中药熏蒸治疗活动期类风湿关节炎床观察.docVIP

中药熏蒸治疗活动期类风湿关节炎临床观察 　　【摘 要】目的：观察中药熏蒸治疗活动期类风湿关节炎临床疗效。方法：将96例活动期类风湿关节炎患者随机分为治疗组49例和对照组47例。对照组采用常规治疗，治疗组在对照组的基础上加中药熏蒸治疗。2组疗程均为1个月。比较2组治疗前后VAS疼痛评分、实验室指标及总体疗效。结果：治疗后，治疗组疗效满意率、临床症状、疼痛VAS评分、实验室指标等均优于对照组，2组比较，差异有统计学意义（P 0.05）。结论：中药熏蒸治疗活动期类风湿关节炎近期疗效确切，使用方便。 中国论文网 /1/viewhtm　　【关键词】 关节炎，类风湿；活动期；中药熏蒸 　　Clinical Observation on the Treatment of Rheumatoid Arthritis in Active Stage by Chinese Medicine Fumigation 　　LI Xing-rui，LU Ji-di，LIU Tong，RONG Hua-dong，MENG Lin，TAN Yue 　　【ABSTRACT】Objective：To observe the clinical effect of Chinese medicine fumigation in the treatment of rheumatoid arthritis in active stage.Methods：Ninety-six patients with rheumatoid arthritis in active stage were randomly divided into a treatment group（49 cases）and a control group（47 cases）.The control group was treated with conventional therapy，and the treatment group was treated with Chinese medicine fumigation on the basis of the conventional treatment for the control group.Both groups were treated for a month.The VAS pain scores，laboratory indexes and overall curative effect of the two groups were compared before and after treatment.Results：After treatment，the curative rate of the treatment group was satisfactory，and its VAS pain score，laboratory index and overall curative effect were superior to those of the control group，the difference between the two groups being statistically significant（P 0.05）.Conclusion：Chinese medicine fumigation has a good curative effect and easy to manipulate in the treatment of rheumatoid arthritis in active stage. 　　【Keywords】 arthritis，rheumatoid；active phase；Chinese medicine fumigation 　　类风湿关节炎（rheumatoid arthritis，RA）是最常见的炎性关节病，疾病活动期患者一般会有关节疼痛、肿胀，并伴有功能障碍。中医主要采用理疗和体疗，其中熏蒸是一种比较有效、便捷的方法。中药熏蒸具有祛风除湿、温经散寒、活血通络等功效，能增加局部血液循环，促进新陈代谢，加速组织再生能力和细胞活力，增强单核巨噬细胞的吞噬功能，减少炎症及代谢产物的堆积，降低神经末梢的兴奋性，提高痛阈，有抗炎、消肿和止痛作用。笔者以RA活动期患者为对象，采用中药熏蒸治疗，观察治疗前后患者临床及实验室指标变化情况。 　　1 临床资料 　　1.1 一般资料 选取2013年3月至2015年7月在本院就诊的活动期RA患者96例，按照随机数字表法分为治疗组49例和对照组47例。治疗组男9例，女40例；年龄19～48岁，平均（30.25±9.18）岁； 　　病程最短4个月