目的:观察中医清热活血法配合西药常规治疗瘀热型活动期类风湿关节炎(RA)的临床疗效和安全性.方法:共纳入瘀热型活动期RA患者76例,其中观察组38例、对照组38例.对照组予“甲氨喋呤+来氟米特”并酌情使用双氯芬酸钠缓释片治疗,观察组在对照组西药的基础上结合中医清热活血法选用四妙勇安汤变方治疗,治疗12周后观察疗效.结果:两组均能有效改善患者的PLT,且观察组在降低瘀热型RA患者的CRP、ESR、RF、关节肿胀指数、关节压痛指数、VAS等指标及改善患者的中医症状方面均优于纯西药治疗组,观察组双氯芬酸钠缓释片的使用数量及总天数明显少于对照组;两组中医证候疗效方面,观察组总有效率达94.44％,明显优于对照组的62.86％(P＜0.01).结论:清热活血法联合西药治疗瘀热型RA患者能够进一步提高临床疗效,能显著缓解患者的临床症状、体征及实验室指标,且无严重不良反应和毒副作用,安全可靠.
吴耀南主任医师善于古方今用,运用经方治疗胃肠疾病,常获奇效.现将吴师运用经方治疗胃肠疾病两例进行阐述,以便共勉.
目的 观察五苓散联合针灸治疗脾虚型泄泻的疗效.方法 68例泄泻患者,随机分为治疗组(五苓散联合针灸)和对照组(蒙脱石+培菲康),观察治疗后两组临床症状、中医疗效的变化.结果 单就腹泻症状而言,两组均能改善但治疗组较对照组为优(P<0.01).治疗组在改善其他症状及中医疗效上均较对照组为优(P<0.01).结论 采用五苓散联合针灸治疗脾虚型泄泻有显著的疗效,能显著改善患者生活质量.
Objective: To observe clinical effects of triple therapy on LDH. Methods: 220 cases of lumbar disc herniation were randomly divided into the control group and treatment group, 110 cases in each group. The control group was treated by traction and massage, and the treatment group was treated by warming acupuncture more, for 6 weeks. Results: In the treatment group, 70 cases were cured; 28 cases were effective; 12 cases were a little effective; the total effciency was 100%. In the control group, 12 cases were cured; 32 cases were markedly effective; 60 cases were effective; 6 cases were ineffective; the total efficiency was 94.5%. The total effciency in the treatment group was signiifcantly higher (P<0.01). Conclusion: Traction, massage and acupuncture was effective on LDH.
