. The control group was given leflunomide tablet, iguratimod tablet, and celecoxib capsule by oral administration. The observation group was given moxibustion on medicines combined with finger exercise guided by TCM five elements theory on the basis of the control group. Moxibustion on medicines was performed at Pishu (BL20), Yanglingquan (GB34), Yaoyangguan (GV3), Mingmen (GV4), and Ashi points on the large intestine meridian of hand-Yangming, the sanjiao meridian of hand-Shaoyang, and the small intestine meridian of hand-Taiyang, once a day for 30 minutes each time. Both groups were treated for ten days. Visual analogue scale (VAS) for pain and erythrocyte sedimentation rate (erythrocyte sedimentation rate), C-reactive protein (CRP), self-rating anxiety scale (SAS), health assessment questionnaire, HAQ), TCM pattern score of the two groups were observed before and after treatment, and clinical efficacy of the two groups after treatment were evaluated. Results After treatment, the VAS, ESR, CRP, SAS, HAQ, and TCM pattern scores of both groups of patients decreased compared to those before treatment (P＜0.05, P＜0.01), and the above indicators in the observation group were lower than those in the control group (P＜0.01). The overall effective rate in the observation group was 80.00%, which was higher than the 55.56% of the control group (P＜0.01). Conclusion The combination of moxibustion on medicines and finger exercise guided by TCM five elements theory significantly alleviates clinical symptoms and enhances the life quality of patients with RA of cold dampness impediment pattern. |
| Key words: rheumatoid arthritis cold dampness impediment pattern moxibustion on medicines finger exercise guided by TCM five elements theory clinical efficacy TCM pattern scores life quality |
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