湖南中医药大学学报2024，Vol.44Issue(8)：1415-1421,7.DOI:10.3969/j.issn.1674-070X.2024.08.009
隔药灸联合中医五行手指操治疗寒湿痹阻型类风湿关节炎的疗效观察
Clinical efficacy of moxibustion on medicines combined with finger exercise guided by TCM five elements theory in treating rheumatoid arthritis of cold dampness impediment pattern
摘要
Abstract
Objective To explore the clinical efficacy of moxibustion on medicines combined with finger exercise guided by TCM five elements theory in treating rheumatoid arthritis(RA)of cold dampness impediment pattern.Methods Ninety patients diagnosed with RA of cold dampness impediment pattern were randomly divided into control group and observation group,with 45 cases in each group.The control group was given leflunomide tablet,iguratimod tablet,and celecoxib capsule by oral administration.The observation group was given moxibustion on medicines combined with finger exercise guided by TCM five elements theory on the basis of the control group.Moxibustion on medicines was performed at Pishu(BL20),Yanglingquan(GB34),Yaoyangguan(GV3),Mingmen(GV4),and Ashi points on the large intestine meridian of hand-Yangming,the sanjiao meridian of hand-Shaoyang,and the small intestine meridian of hand-Taiyang,once a day for 30 minutes each time.Both groups were treated for ten days.Visual analogue scale(VAS)for pain and erythrocyte sedimentation rate(erythrocyte sedimentation rate),C-reactive protein(CRP),self-rating anxiety scale(SAS),health assessment questionnaire,HAQ),TCM pattern score of the two groups were observed before and after treatment,and clinical efficacy of the two groups after treatment were evaluated.Results After treatment,the VAS,ESR,CRP,SAS,HAQ,and TCM pattern scores of both groups of patients decreased compared to those before treatment(P<0.05,P<0.01),and the above indicators in the observation group were lower than those in the control group(P<0.01).The overall effective rate in the observation group was 80.00%,which was higher than the 55.56%of the control group(P<0.01).Conclusion The combination of moxibustion on medicines and finger exercise guided by TCM five elements theory significantly alleviates clinical symptoms and enhances the life quality of patients with RA of cold dampness impediment pattern.关键词
类风湿关节炎/寒湿痹阻/隔药灸/中医五行手指操/临床疗效/中医证候积分/生存质量Key words
rheumatoid arthritis/cold dampness impediment pattern/moxibustion on medicines/finger exercise guided by TCM five elements theory/clinical efficacy/TCM pattern scores/life quality分类
医药卫生引用本文复制引用
皮桂芳,张月娟,薛柯,刘娟,刘梨,陈青..隔药灸联合中医五行手指操治疗寒湿痹阻型类风湿关节炎的疗效观察[J].湖南中医药大学学报,2024,44(8):1415-1421,7.基金项目
国家自然科学基金项目(822746271005499) （822746271005499）
湖南省中医药科研计划项目(D2022029) （D2022029）
湖南省中医药科研课题(A2023010) （A2023010）
湖南省卫生健康委科研重点课题(202114011882) （202114011882）
湖南省教育厅科学研究项目重点课题(22A0247) （22A0247）
国家中医优势专科-护理学(国中医药医政函[2024]90 号). （国中医药医政函[2024]90 号）
