滞针法治疗风寒湿阻型类风湿性关节炎临床观察-中国科技论文在线.pdfVIP

中国针灸2006年5月第26卷第5期 文章编号：0255—2930(2006)05—033]一03 中图分类号：R246．1 文献标识码：A 滞针法治疗风寒湿阻型类风湿性关节炎临床观察 何 巍 张 吉 谷世拮 (1．中国中医科学院针灸研究所，北京100700；2． E京中医药大学针灸学院) [摘 要] 目的：观察滞针法对风寒湿阻型类风湿性关节炎(RA)的临床疗效。方法：将5O例风寒湿 阻型RA患者按就诊先后顺序随机分为2组，治疗组3O例采用滞针法，对照组2O例采用常规毫针 刺法。治疗2个疗程后观察两组治疗前后症状总积分、压痛关节数、肿胀关节数以及血沉(ESR)、 类风湿因子(RF)、C反应蛋白(CRP)等变化。结果：治疗组和对照组在治疗风寒湿阻型RA方面均 取得了显著的疗效，但治疗组在各项临床指标的观察上获得了更优于对照组的疗效，尤其是对 RF、压痛关节数以及症状总积分的改善，与对照组比较差异具有非常显著性意义(P0．01)。结 论：滞针法治疗风寒湿阻型RA的临床疗效肯定，具有明显的优势。 [主题词] 关节炎，类风湿／针灸疗法；留针；风寒／中医病机 Clinical observation on needle-sticking method for treatment of rheumatoid arthritis of wind-cold- damp retention type HE Wei ，ZHANG Ji。，GU Shi—zhe (1．Institute of Acupuncture＆moxibustion，China Academy of TCM，Beijing 100700，China；2．College of Acupuncture＆mo~ibustion，Beijing University of TCM) ABSTRACT Objective To observe clinical therapeutic effect of needle—sticking method On rheumatoid arthritis (RA)of wind—cold—damp retention type．Methods Fifty cases of such disease were divided into 2 groups in order of visiting．The treatment group( =30)were treated with needle-sticking method，and the control group( =20) with routine filiform needle therapy for 2 therapeutic courses．Total cumulative scores。numbers of both the pres— sure-pain joint and the swollen-distention joint，erythrocyte sedimentation rate(ESR)，rheumatoid factor(RF)，C reaction protein(CRP)before and after treatment were investigated．Results Both the needle-sticking method and the filiform needle therapy had an apparent therapeutic effect on RA of wind—cold-damp retention type，and the therapeutic effect for the clinical indexes in the treatment group was better than the control group，with a very sig— nificant difference in improvement of RF，the number of pressure-pain joints and the total cumulative scores as the treatment group compared with the control group(P 0．0 1)．Conclusion Needle-sticking method has definite therapeutic effect