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[肌肉针刺联合瘢痕灸治疗类风湿关节炎活动期的疗效观察]

[Observation on therapeutic effect of muscular needling combined with scarring moxibustion on active stage of rheumatoid arthritis].

作者信息

Chen Xing-hua, Yao Wen-min, Zou Chun-ping, Xu Han-bin

机构信息

Department of Acupuncture and Rheumatism, Nanchang Hospital of Integrated TCM and Western Medicine, Nanchang 330003, China.

出版信息

Zhongguo Zhen Jiu. 2009 Nov;29(11):884-6.

Abstract

OBJECTIVE

To observe the therapeutic effect of muscular needling combined with scarring moxibustion on active stage of rheumatoid arthritis (RA).

METHODS

Sixty cases of RA were randomly divided into a muscular needling group and a medication group, 30 cases in each group. The muscular needling group was treated by muscular needling on Quchi (LI 11), Sanyinjiao (SP 6), etc. combined with scarring moxibustion on Dazhui (GV 14), Zusanli (ST 36) etc., while the medication group was treated by oral administration of Diclofenac sodium and intramuscular injection of Methotrexate. The therapeutic effects, main symptoms and signs, erythrocyte sedimentation rate (ESR) and rheumatoid factor were observed in two groups before and after treatment.

RESULTS

The total effective rate of muscular needling group was 76.7%, and that of medication group was 73.3%, there was no significant difference between two groups (P > 0.05). The clinical symptoms, signs, and E8R of two groups were improved obviously compared with those before treatment (P < 0.01, P < 0.05), however there were no significant differences between the two groups after treatment (all P > 0.05). The adverse reactions of medication group were more eminent compared to the muscular needling group.

CONCLUSION

Muscular needling can obviously relieve the symptoms and signs of active stage rheumatoid arthritis and the effect is equivalent to oral administration of western medicine, the incidence of adverse reactions in the muscular needling group is obviously lower than that of western medication. Muscular needling is a safe and effective method for treatment of RA.

摘要

目的

观察肌肉针刺结合瘢痕灸治疗类风湿关节炎(RA)活动期的疗效。

方法

将60例RA患者随机分为肌肉针刺组和药物治疗组,每组30例。肌肉针刺组采用针刺曲池(LI 11)、三阴交(SP 6)等穴位结合瘢痕灸大椎(GV 14)、足三里(ST 36)等穴位进行治疗,而药物治疗组采用口服双氯芬酸钠和肌肉注射甲氨蝶呤进行治疗。观察两组治疗前后的疗效、主要症状和体征、红细胞沉降率(ESR)和类风湿因子。

结果

肌肉针刺组总有效率为76.7%,药物治疗组为73.3%,两组间差异无统计学意义(P>0.05)。与治疗前相比,两组的临床症状、体征和ESR均明显改善(P<0.01,P<0.05),但治疗后两组间差异无统计学意义(均P>0.05)。药物治疗组的不良反应比肌肉针刺组更明显。

结论

肌肉针刺能明显缓解类风湿关节炎活动期的症状和体征,疗效与口服西药相当,肌肉针刺组不良反应发生率明显低于西药组。肌肉针刺是治疗RA的一种安全有效的方法。

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