中药薫药联合穴位敷贴治疗风湿寒性关节痛的临床研究

马吉丽　姜颖　郭静　白云

【摘要】 目的 分析中药熏药联合穴位敷贴治疗风湿寒性关节痛的临床效果。方法 88例风湿寒性关节痛患者， 随机分为对照组和观察组， 各44例。对照组单独使用穴位敷贴治疗， 观察组在对照组基础上联合中药熏药进行治療。对比两组患者的临床效果。结果 对照组治疗总有效率为77.3%， 观察组治疗总有效率为93.2%， 观察组高于对照组， 差异具有统计学意义 （P<0.05）。结论 治疗风湿寒性关节痛， 使用穴位敷贴的同时联合中药熏药进行治疗， 可显著提高临床效果， 缓解临床症状， 可推广应用。

【关键词】 中药熏药；穴位敷贴；风湿寒性关节痛

DOI：10.14163/j.cnki.11-5547/r.2016.33.074

Clinical research of traditional Chinese medicine fumigation combined with acupoint application in the treatment of rheumatic and cold arthralgia MA Ji-li， JIANG Ying， GUO Jing， et al. Jilin Siping City Hospital of Traditional Chinese Medicine， Siping 136001， China

【Abstract】 Objective To analyze clinical effect by traditional Chinese medicine fumigation combined with acupoint application in the treatment of rheumatic and cold arthralgia. Methods A total of 88 patients with rheumatic and cold arthralgia were randomly divided into control group and observation group， with 44 cases in each group. The control group received single acupoint application for treatment， and the observation group received additional traditional Chinese medicine fumigation for combined treatment. Clinical effects were compared between the two groups. Results The control group had total effective rate as 77.3%， and the observation group had total effective rate as 93.2%. The observation group had higher total effective rate than the control group， and the difference had statistical significance （P<0.05）. Conclusion Implement of traditional Chinese medicine fumigation combined with acupoint application in the treatment of rheumatic and cold arthralgia can remarkably improve clinical effect and relieve clinical symptoms. It is worth promoting and applying.

【Key words】 Traditional Chinese medicine fumigation； Acupoint application； Rheumatic and cold arthralgia

风湿寒性关节痛又称风关痛， 是一种引发肌肉、关节疼痛为主的疾病， 其发病机制至今尚不清楚。即便这种疾病并无炎性特征和残疾的危险性， 但病程时间长会引发骨质增生、骨关节炎。常规的西医治疗即口服镇痛药物[1-4]。患者长时间服用镇痛药容易对胃黏膜产生损伤， 引发胃溃疡。同时患者停药后容易复发。基于此， 中医治疗该种疾病的优越性逐渐体现出来。本文选取2015年3月～2016年3月收治的风湿寒性关节痛患者88例， 分析中药熏药联合穴位敷贴治疗风湿寒性关节痛的临床效果。

1 资料与方法

1. 1 一般资料 选取2015年3月～2016年3月收治的风湿寒性关节痛患者88例。就诊期间所有患者均表现为肌肉酸楚、麻木、疼痛甚至剧烈疼痛， 日常活动非常困难， 病情随天气变化加重， 实验室检查大部分患者的红细胞沉降率（ESR）表示正常， 抗链球菌溶血素O（ASO）、类风湿因子（RF）、血常规均显示正常， X线检查可发现软组织肿胀， 经确诊所有患者均为风湿寒性关节痛。88例患者随机分为对照组和观察组， 各44例。……