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目的探讨外敷疗法联合红外线照射疗法治疗类风湿关节炎的临床效果。方法选取2016年2月—2017年2月于萍乡市中医院收治的类风湿关节炎患者110例,随机分为常规治疗组和综合治疗组,各55例。常规治疗组患者采用常规抗风湿药物、抗炎药物治疗,综合治疗组在常规治疗组患者的基础上给予外敷疗法联合红外线照射疗法治疗,两组患者均持续治疗2个月。比较两组患者类风湿关节炎治疗效果、关节疼痛、肿胀消失时间及关节活动恢复正常时间,治疗前后血尿酸、C反应蛋白水平及红细胞沉降率,并观察患者不良反应发生情况。结果综合治疗组患者治疗总有效率较常规治疗组高(P<0.05)。综合治疗组患者关节疼痛、肿胀消失时间及关节活动恢复正常时间均较常规治疗组短(P<0.05)。治疗前,两组患者血尿酸、C反应蛋白水平及红细胞沉降率间差异不显著(P>0.05);治疗后,综合治疗组患者血尿酸、C反应蛋白水平及红细胞沉降率均低于常规治疗组(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论采用外敷疗法联合红外线照射疗法治疗类风湿关节炎的临床效果确切,可有效改善患者的临床症状,降低血尿酸、C反应蛋白水平及红细胞沉降率,缓解关节肿胀、疼痛,促使关节活动恢复正常,且安全性好。
Objective To investigate the clinical effect of external application therapy combined with infrared radiation therapy on rheumatoid arthritis. Methods A total of 110 patients with rheumatoid arthritis who were treated in Pingxiang Hospital of Traditional Chinese Medicine from February 2016 to February 2017 were randomly divided into routine treatment group and comprehensive treatment group, with 55 cases in each group. Patients in the conventional treatment group were treated with conventional anti-rheumatic drugs and anti-inflammatory drugs. The patients in the comprehensive treatment group were treated with external application therapy combined with infrared radiation therapy on the basis of the conventional treatment group. Patients in both groups were treated continuously for 2 months. The therapeutic effect of rheumatoid arthritis, joint pain, disappearance of swelling and the time of recovery of joint activity, serum uric acid, C-reactive protein level and erythrocyte sedimentation rate before and after treatment were compared between the two groups. The incidence of adverse reactions was also observed. Results The total effective rate of the treatment group was higher than that of the conventional treatment group (P <0.05). Patients in the comprehensive treatment group had shorter joint pain, time to disappearance of swelling, and normal recovery time of joint activity than those in the conventional treatment group (P <0.05). Before treatment, there was no significant difference in serum uric acid, C-reactive protein level and erythrocyte sedimentation rate between the two groups (P> 0.05). After treatment, the levels of serum uric acid, C-reactive protein and erythrocyte sedimentation rate were lower in the combined treatment group than those in the conventional treatment Group (P <0.05). Two groups of patients with adverse reactions, the difference was not statistically significant (P> 0.05). Conclusion The combination of external application therapy and infrared radiation therapy is effective in the treatment of rheumatoid arthritis, which can effectively improve the clinical symptoms, reduce the levels of serum uric acid, C-reactive protein and erythrocyte sedimentation rate, relieve joint swelling and pain, and return the joint activity to normal , And good security.