[1]乔思竹,陈志煌,韦嵩,等.基于经筋理论探讨火龙罐联合经筋松解治疗类风湿关节炎的临床研究[J].西部中医药,2025,38(05):155-157.[doi:10.12174/j.issn.2096-9600.2025.05.30]
　QIAO Sizhu,CHEN Zhihuang,WEI Song,et al.Clinical Study on Fire Dragon Cupping Combined with Tendon Loosening in the Treatment of Rheumatoid Arthritis Based on the Sinew Theory[J].Western Journal of Traditional Chinese Medicine,2025,38(05):155-157.[doi:10.12174/j.issn.2096-9600.2025.05.30]
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基于经筋理论探讨火龙罐联合经筋松解治疗类风湿关节炎的临床研究()
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
38
期数:
2025年05期
页码:
155-157
栏目:
特色医疗
出版日期:
2025-05-15

文章信息/Info

Title:
Clinical Study on Fire Dragon Cupping Combined with Tendon Loosening in the Treatment of Rheumatoid Arthritis Based on the Sinew Theory
作者:
乔思竹, 陈志煌, 韦嵩, 李慧, 黄辉
中国人民解放军南部战区总医院，广东 广州 510010
Author(s):
QIAO Sizhu, CHEN Zhihuang, WEI Song, LI Hui, HUANG Hui
General Hospital of PLA Southern Theater Command, Guangzhou 510010, China
关键词:
类风湿关节炎; 经筋微创松解; 火龙罐; 痹证; 经筋理论
Keywords:
rheumatoid arthritis; minimally invasive loosening of tendons; fire-dragon cupping; arthralgia; the sinew theory
分类号:
R274.9
DOI:
10.12174/j.issn.2096-9600.2025.05.30
文献标志码:
B
摘要:
目的观察火龙罐联合经筋松解对类风湿关节炎（rheumatoid arthritis，RA）的干预效果。 方法将80例RA患者按照随机数字表法分为对照组和治疗组，每组40例。对照组采用经筋微创松解疗法，并口服甲氨蝶呤和塞来昔布；治疗组在此基础上联合火龙罐疗法。观察两组患者干预前后视觉模拟量表评分（visual analogue scale，VAS）、28个关节疾病活动度评分（disease activity score-28，DAS28）、关节肿胀计数、关节疼痛计数、类风湿因子（rheumatoid factor，RF）、红细胞沉降率（erythrocyte sedimentation rate，ESR）和C-反应蛋白（C-reactive protein，CRP）水平，记录两组不良反应发生情况。 结果治疗后两组患者ESR、CRP均低于治疗前，且治疗组降低更明显（P＜0.05）；治疗后两组VAS评分、关节压痛、肿胀计数水平均较治疗前降低（P＜0.05），且治疗组降低程度大于对照组（P＜0.05）；治疗后两组RF水平与治疗前比较差异无统计学意义（P＞0.05），DAS28评分较治疗前降低（P＜0.05），且治疗组降低更明显（P＜0.05）。两组干预后未见明显不良反应。 结论在经筋理论指导下，选用火龙罐联合经筋松解干预RA可减轻疼痛，减轻临床症状，保护和恢复关节功能。
Abstract:
ObjectiveTo observe the intervention effects of fire-dragon cupping and tendon loosening on rheumatoid arthritis (RA). MethodsEighty RA patients were allocated to the control group and the treatment group according to random number table method with 40 cases in each group. The control group received minimally invasive loosening of tendons, and orally took methotrexate and celecoxib orally; on this basis, the treatment group accepted fire dragon cupping. To observe VAS scales, DAS28, joint swelling count, joint pain count, the levels of RF, ESR and CRP in the two groups before and after the intervention, to record the incidence of adverse reaction in the two groups. ResultsAfter the treatment, the levels of ESR and CRP were lower than these before the treatment, and the decrease of the treatment group was more noticeable (P<0.05); after the treatment, VAS scores, joint swelling count and joint pain count of the two groups were reduced than before the treatment (P<0.05), and the decrease of the treatment group was greater than that of the control group (P<0.05). The difference had no statistical meaning when the levels of RF after the treatment were compared with these before the treatment (P>0.05), DAS28 scores were lowered than before the treatment (P<0.05), and the decrease of the treatment group was more evident (P<0.05). No significant adverse effects were observed in either group after the intervention. ConclusionUnder the guidance of tendon theory, fire dragon cupping and tendon loosening in the intervention of RA could relieve pain and other clinical symptoms, protect and restore joint function.

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备注/Memo

备注/Memo:
乔思竹（1986—），女，主管护师。研究方向：风湿免疫病的中医药护理。国家自然科学基金（81573883）；广东省省级科技计划项目（2014A020221119）；广东省基础与应用基础研究基金项目（2023A1515011213）。
更新日期/Last Update: 2025-05-15