补气活血通络汤治疗类风湿关节炎73例效果观察
彭全利1 ，赵潼宝2
（1.陕西省宝鸡市凤翔县中医医院，陕西 宝鸡，721400；2 .潼关县医院，陕西 渭南，714300）
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摘要：
目的 探讨补气活血通络汤治疗类风湿关节炎的疗效。方法 选取我院门诊73例类风湿关节炎患者作为研究对象，选用补气活血通络汤进行治疗，依照患者个体差异在治疗中进行辨证加减，治疗两个疗程后观察治疗效果。结果 治疗前患者的关节肿胀、关节疼痛、关节屈伸不利、关节晨僵评分分别为（5.02±1.23）分、（5.78±0.50）分、（1.81±0.71）分、（1.86±0.94）分，治疗后各症状的积分分别为（1.67±0.9）分、（2.21±0.93）分、（0.71±0.65）分、（0.91±0.67）分，治疗前后积分比较，差异具有统计学意义（P<0.05）；治疗2 两个疗程后评价治疗效果，痊愈率为82.19%（60/73），好转率为8.22%（6/73），无效率为9.59%
（7/73），治疗总有效率为90.41%。结论 补气活血通络汤辨证治疗类风湿关节炎临床效果较好，值得临床推广。
关键词：补气活血通络汤；关节炎；类风湿
中图分类号：R593.22 文献标志码：A文章编号：2096-1413(2016)25-0126-02
The effect of Buqi Huoxue Tongluo decoction on 73 patients with rheumatoid arthritis
PENG Quan-li 1, ZHAO Tong-bao 2
(1. Hospital of TCM in Fengxiang County of Baoji city, Baoji 721400; 2. Tongguan Hospital, Weinai 714300, China）
ABSTRACT: Objective To investigated the effect of formula of Buqi Huoxue Tongluo decoction on 73 patients of rheumatoid arthritis. Methods Seventy three cases of patients with rheumatoid arthritis were selected and treated with Buqi Huoxue Tongluo decoction,during the treatment the formula was syndrome differentiation to add and subtract according to the individual differences, the clinical efficacy were observed after treatment. Results Before treatment, the joint swelling, joint pain, adverse joint flexion and extension, joint morning stiffness score were respectively (5.02±1.23), (5.78±0.5), (1.81±0.71), and (1.86±0.94), after treatment the symptoms integral were respectively (1.67±0.9), (2.21±0.93), (0.71±0.65) and (0.91±0.67), the difference of comparison before and after treatment showed statistics significance (P<0.05); after two courses of treatment, the cure rate was 82.19% (60/73), the recovery rate was 8.22% (6/73), inefficiency rate was 9.59% (7/73), the total effective rate was 90.41%. Conclusion Syndrome differentiation treatment with Buqi Huoxue Tongluo decoction is effective and feasible for rheumatoid arthritis.
KEYWORDS: Buqi Huoxue Tongluo decoction; arthrophlogosis; rheumatoid
参考文献：
[1] 元·朱震亨.丹溪医集[酝].北京:人民卫生出版社,1993,43.
[2] 景嵘月,汪悦.活血通络法治疗类风湿关节炎临床疗效的Meta分 析[J].中国实验方剂学杂志,2015,21(6):215-218.
[3] 中华医学会风湿病学分会.类风湿性关节炎诊治指南(草案)[J].中华风湿病学杂志,2003,7(4):251.
[4] 姜泉,焦娟.清热活血法外治类风湿关节炎疗效观察[J].中医正骨,2006,18(3):21-22.
[5] 中华人民共和围卫生部《.中药新药临床研究指导原则》[S].北 京:中国医药科技出版社,2002:5.
[6] 张乃峥.临床风湿病学[酝].上海:上海科学技术出版社,2001:292.
[7] 邓俊,张贵,张元爱,等.补阳还五汤口服联合大黄敷脐治疗冠心病心绞痛伴高脂血症临床观察[J].中国中医药信息杂志,2012,19(8):67-68.
[8] 柳元娥.浅谈类风湿性关节炎的中药运用规律[J].湖北中医杂志,2007,29(11):43.
[9] 王斌,王宏智,昊美娟,等.血小板参数与类风湿性关节炎病情活动 的相关性分析[J].浙江医学,2010,32(7):1088-1089.
[10] 蒋耀平,尹智功,肖敬,等.类风湿关节炎患者超敏C-反应蛋白和 D-二聚体检测的临床意义[允].右江民族医学院学报,2010,32(6):863-864.