来源：风湿病与关节炎,2018,7（3）:28-31,35.

类风湿关节炎患者病情有或无“活动后减轻”其中医证候异同的临床研究（临床研究）

李院魏^1,2，娄玉钤¹

　　【摘　要】目的：探讨类风湿关节炎患者病情有或无“活动后减轻”其中医证候的异同。方法：将河南风湿病医院类风湿关节炎患者基线资料数据库（HFRA数据库）中收录的409例患者按病情有无活动后减轻分为活动后减轻组和无活动后减轻组。并采用SPSS 19.0软件分析2组在关节表现及关节外表现方面的区别与联系。结果：在一般资料中，无活动后减轻组家族史更明显，在病程、晨僵持续时间中，无活动后减轻组病程较长，活动后减轻组晨僵更明显。活动后减轻组气、血、阳虚等症较为明显，同时兼见气滞、血瘀；而无活动后减轻组风、寒、湿、热等实症为主，同时兼见气虚症。结论：活动后减轻组以虚症为主，无活动后减轻组以实症为主。

　　【关键词】　关节炎，类风湿；病情；活动后减轻；无活动后减轻；中医证候；HFRA数据库

Clinical Study of TCM Syndromes of Rheumatoid Arthritis Patients with or without "Relieving After Activity"

LI Yuan-wei,LOU Yu-qian

　　【ABSTRACT】Objective:To explore the similarities and differences of TCM Syndromes of patients with rheumatoid arthritis with or without "relieving after activity".Methods:Four hundred and nine patients with rheumatoid arthritis in Henan Rheumatology Arthritis database（HFRA database）were divided into two groups according to whether they were relieved with or without activity:Group 1（with activity）and Group 2（without activity）.Software SPSS 19.0 was used to analyze the differences and relations between the two groups in joint performance and extra-articular performance.Results:In general,Group 2 had a more obvious family history and a longer course of disease,while the duration of morning stiffness of Group 1 was more obvious.Deficiency of qi,blood and yang in Group 1 was more obvious,as well as qi stagnation and blood stasis.While Group 2 had sthenia syndromes such as wind,cold,dampness and heat,as well as qi deficiency.Conclusion:Group 1 mainly demonstrates as deficiency syndromes,while Group 2 mainly has sthenia syndromes with relatively.

　　【Keywords】 arthritis,rheumatoid;illness;relieved with activity;relieved without activity;TCM syndrome;HFRA database