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目的:观察中医手法联合药物对类风湿性关节炎患者关节功能及实验室指标的影响。方法:选取98例类风湿性关节炎患者为研究对象,随机分为对照组和观察组各49例。对照组给予常规西药治疗,观察组在常规西药治疗的基础上加用中药与中医手法治疗,观察2组治疗前后的关节功能分级与实验室指标变化情况。结果:治疗后,观察组关节功能Ⅰ级的构成比高于治疗前与对照组同期,差异均有统计学意义(P<0.05);2组关节功能Ⅱ级、Ⅲ级、Ⅳ级的构成比比较,差异均无统计学意义(P>0.05)。2组血沉(ESR)、C-反应蛋白(CRP)、类风湿因子(RF)水平均较治疗前改善(P<0.05),观察组各指标改善程度均优于对照组(P<0.05)。结论:中医手法联合药物治疗类风湿性关节炎能有效改善患者的关节功能和实验室指标。
Objective: To observe the effect of Chinese medicine combined with medicine on joint function and laboratory indexes in patients with rheumatoid arthritis. Methods: Ninety-eight patients with rheumatoid arthritis were selected as study subjects and randomly divided into control group and observation group of 49 cases each. The control group was given conventional western medicine. The observation group was treated with traditional Chinese medicine and traditional Chinese medicine on the basis of conventional western medicine. The changes of joint function and laboratory indexes before and after treatment were observed. Results: After treatment, the constituent ratio of joint function grade Ⅰ in the observation group was higher than that of the control group before treatment (P <0.05). The constituent ratios of grade Ⅱ, Ⅲ and Ⅳ of joint function in the two groups were statistically significant There was no significant difference between the two groups (P> 0.05). The levels of ESR, CRP and RF in the two groups were all improved compared with before treatment (P <0.05). The improvement of each index in the observation group was better than that in the control group (P <0.05). Conclusion: Chinese medicine combined with medication for rheumatoid arthritis can effectively improve the patient’s joint function and laboratory parameters.