<th id="jvdpz"></th>

<th id="jvdpz"></th>
<tt id="jvdpz"></tt>

<small id="jvdpz"></small>

<mark id="jvdpz"><u id="jvdpz"></u></mark>

<code id="jvdpz"></code>

«上一篇/Previous Article|本期目錄/Table of Contents|下一篇/Next Article»

[1]巴燕·艾克海提,古潔乃特汗·拜克里木.加味四妙勇安湯聯合艾灸治療類風濕性關節炎療效研究[J].陜西中醫雜志,2022,(3):314-317.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.010]
　Bayan·Ke'erhaiti,Gujienaitehan·Baikelimu.Study on curative effect of modified Simiao Yongan decoction combined with moxibustion on rheumatoid arthritis[J].,2022,(3):314-317.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.010]
點擊復制

加味四妙勇安湯聯合艾灸治療類風濕性關節炎療效研究

分享到：

《陜西中醫》雜志[ISSN:1000-7369/CN:61-1281/TN]

卷:
期數:: 2022年3期

頁碼:: 314-317

欄目:: 臨床研究

出版日期:: 2022-03-05

文章信息/Info

Title:: Study on curative effect of modified Simiao Yongan decoction combined with moxibustion on rheumatoid arthritis

作者:: 巴燕·艾克海提; 古潔乃特汗·拜克里木; (新疆維吾爾自治區中醫醫院,新疆烏魯木齊 830099)

Author(s):: Bayan·Ke'erhaiti; Gujienaitehan·Baikelimu; (Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine,Urumqi 830099,China)

關鍵詞:: 類風濕性關節炎; 加味四妙勇安湯; 艾灸; 紅細胞沉降率; 類風濕因子; 血小板

Keywords:: Rheumatoid arthritis; Modified Simiao Yongan decoction; Moxibustion; Erythrocyte sedimentation rate; Rheumatoid factor; Platelet

分類號:: R 593.22

DOI:: DOI:10.3969/j.issn.1000-7369.2022.03.010

文獻標志碼:: A

摘要:: 目的:探討加味四妙勇安湯聯合艾灸治療類風濕性關節炎(RA)的療效及對患者病情活動指標的影響。方法:選取100例濕熱痹阻型RA患者,采用簡單隨機分組法將患者分為觀察組和對照組,每組各50例。對照組采用艾灸治療,觀察組在對照組基礎上聯合加味四妙勇安湯治療。評估兩組臨床療效和治療期間的不良反應發生情況。分別于治療前后檢測患者中醫證候積分、壓痛關節數(TJC)、腫脹關節數(SJC)、晨僵時間、DAS28評分、VAS評分、紅細胞沉降率(ESR)、血小板計數(PLT)、C-反應蛋白(CRP)、類風濕因子(RF)水平。結果:觀察組患者治療總有效率高于對照組,差異有統計學意義(P<0.05)。治療后,觀察組患者中醫證候積分、SJC和TJC數量、晨僵時間、DAS28評分、VAS評分、ESR、CRP、PLT、RF水平均低于對照組,差異有統計學意義(均P<0.05)。治療期間,兩組的不良反應總發生率比較,差異無統計學意義(P>0.05)。結論:加味四妙勇安湯聯合艾灸治療RA臨床療效較好,可緩解關節腫痛,縮短晨僵時間,減輕炎癥反應,安全性較好。

Abstract:: Objective:To investigate the curative effect of modified Simiao Yongan decoction combined with moxibustion on rheumatoid arthritis(RA)and its influences on disease activity indexes.Methods:100 patients with RA of Shire Bizu type were divided into observation group and control group according to simple random grouping method,50 cases in each group.The control group was treated with moxibustion,while the observation group was additionally treated with modified Simiao Yongan decoction.The clinical curative effect and occurrence of adverse reactions during treatment in both groups were evaluated.The levels of Chinese medicine syndrome score,tender joint count(TJC),swollen joint count(SJC),morning stiffness time,DAS28 score,VAS score,erythrocyte sedimentation rate(ESR),platelet(PLT),C-reactive protein(CRP),rheumatoid factor(RF)were determined before and after treatment.Results:The response rate of treatment in the observation group was significantly higher than that in the control group,difference statistically significant(P<0.05).After treatment,scores of TCM syndromes,SJC,TJC,morning stiffness time,DAS28 and VAS scores,and levels of ESR,CRP,PLT and RF in the observation group were significantly lower than those in the control group,difference statistically significant(all P<0.05).The incidence of adverse reactions during treatment between the two groups was not statistically significant(P>0.05).Conclusion:Modified Simiao yongan decoction combined with moxibustion has good clinical efficacy in the treatment of RA,which can relieve joint swelling and pain,shorten the time of morning stiffness,relieve inflammatory reaction,with better safety.

參考文獻/References:

