[1]徐洋 徐进 钟文楷 韩豪 丁福超.中草药封包疗法治疗类风湿关节炎的临床研究[J].现代中医药,2021,(01):074-77,91.[doi:10.13424/j.cnki.mtcm.2021.01.018]
 XU Yang,XU Jin,ZHONG Wen - kai,et al.Clinical Study on The Treatment of Rheumatoid Arthritis with Chinese Herbal Medicine Package Therapy[J].Modern Traditional Chinese Medicine,2021,(01):074-77,91.[doi:10.13424/j.cnki.mtcm.2021.01.018]
点击复制

中草药封包疗法治疗类风湿关节炎的临床研究()
分享到:

《现代中医药》[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2021年01期
页码:
074-77,91
栏目:
出版日期:
2023-11-20

文章信息/Info

Title:
Clinical Study on The Treatment of Rheumatoid Arthritis with Chinese Herbal Medicine Package Therapy
文章编号:
2096-1340(2021)01-0074-05
作者:
徐洋1 徐进4 钟文楷2 韩豪3 丁福超4
1.陕西中医药大学,陕西咸阳712046;
2.汉中康源风湿病医院,陕西汉中723001;
3.陕西理工大学陕西省资源生物重点实验室,陕西汉中723001;
4.镇巴县中医院,陕西镇巴723600
Author(s):
XU Yang1 XU Jin 4 ZHONG Wen - kai 2 HAN Hao 3 DING Fu - chao 4
1. Shaanxi University of traditional Chinese medicine, Shaanxi Xianyang 712046, China;
2. Hanzhong Kangyuan rheumatic hospital, Shaanxi Hanzhong 723001, China;
3. Shaanxi Key Laboratory of Resource Biology, Shaanxi University of technology, Shaanxi Hanzhong 723001, China;
4. Zhenba Hospital of traditional Chinese medicine, Shaanxi Zhenba County 723600, China
关键词:
类风湿关节炎痹症中草药封包疗法临床应用研究
Keywords:
Rheumatoid arthritis Arthralgia syndrome Chinese herbal medicine Package therapy Clinical application research
分类号:
R255.6
DOI:
10.13424/j.cnki.mtcm.2021.01.018
文献标志码:
A
摘要:
目的观察中草药封包疗法在治疗活动期和病情较重的类风湿性关节炎的临床疗效?方法选择治疗活动期和病情较重的类风湿关节炎患者120例,随机分成对照组52例和治疗组68例?对照组采用口服来氟米特?甲氨蝶呤?白芍总苷胶囊?洛索洛芬钠缓释片,治疗组在对照组的基础上加中草药封包疗法?两组均治疗2个疗程,每个疗程3个月?比较两组治疗前后患者满意率?关节压痛数?肿胀数?DAS28和实验室指标?结果治疗后,治疗组患者满意率?临床症状?DAS28评分?实验室指标等均优于对照组,治疗3个月和6个月,差异均有统计学意义(P<0.01),且部分患者骨质破坏较轻或已经僵直的关节功能,均有不同程度的恢复?结论中草药封包疗法治疗活动期和病情较重的类风湿关节炎患者疗效显著,患者满意度高,且具有毒副作用小?安全和价格低廉等特点。
Abstract:
Objective: To observe the clinical efficacy of Chinese herbal medicine package therapy in the treatment of active and severe rheumatoid arthritis. Methods: 120 patients with active and severe rheumatoid arthritis were randomly divided into control group ( n = 52) and treatment group ( n = 68) . The control group was given leflunomide, methotrexate, total glucosides of paeony capsule and loxoprofen sodium sustained - release tablets, while the treatment group was treated with Chinese herbal medicine package therapy on the basis of the control group. Both groups were treated for 2 courses, 3 months for each course. The satisfaction rate, joint tenderness, swelling, DAS28 and laboratory indexeswere compared between the two groups before and after treatment. Results: After treatment, the satisfaction rate, clinical symptoms, DAS28 score and laboratory indexes of the treatment group were better than those of the control group. After 3 months and 6 months of treatment, the differences were statistically significant ( P < 0. 01) , and the joint function of some patients with mild bone destruction or stiffness had recovered to varying degrees. Conclusion: Chinese herbal medicine package therapy is effective in the treatment of active and severe rheumatoid arthritis patients with high patient satisfaction, and has the characteristics of less toxic side effects, safety and low price.

