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温针灸治疗类风湿关节炎的临床研究进展

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类风湿关节炎(Rheumatoid Arthritis,RA)是一种慢性炎症及自身免疫性疾病,主要侵袭滑膜关节,最终可导致关节畸形甚至骨折,具有复发率高、致残率高、病程长的特点,严重影响患者生活质量.其病因复杂且不清楚,迄今为止,尚无治疗RA特效药物及疗法.近年来,现代医学治疗RA的药物虽可较快控制临床症状,能在一定程度上延缓疾病进程,但其不良反应大、费用昂贵等问题日益凸显.RA归属于中医"痹证"的范畴,中医药治疗RA已成为研究的热点.中医药治疗RA具有多途径、多靶点、多效应等优势.中医外治法治疗RA已广泛应用于临床,其中温针灸治疗RA历史悠久、不良反应小、疗效显著.目前温针灸治疗RA在单独使用、联合西药、联合中药、联合其他中医外治法(穴位贴敷、中药熏洗、中药热敷、刺络拔罐疗法、刺络放血、中频药透、穴位注射)及联合臭氧自血疗法等在改善临床症状、延缓疾病进程、改善预后上作用明显,且安全性高,不良反应小.本篇文章主要将近5年来温针灸治疗RA的临床研究进展进行综述,以期为临床使用温针灸治疗RA提供更好的理论依据.
A review on warm acupuncture in the treatment of rheumatoid arthritis
Rheumatoid arthritis is a chronic inflammatory and autoimmune disease that mainly affects the synovial joints and can eventually lead to joint deformities and even fractures.It has the characteristics of high recurrence rate,high disability rate and long course of disease,which seriously affects the quality of life of patients.The cause of rheumatoid arthritis is complex and unclear,so far,there are no specific drugs and therapies to treat rheumatoid arthritis.In recent years,although the drugs used in modern medicine to treat rheumatoid arthritis can control clinical symptoms quickly and delay the disease process to a certain extent,the problems such as large with a fewer adverse reactions and high cost have become increasingly prominent.Rheumatoid arthritis belongs to the category of"Bi(痹)syndrome"of traditional Chinese medicine.The treatment of rheumatoid arthritis in traditional Chinese medicine has become a research hotspot.Traditional Chinese medicine has the advantages of multi-pathway,multi-target and multi-effect in the treatment of rheumatoid arthritis.Traditional Chinese medicine external treatment of rheumatoid arthritis has been widely used in clinic,among which warm acupuncture treatment of rheumatoid arthritis has a long history,with a fewer adverse reactions and remarkable effects.At present,warm acupuncture and moxibustion has significant effects on relieving clinical symptoms,delaying the course of the disease and improving the prognosis in the treatment of rheumatoid arthritis,either in the form of being applied alone,or combined with Western medicine,or combined with Chinese medicinal materials,or combined with other external treatment of traditional Chinese medicine(acupoint application,fumigation,hot treatment,acupoint cupping therapy,acupoint bloodletting,medium frequency drug penetration,acupoint injection),and combined with ozone self-blood therapy,and it is of high safety,with a fewer adverse reactions.This article mainly reviews the clinical research progress of warm acupuncture in the treatment of rheumatoid arthritis in the past five years,in order to provide a better theoretical basis for the clinical use of warm acupuncture in the treatment of rheumatoid arthritis.

Warm acupunctureRheumatoid arthritisReview

江露、张宗星、刘道忠、袁林

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湖北民族大学,湖北 恩施,445000

湖北民族大学风湿性疾病发生与干预湖北省重点实验室,湖北 恩施,445000

温针灸 类风湿关节炎 综述

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(3)
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