[1] Firestein GS,McInnes IB.Immunopathogenesis of rheumatoid arthritis[J].Immunity,2017,46(2):183-196.
[2] 葉天士.臨證指南醫案[M].北京:北京科學技術出版社,2014:294.
[3] 朱竹菁,蘇勵,田雨.蠲痹化濕湯治療女性寒濕型類風濕關節炎臨床研究[J].陜西中醫,2020,41(5):632-635.
[4] Jekic B,Maksimovic N,Damnjanovic T.Methotrexate pharmacogenetics in the treatment of rheumatoid arthritis[J].Pharmacogenomics,2019,20(17):1235-1245.
[5] 朱田田,趙中亭,趙怡坤,等.艾灸對類風濕關節炎炎性損傷修復機制的現代研究進展[J].針刺研究,2017,42(3):271-274.
[6] 李光輝,張軍平,丁義,等.四妙勇安湯抑制血管內皮細胞P-選擇素、NF-κB表達的實驗研究[J].中華中醫藥學刊,2017,35(8):2058-2060.
[7] 國家食品藥品監督管理總局.中藥新藥臨床研究指導原則[S].北京:中國醫藥科技出版社,2002:115-119.
[8] 中華醫學會風濕病學分會.類風濕關節炎診治指南(草案)[J].中華風濕病學雜志,2003,17(4):250-254.
[9] 傅麗暉,張瑾,梁良.MRI動態增強技術對活動性類風濕性關節炎療效判斷的應用價值[J].醫學影像學雜志,2019,29(5):828-832.
[10] 鮑嘉敏,宋永嘉,陳錦漫,等.自我管理對類風濕性關節炎患者疼痛緩解的效果評價:Meta分析和系統評價[J].世界中醫藥,2020,15(7):89-96.
[11] McWilliams DF,Walsh DA.Pain mechanisms in rheumatoid arthritis[J].Clin Exp Rheumatol,2017,35(5):94-101.
[12] McGonagle D,Watad A,Savic S.Mechanistic immunological based classification of rheumatoid arthritis[J].Autoimmun Rev,2018,17(11):1115-1123.
[13] 盧文藝,周祖山,周艷華,等.周祖山教授分期辨治類風濕關節炎經驗探析[J].中醫藥信息,2019,36(1):62-65.
[14] Aletaha D,Smolen JS.Diagnosis and management of rheumatoid arthritis:A review[J].JAMA,2018,320(13):1360-1372.
[15] Uneda A,Hirashita K,Kanda T,et al.Primary central nervous system methotrexate-associated lymphoproliferative disorder in a patient with rheumatoid arthritis:Case report and review of literature[J].NMC Case Rep Journal,2020,7(3):121-127.
[16] 王瑞萍.類風濕關節炎患者血清中抗CCP抗體和TNF-α表達的臨床意義[J].重慶醫學,2017,12(46):46-47,50.
[17] 徐士榮,徐駿,徐紅珍,等.RF抗CCP抗體,抗AKA及CRP聯合檢測在類風濕關節炎診斷中的應用價值[J].檢驗醫學與臨床,2020,17(2):61-63.
[18] 高學祥,汪六慶.血清抗CCP抗體、RF、CRP、ESR水平聯合檢測在類風濕性關節炎患者早期診斷中的應用價值[J].檢驗醫學與臨床,2018,15(14):2156-2159.
[19] 孫莉,王曉非.血常規指標判斷類風濕關節炎活動性意義的研究進展[J].山東醫藥,2019,59(2):110-112.
[20] 劉昌蓮,賀冬冬,李曉明,等.艾拉莫德治療類風濕關節炎療效及對患者免疫炎癥因子水平和骨代謝指標的影響[J].陜西醫學雜志,2020,49(5):603-607.
[21] 申丹,楊衛彬,王曉曼.血小板與類風濕關節炎中醫證候相關性初探[J].世界中醫藥,2016,11(8):1640-1643.

相似文獻/References:

[1]程紅衛,秦艷,胡筱娟.青白通痹膠囊的組方學研究*[J].陜西中醫雜志,2019,(4):537.
[2]全健,丁文濤 Δ,武輝.穴位注射配合桂枝芍藥知母湯加減治療類風濕性關節炎臨床研究[J].陜西中醫雜志,2019,(5):671.
　QUAN Jian,DING Wentao,WU Hui..Rheumatoid arthritis treated by acupoint injection combined with Guizhi Shaoyao Zhimu decoction[J].,2019,(3):671.
[3]戴鳳翔,邱聯群△.當歸四逆湯聯合灸法治療類風濕性關節炎臨床研究[J].陜西中醫雜志,2019,(9):1235.
[4]劉茜,張翊一,李映雪△,等.川羌除痹湯聯合西藥對類風濕性關節炎患者免疫功能及Th1/Th2型細胞因子的影響[J].陜西中醫雜志,2019,(12):1732.
　LIU Qian,ZHANG Yiyi,LI Yingxue,et al.Effects of Chuanqiang Chubi decoction and western medicine on immune function and Th1/Th2 cytokines in patients with rheumatoid arthritis[J].,2019,(3):1732.
[5]張娜,唐華燕.生地苦參湯聯合艾拉莫德對類風濕性關節炎患者血清抗CCP抗體及炎癥因子的影響[J].陜西中醫雜志,2022,(3):318.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.011]
　ZHANG Na,TANG Huayan.Effect of Shengdi Kushen decoction combined with iguratimod on serum anti CCP antibody and inflammatory factors in rheumatoid arthritis[J].,2022,(3):318.[doi:DOI:10.3969/j.issn.1000-7369.2022.03.011]

備注/Memo

備注/Memo:: 基金項目:國家自然科學基金資助地區項目(81860834); 新疆維吾爾自治區中醫醫院院內課題(ZYY2013PY13)

更新日期/Last Update: 2022-03-09

国产高清精品国语特黄A片,新翁色翁荡息肉50篇小说合集,国产精品久久久久无码AV,中国VS日本VS亚洲看

97人妻精品一区二区三区| 国产无遮挡又黄又爽在线观看| 少妇高潮灌满白浆毛片免费看| 99久久国产精品免费消防器材| 亚洲国产精品久久无码中文字蜜桃| 狠狠人妻久久久久久综合| 女的被弄到高潮娇喘喷水视频| 吃奶呻吟打开双腿做受在线视频| 在线播放亚洲第一字幕| 牛鞭擦进女人下身视频| 日本一卡二卡≡卡四卡精品|