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目的:观察中医辨证及结合西医治疗银屑病关节炎的方法及分析临床疗效。方法:将47例银屑病关节炎患者随机分为两组,对照组(西药组)24例,治疗组(中西医结合组)23例,疗程8周,观察皮损、关节压痛、关节肿胀、晨僵、血沉和C反应蛋白等的变化情况,比较并分析两组的治疗效果及不良反应。结果:两组在改善观察指标方面,与本组治疗前比较,均有统计学意义(P<0.05),并且治疗组的疗效明显优于对照组(P<0.05);治疗组总有效率为91.3%,对照组总有效率为62.5%,两组总有效率比较有差异,具有统计学意义(P<0.05)。结论:中西医结合治疗银屑病关节炎优于单用西药,且可减少西药带来的不良反应,值得临床推广应用。
Objective: To observe the syndrome differentiation of traditional Chinese medicine and Western medicine treatment of psoriatic arthritis and analysis of clinical efficacy. Methods: Forty-seven patients with psoriatic arthritis were randomly divided into two groups: 24 in the control group (western medicine group) and 23 in the treatment group (Integrative Medicine Group) for 8 weeks. Skin lesions, joint tenderness, joint swelling , Morning stiffness, erythrocyte sedimentation rate and C-reactive protein changes were compared and analyzed two groups of treatment and adverse reactions. Results: The two groups were statistically significant (P <0.05) compared with those before treatment in terms of improving the observation indexes, and the curative effect of the treatment group was obviously better than that of the control group (P <0.05). The total effective rate of the treatment group was 91.3% in the control group, and 62.5% in the control group. There was significant difference between the two groups in total effective rate (P <0.05). Conclusion: Integrative treatment of psoriatic arthritis is superior to single western medicine, and can reduce adverse reactions caused by western medicine, which is worthy of clinical application.