首页|羌活秦艽方加减联合中医康复指导在类风湿关节炎中的应用效果及对患者血清炎症因子水平的影响

羌活秦艽方加减联合中医康复指导在类风湿关节炎中的应用效果及对患者血清炎症因子水平的影响

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目的 探讨羌活秦艽方加减联合中医康复指导在类风湿关节炎中的应用效果及对患者血清炎症因子水平的影响.方法 选取聊城市中医医院2022年3月—2023年4月收治的60例RA患者为研究对象,按照随机数字表法将其分为观察组和对照组,每组30例.对照组采用中医康复指导下的基础治疗,观察组在此基础上采用羌活秦艽方加减治疗,两组均持续治疗12周.比较两组患者的临床症状、血清炎症因子、临床疗效、不良反应发生情况及功能评分.结果 治疗前,两组的关节肿胀数量、关节压痛数量及晨僵时间比较,组间差异无统计学意义(P>0.05);治疗后,观察组的关节肿胀数量、关节压痛数量均少于对照组,晨僵时间短于对照组,组间差异有统计学意义(P<0.05).治疗前,两组的肿瘤坏死因子-a(TNF-a)、白细胞介素-17(IL-17)及白细胞介素-ß(IL-1ß)水平比较,组间差异无统计学意义(P>0.05);治疗后,观察组的TNF-a、IL-17及IL-1ß水平均低于对照组,组间差异有统计学意义(P<0.05).观察组的治疗总有效率为93.33%,高于对照组的73.33%,差异有统计学意义(P<0.05).观察组的不良反应发生率低于对照组,但组间比较,差异无统计学意义(P>0.05).治疗后,观察组的关节功能评分、躯体功能评分、认知功能评分及社会功能评分均高于对照组,组间差异有统计学意义(P<0.05).结论 羌活秦艽方加减联合中医康复指导治疗类风湿关节炎的效果理想,可减轻患者的炎症反应,减少异常反应,促进患者的功能恢复,应用价值较高.
Applicatiion Effect of Modified Qianghuo Qinjiao Prescription Combined with Traditional Chinese Medicine Rehabilitation Guidance in Rheumatoid Arthritis and its Impact on Serum Inflammatory Factor Levels in Patients
Objective To investigate the application effect of modified Qianghuo Qinjiao Prescription combined with Traditional Chinese Medicine rehabilitation guidance in rheumatoid arthritis and its impact on serum inflammatory factor levels in patients. Methods Sixty patients with rheumatoid arthritis admitted to Liaocheng Hospital of Traditional Chinese Medicine from March 2022 to April 2023 were selected as the research objects,and were divided into an observation group and a control group according to random number table method,with 30 cases in each group. The control group was treated with the basic treatment under the guidance of Traditional Chinese Medicine rehabilitation,and the observation group was treated with modified Qianghuo Qinjiao Prescription on this basis,both groups were treated for 12 weeks. The clinical symptoms,serum levels of inflammatory factors,clinical efficacy,occurrence of adverse reactions and functional scores of the two groups were compared. Results Before treatment,there were no significant differences in the number of joint swelling,joint tenderness and the time of morning stiffness between the two groups (P>0.05);after treatment,the numbers of joint swelling and joint tenderness in the observation group were less than those in the control group,and the morning stiffness time was shorter than that in the control group,the differences between the groups were statistically significant (P<0.05). Before treatment,there were no significant differences in the tumor necrosis factor-a (TNF-a),interleukin-17 (IL-17),interleurm-1ß (IL-1ß) levels between the two groups (P>0.05);after treatment,the levels of TNF-a,IL-17 and IL-1ß in the observation group were lower than those in the control group,and the differences between the groups were statistically significant (P<0.05). The total effective rate of the observation group was 93.33%,which was higher than 73.33% of the control group,the difference was statistically significant (P<0.05). The incidence of abnormal reaction in the observation group was lower than that in the control group,but there was no statistical significance between groups (P>0.05). After treatment,the joint function score,physical function score,cognitive function score and social function score of the observation group were higher than those of the control group,and the differences between the groups were statistically significant (P<0.05). Conclusion The effect of modified Qianghuo Qinjiao Prescription combined with TCM rehabilitation guidance is ideal in the treatment of rheumatoid arthritis,which can reduce inflammatory response,reduce abnormal reaction and promote functional recovery of patients,and has high application value.

Rheumatoid arthritisQianghuo Qinjiao PrescriptionTraditional Chinese medicine rehabilitation guidanceSerum inflammatory factorsEfficacyApplication

刘桂杰

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聊城市中医医院风湿免疫科,山东聊城 252000

类风湿关节炎 羌活秦艽方 中医康复指导 血清炎症因子 疗效 应用

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(18)