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[类风湿性关节炎的耳针电刺激疗法(一项双盲研究)]

[Auriculo-electropuncture in rheumatoid arthritis (a double-blind study)].

作者信息

Ruchkin I N, Burdeĭnyĭ A P

出版信息

Ter Arkh. 1987;59(12):26-30.

PMID:3328905
Abstract

A study of the efficacy of auriculo-electropuncture (AEP) by a double blind method was conducted in 16 patients with rheumatoid arthritis (RA). Points on the auricle were looked for by means of an device of individual use. After that during true AEP (the study group of 10 patients) the device was switched on to the stimulation mode, during false AEP (the control group of 6 patients) it was switched off. Each patient was given 10 procedures except one patient of the study group in whom treatment had to be discontinued after the 3rd procedure because of the development of phlebitis of the left crural veins. Subjective assessment showed improvement in all the patients of the study group (considerable improvement in 2 patients), in the control group improvement was noted in one patient only, no effect--in 3 patients, deterioration--in 2 patients; objective assessment showed improvement in 6 (considerable improvement in one patient) and in one patient, no effect--in 2 and 2, deterioration in one and 3, respectively. In the study group a positive time course of all 8 indices characterizing a degree of pain and inflammatory activity was noted (it was statistically significant for 7 of them), in the control group a positive time course of 3 indices was noted, 5 indices grew worse. A statistically significant decrease in the initially elevated level of blood alpha (2)-globulin was noted against a background of true AEP.(ABSTRACT TRUNCATED AT 250 WORDS)

摘要

采用双盲法对16例类风湿性关节炎(RA)患者进行了耳穴电针(AEP)疗效研究。通过个人专用设备寻找耳穴。之后,在真耳穴电针治疗期间(10例患者的研究组),设备切换到刺激模式,在假耳穴电针治疗期间(6例患者的对照组),设备关闭。除研究组的1例患者因左下肢静脉炎在第3次治疗后不得不停止治疗外,每位患者均接受10次治疗。主观评估显示,研究组所有患者均有改善(2例显著改善),对照组仅1例患者有改善,3例无效果,2例病情恶化;客观评估显示,研究组6例患者有改善(1例显著改善),1例无效果,2例和2例病情恶化,对照组1例和3例病情恶化。研究组中,表征疼痛程度和炎症活动程度的所有8项指标均呈现积极的时间进程(其中7项具有统计学意义),对照组中3项指标呈现积极的时间进程,5项指标恶化。在真耳穴电针治疗背景下,血液α(2)球蛋白初始升高水平出现统计学显著下降。(摘要截短于250字)

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