来源：风湿病与关节炎,2018,7（10）:18-20.

蜡疗合并中药贴敷联合常规药物口服治疗类风湿关节炎71例临床观察（临床研究）

贾西姣，张国胜

　　【摘　要】目的：观察采用中药贴敷联合蜡疗法治疗类风湿关节炎的临床疗效。方法：将213例类风湿关节炎患者随机分为治疗组、对照1组和对照2组，每组71例。对照1组采用常规药物口服加中药贴敷治疗，对照2组采用常规药物口服加蜡疗治疗，治疗组在常规药物口服治疗的基础上采用蜡疗合并中药贴敷治疗。观察3组临床疗效，以及治疗前后数字分级法（NRS）评分、晨僵时间变化情况。结果：治疗组显效42例，有效22例，无效7例，总有效率为90.14%；对照1组显效12例，有效40例，无效19例，总有效率为73.24%；对照2组显效18例，有效41例，无效12例，总有效率为83.10%；治疗组总有效率与对照1组、对照2组比较，差异有统计学意义（P < 0.05）。治疗后，3组患者NRS评分、晨僵时间较治疗前均有改善（P < 0.05），且治疗组优于对照1组、对照2组（P < 0.05）。结论：蜡疗合并中药贴敷治疗类风湿关节炎优于单纯中药贴敷或蜡疗，能有效减轻患者的疼痛，缩短晨僵时间，改善患者症状。

　　【关键词】　关节炎，类风湿；蜡疗；中药贴敷；临床疗效

Clinical Observation on 71 Cases of Rheumatoid Arthritis Treated with Wax Therapy Combining Chinese Medicine Pasting Therapy and Conventional Drug

JIA Xi-jiao,ZHANG Guo-sheng

 　　【ABSTRACT】Objective:To observe the clinical effect of Chinese medicine pasting therapy combined with wax therapy on rheumatoid arthritis.Methods:Two hundred and thirteen patients with rheumatoid arthritis were randomly divided into a treatment group,control group 1 and control group 2,71 cases in each group.Control group 1 was treated with routine drug combined with Chinese medicine pasting therapy.Control group 2 was treated with routine drug combining wax therapy.The treatment group was treated with wax therapy combined with Chinese medicine pasting therapy based on the treatment with routine drug.The clinical effects of the three groups were observed,and the changes of NRS score and morning stiffness time before and after treatment were observed.Results:In the treatment group,42 cases were markedly effective,22 cases were effective,7 cases were ineffective,and the total effective rate was 90.14%.In control group 1,12 cases were markedly effective,40 cases were effective,19 cases were ineffective,and the total effective rate was 73.24%.In control group 2,18 cases were markedly effective,41 cases were effective,12 cases were ineffective,and the total effective rate was 83.10%.The total effective rate of the treatment group was different from those of control group 1 and control group 2,having a statistical significance（P < 0.05）.After treatment,the NRS score and morning stiffness time of the three groups were improved（P < 0.05）,and the treatment group was superior to  control group 1 and the control group 2（P < 0.05）.Conclusion:Wax therapy combined with Chinese medicine pasting therapy is superior to one of them only in the treatment of rheumatoid arthritis.It can effectively relieve pain,shorten morning stiffness time and improve symptoms of patients.

　　【Keywords】 arthritis,rheumatoid;wax therapy;Chinese medicine pasting therapy;clinical efficacy