类风湿关节炎中医诊疗方案比较研究

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Abstract Objective To explore the application effect of combined traditional Chinese medicine treatment of rheumatoid arthritis(RA).Methods A total of 120 RA patients admitted to the Department of Rheumatology and Immunology of Jiujiang First People′s Hospital from August 2017 to December 2019 were selected as the research subjects.According to random number table method,they were divided into western medicine group and combined group,with 60 cases in each group.The western medicine group was treated with western medicine treatment plan,while the combination group was treated with Chinese medicine treatment plan.Clinical efficacy,improvement of symptoms and signs before and after treatment,laboratory indicators and the incidence of ADR were compared between the two groups.Results The total effective rate of combined group was higher than that of western medicine group,and the difference was statistically significant(P＜0.05).After treatment,the joint pain score,joint tenderness index and joint swelling index of the combined group were lower than those of the western medicine group,and the morning stiffness time was shorter than that of the western medicine group,the differences were statistically significant(P＜0.05).Joint function of the combined group was better than that of the western medicine group,and the difference was statistically significant(P＜0.05).The cell sedimentation rate and C-reactive protein level in the combined group were lower than those in the western medicine group,the differences were statistically significant(P＜0.05).No obvious adverse reactions occurred in two groups during treatment.Conclusion The combined treatment of traditional Chinese medicine has a definite effect on RA,and the patients have a good recovery of joint function,which can promote the recovery of prognosis,and is worthy of clinical promotion.

Key words： Rheumatoid arthritis Joint diagnosis and treatment of traditional Chinese medicine Symptom score Improvement of physical signs

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	Articles by authors
	JI Sen-guo
	ZHANG Xu-ming
	WU Di
	LIU Ju

Cite this article:

JI Sen-guo,ZHANG Xu-ming,WU Di, et al. Comparative Study on the Diagnosis and Treatment of Rheumatoid Arthritis[J]. 中国当代医药, 2021, 28(13): 183-186.

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http://dangdaiyiyao.com/EN/ OR http://dangdaiyiyao.com/EN/Y2021/V28/I13/183

[1]	赵书英，孙轶，张伟，等.腕关节类风湿关节炎（尪痹）MRI表现与血清学指标及中医证型间的相关性研究[J].中国中医基础医学杂志，2019，25（8）：1123-1125.
[2]	马仲林，杨春燕.自拟扶正祛邪化瘀汤配合针刺治疗类风湿关节炎疗效观察[J].现代中西医结合杂志，2019，28（16）：92-95.
[3]	唐希文，杨莉，侯昱.温和艾灸治疗寒湿痹阻型类风湿关节炎的疗效及对免疫学的影响[J].世界中医药，2019，14（2）：240-244.
[4]	周明倩，何莉娇，林笑颖，等.运脾祛湿解毒通络法在类风湿关节炎中的治法探讨[J].中国中医急症，2018，27（3）：472-474.
[5]	徐丽玲，苏茵.2015年美国风湿病学会类风湿关节炎的治疗指南[J].中华风湿病学杂志，2016，20（1）：69-70.
[6]	国家中医药管理局医政司.22 个专业95 个病种中医诊疗方案[M].国家中医药管理局医政司，2010：258.
[7]	邱少彬，吴金玉，蒋军艳，等.独活寄生汤辅助治疗肝肾亏虚型类风湿关节炎的临床效果[J].广西医学，2018，40（22）：2675-2677，2681.,
[8]	边卓琼，王益东.温阳除湿、化痰通络方结合常规疗法治疗寒湿痹阻型类风湿关节炎90 例[J].环球中医药，2018，11（3）：447-450.
[9]	赵耀东，徐文东.强骨胶囊联合柳氮磺吡啶治疗类风湿性关节炎并发骨质疏松的临床效果[J].世界中医药，2019，14（2）：197-200.
[10]	王丽娜，王素芳，李洋.独活寄生汤联合针灸治疗对类风湿性关节炎患者红细胞沉降率、C-反应蛋白及关节功能的影响[J].吉林中医药，2018，38（4）：462-464.
[11]	中华中医药学会风湿病分会.中国类风湿关节炎患者报告的临床结局量表专家共识[J].中医杂志，2018，59（10）：897-900.
[12]	徐丹，高明利，于静，等.中西医结合治疗类风湿性关节炎的疗效[J].世界中医药，2018，13（1）：83-87.
[13]	高雪军，刘佳，李小姣，等.中药熏蒸联合温针灸治疗类风湿性关节炎29 例[J].西部中医药，2018，31（6）：111-113.
[14]	胡冰，王玲.探索性研究类风湿性关节炎膝关节早期改变超声分级与中西医结合治疗方法相关性[J].辽宁中医药大学学报，2018，20（8）：199-201.
[15]	张凤玉，唐永梅.正清风痛宁肠溶片治疗类风湿性关节炎的临床效果[J].中国当代医药，2019，26（1）：169-172.
[16]	高凡珠.类风湿关节炎中医诊治体会[J].国际中医中药杂志，2017，39（10）：943-944.