艾灸联合西药治疗寒湿痹阻型类风湿关节炎的疗效观察OA

Objective To observe the clinical efficacy of different moxibustion methods combined with Western medicine in treating rheumatoid arthritis(RA)of cold dampness obstruction pattern.Method Ninety-six patients with RA of cold dampness obstruction pattern were randomly allocated to a Western medicine group,a moxibustion box group,and a Wen Tong(warm unblocking)moxibustion group,with 32 cases in each group.The Western medicine group received oral administration of Methotrexate tablets.In addition to the intervention in the Western medicine group,the moxibustion box group received moxibustion treatment using moxibustion boxes,and the Wen Tong moxibustion group received moxibustion using a specific device.The three groups were observed for post-treatment changes in the tender joint count,swelling joint count,disease activity score in 28 joints(DAS28),visual analog scale(VAS)score,traditional Chinese medicine(TCM)symptom score,health assessment questionnaire(HAQ)score,and laboratory indicators[erythrocyte sedimentation rate(ESR),serum C-reactive protein(CRP),rheumatoid factor(RF)level,platelet count(PLT),and hemoglobin(HB)content].The clinical efficacy was compared among the three groups,and the preparation duration before operation was compared between the two moxibustion groups.Result The Wen Tong moxibustion group achieved a total effective rate of 90.6%,higher than that of 62.5%in the Western medicine group and 81.3%in the moxibustion box group,showing statistical significance(P＜0.05).The pre-operation preparation duration was shorter in the Wen Tong moxibustion group than in the moxibustion box group(P＜0.05).After treatment,the swelling joint count,VAS score,serum RF and CRP levels,ESR,DAS28,and HAQ score decreased in all the three groups(P＜0.05);these values were smaller or lower in the Wen Tong moxibustion group than in the other two groups(P＜0.05),and were smaller or lower in the moxibustion box group than in the Western medicine group(P＜0.05).After intervention,the three groups all demonstrated a decrease in the TCM symptom score(P＜0.05),and the score in the Wen Tong moxibustion group was lower than that in the other two groups(P＜0.05).The PLT dropped after treatment in the three groups(P＜0.05);the count was smaller in the Wen Tong moxibustion group and the moxibustion box group than in the Western medicine group(P＜0.05).The HB content increased after treatment in all three groups(P＜0.05);the content was higher in the two moxibustion groups than in the Western medicine group(P＜0.05).Conclusion Based on Western medicine,moxibustion with a Wen Tong moxibustion device produces more significant clinical efficacy than moxibustion box moxibustion in treating RA of cold dampness obstruction pattern;Wen Tong moxibustion can improve clinical symptoms,reduce disease activity,ease inflammatory responses,and enhance the patient's quality of life.