Therapeutic efficacy observation on acupuncture plus medication for rheumatoid arthritis
Tóm tắt
To observe the clinical efficacy of acupuncture plus medication for rheumatic arthritis (RA). A total of 80 RA cases were randomized into an observation group and a control group, 40 in each group. Cases in the observation group received antirheumatic agents and acupuncture therapy, whereas cases in the control group received antirheumatic agents alone. The therapeutic efficacies were observed after 3 sessions of treatment. After the treatment, patients in the observation group had significant improvement in their morning stiffness time, average grip of both hands, joint tenderness and joint swelling, showing statistical significances (P<0.01); symptoms of patients in the control group were also remarkably improved (P<0.01, P<0.05). Compared with the control group, the improvements in joint tenderness and average grip of both hands in the observation group were more significant (P<0.05). After treatment, the Health Assessment Questionnaire (HAQ) points were significantly improved in both groups, erythrocyte sedimentation rate (ESR) and C-reactive protein (CRP) in both groups were remarkably reduced (P<0.01, P<0.05); however, compared with the control group, the CRP decrease in the observation group was more significant (P<0.05). Acupuncture plus antirheumatic agents can effectively increase the RA patients’ activities of daily living (ADL) and thus improve their quality of life.
Tài liệu tham khảo
Xie HL, Shi Z, Cao XM. Therapeutic effect evaluation of acupuncture and Chinese patent medicine on rheumatoid arthritis. J Acupunct Tuina Sci, 2007, 5(1): 55–58.
Xiang SY, Liu JM, Li HT. Clinical observation on the effect of acupuncture on the active stage of rheumatoid arthritis. Shanghai Zhenjiu Zazhi, 2005, 24(11): 11–12.
Zhu YW, Chen XY, Han KS, Zhang Y, Luo SR. Effect of long snake moxibustion on the immune function of patients with rheumatoid arthritis. Shanghai Zhenjiu Zazhi, 1991, 10(1): 1–2.
Jia J, Wang JH, Guo XJ, Li XF. Effect of medicinal moxibustion on erythrocytic immunologic function in rats with allergic arthritis. Shanghai Zhenjiu Zazhi, 2002, 21(3): 37–39.
Qin XG, Du XZ. Research advance on acupuncture treatment mechanism for rheumatoid arthritis. Gansu Keji, 2005, 21(6): 156–158.
Yu SG, Tang Y, Liu YX. Effect of electroacupuncture of Zusanli (ST 36) on plasma corticosterone content and glucocorticosteroid receptor affinity and concentration of rheumatoid arthritis rats. Zhenci Yanjiu, 2002, 27(3): 205–210.
Chen MM, Wen B, Cheng ZD, Chen YG. Effect of acupuncture on pain reaction and β endorphin contents in rats with adjuvant arthritis. Liaoning Zhongyi Zazhi, 2005, 32(7): 714–715.
Yang SQ, Liu XG, Li XK, Zhang P, Wei DP. Effect of moxibustion on contents of IL-1 and TNF-α in joint synovial fluid in domestic rabbits with rheumatoid arthritis. Chengdu Zhongyiyao Daxue Xuebao, 2005, 28 (3): 11–12.
Lou YQ. Chinese Rheumatology. Beijing: People’s Medical Publishing House, 2001: 73–74.
Cheng ZB, Han YM, Xiong YC, Wu CQ, Yuan SR. Effect of electric stimulation to Shenshu (BL 23) on functional state of hypothalamic paraventricular nucleus in rats. Zhongguo Zhongyi Jichu Yixue Zazhi, 1999, 5(12): 52–56.