参考文献/References:

[1]葛均波,徐永健.内科学[M].8版.北京:人民卫生出版社,2013:808.
[2]姜承华,赵文海.对于类风湿性关节炎中医的治疗近况[J].中西医结合心血管病电子杂志,2016,4(35):151,154.
[3]雷玲,赵铖,米存东.类风湿关节炎病情活动指标与DAS28的相关性研究[J].广西医科大学学报,2008,25(6):893-895.
[4]尹小华.物理疗法结合中药封包治疗类风湿性关节炎活动期的临床疗效观察[J].中国中医骨伤科杂志,2011,19(4):49-50.
[5]吴双.中药熏蒸疗法配合中药封包治疗湿热痹阻型类风湿性关节炎的疗效观察[J].医药前沿,2015,5(8):161-162.
[6]李志田.中药封包配合西药治疗类风湿关节炎60例[J].中国民间疗法,2016,24(2):56
[7]颜隆,朱建平.中药剂型理论的现代药物动力学诠释[J].世界中西医结合杂志,2015,10(2):262-264,277.
[8]韩豪,徐进,钟文楷,等.类风湿关节炎中医外治疗法临床应用概况,中医外治杂志,2018,27(1):47-49.
[9]中华医学会风湿病学分会.类风湿关节炎诊断及治疗指南.中国风湿病学杂志,2010,14(4):265-270.
[10]许小香.中药烫疗联合西药治疗活动期类风湿关节炎[J].吉林中医药,2019,39(3):357-359,384.
[11] LIPING W U, XUEHUI X U. Clinical analysis of combination of traditional Chinese medicine and western medicine in treatment of rheumatoid arthritis[ J] . Chinese Journal of Clinical Rational Drug Use, 2017, 10 ( 28) : 41-42.
[12]魏志萍,洪芬芳,杨树龙.中药治疗类风湿关节炎的机制研究进展[J].中国老年学杂志,2017,37(7):1808-1812.
[13]李飞燕,吴绍萍,杨光静.类风湿关节炎治疗中物理疗法的意义及运用[J].风湿病与关节炎,2015,4(11):74-76.
[14]高伟钧.华佗夹脊穴结合针刺治疗腰肌劳损临床研究[D].广州:广州中医药大学,2016.
[15]王慧,孔莉,陈晓翔.康复治疗技术在类风湿关节炎中的应用进展[J].中国康复理论与实践,2018,24(4):405-409.

相似文献/References:

[1]耿鑫 贾娜 张建平.青叶胆有效部位对胶原诱导关节炎小鼠及关节组织中MMP-9的影响[J].现代中医药,2022,1(03):062.[doi:10.13424/j.cnki.mtcm.2022.03.011]
[2]杨启培,崔伟武瑞骐.慢性腰肌劳损的中西医治疗现状与进展[J].现代中医药,2023,(01):001.[doi:10.13424/j.cnki.mtcm.2023.01.001]
 YANG QipeiCUI WeiWU Ruiqi.Current Situation and Progress of Chinese and Western Medicine Treatment of Chronic Lumbar Muscle Strain[J].Modern Traditional Chinese Medicine,2023,(01):001.[doi:10.13424/j.cnki.mtcm.2023.01.001]
[3]张仕玉** 黄幼玲 镇方寿 余功龙 石欣 胡红 彭树刚 牛志尊文晓芳 镇兰芳*** 镇树清 镇东鑫 左新松 艾相乾.马钱子鳖甲丸、鳖甲风湿丸治疗风湿痹阻型类风湿关节炎临床研究[J].现代中医药,2024,(04):070.[doi:10.13424/j.cnki.mtcm.2024.04.014]

备注/Memo

备注/Memo:
基金项目:陕西省社会发展科技攻关项目(2016SF-408)
更新日期/Last Update: 2021-01-21