痛敏穴刺血加艾灸疗法治疗类风湿关节炎临床疗效研究

摘要 目的：观察痛敏穴刺血加艾灸疗法治疗类风湿关节炎（RA）患者的临床疗效。方法：选取2019年1月~2022年1月44例类风湿关节炎患者随机分为2组，每组22例。对照组予以来氟米特片和塞来昔布胶囊治疗，观察组在对照组基础上采用痛敏穴刺血加艾灸疗法。两组患者治疗前后采用视觉模拟评分法（VAS）和疾病活动评分（DAS-28）进行评估，并检测类风湿因子(RF)、超敏C反应蛋白（hs-CRP）、血沉(ESR)、类风湿因子（RF）、纤维蛋白原（FIB）、D二聚体水平。结果：两组治疗后VAS评分降低（P<0.05），而研究组较对照组低（P<0.05）。两组治疗后DAS-28评分降低（P<0.05），而研究组较对照组低（P<0.05）。两组治疗后RF、hs-CRP、FIB、D二聚体水平均明显下降（P<0.05），而研究组均明显低于对照组（P<0.05）。观察组总有效率（100.00 %）明显高于对照组（72.73 %）（P<0.05）。结论：痛敏穴刺血加艾灸能够提高RA患者的临床疗效，且能够提高机体的抗炎效应。

Study on the Clinical Efficacy of Pain Min Acupoint Acupuncture Blood and Moxibustion Therapy in Treating Rheumatoid Arthritis

ABSTRACT Objective: To observe the clinical effect of moxibustion therapy in patients with rheumatoid arthritis (RA). Methods: 44 patients with rheumatoid arthritis from January 2019 to January 2022 were randomly divided into 2 groups of 22 patients each. The control group was treated with leflunomide tablets and celecoxib capsules, and the observation group used pain sensitive point acupuncture and moxibustion therapy based on the control group. Pretherapy and Post-treatment, visual analog score (VAS) and disease activity score (DAS-28) were evaluated, and the levels of rheumatoid factor (RF), hypersensitive C reactive protein (hs-CRP), blood sink (ESR), rheumatoid factor (RF), fibrinogen (FIB), and D dimer were detected. Results: The VAS score was significantly lower after both groups (P<0.05), while the study group was significantly lower than the control group(P<0.05). The DAS-28 score was significantly lower after both treatment(P<0.05), while the study group was significantly lower than the control group(P<0.05). The levels of RF, hs-CRP, FIB and D dimer decreased significantly after both groups(P<0.05), while the study group was significantly lower than the control group (P<0.05). The total response rate of the observation group(100.00 %) was significantly higher than that of the control group(72.73 %) (P<0.05). Conclusion: Acupuncture and moxibustion can improve the clinical effect of RA patients and improve the anti-inflammatory effect of the body.