中医药治疗风寒湿痹50例疗效观察.docVIP

中医药治疗风寒湿痹50例疗效观察 　　【摘要】 目的 探讨中医药治疗风寒湿痹症的临床效果。方法 选取50例风寒湿痹症患者为研究对象， 根据症状、舌苔、脉象分型采用中医药治疗， 观察治疗效果。结果 治愈18例， 治愈率为36%；显效29例， 显效率为58%；有效 3例， 有效率为6%；无效0例；总有效率为94%。其中1例出现局部皮肤瘙痒， 停止外敷后症状消失。50例患者均无血、尿、肝肾功能改变。结论 中医药内服加外敷治疗风寒湿痹效果显著、不良反应小、有独到之处， 值得临床推广。 　　【关键词】 中医药；风寒湿痹症；疗效 　　DOI：10.14163/j.cnki.11-5547/r.2016.33.065 　　Observation of curative effect by traditional Chinese medicine in the treatment of 50 wind-cold-dampness arthralgia cases ZHANG Mei-mei， BO Yan-yun. Department of Medical Insurance， Jilin Province Siping City Central People’s Hospital， Siping 136000， China 　　【Abstract】 Objective To investigate clinical effect by traditional Chinese medicine in the treatment of 50 wind-cold-dampness arthralgia cases. Methods A total of 50 patients with wind-cold-dampness arthralgia as study subjects received traditional Chinese medicine for treatment in accordance with classification by their symptom， coated tongue and pulse condition， and their curative effects were observed. Results There were 18 cured cases， with cure rate as 36%， 29 excellent cases， with excellent rate as 58%， 3 effective cases， with effective rate as 6%， and 0 ineffective case. Their total effective rate was 94%. There was 1 case with local cutaneous pruritus， which relieved after external application withdrawal. There was no changed blood， urine， liver and renal function in all 50 patients. Conclusion Oral administration combined with external application of traditional Chinese medicine provides excellent effect in treating wind-cold-dampness arthralgia， along with few adverse reactions and special advantages. This method is worth clinical promotion. 　　【Key words】 Traditional Chinese medicine； Wind-cold-dampness arthralgia； Curative effect 　　痹症是一种常见病、多发病， 从中医讲痹症的成因是由机体正气亏虚， 卫外机能失调， 邪气入侵所致。在《皇帝内径》中记载“风寒湿三气杂至， 合而为痹也[1]。”从西医角度讲痹症涵盖西医很多脊柱关节类疾病， 1983年美国风湿病协会确认的10大类、100多种风湿病或关节病基本都归属中医痹症范畴。西医对痹症的治疗以替代治疗和对症为主， 主要以控制病情、缓解和改善症状为主[2-4]。中医对痹症的治疗有独到之处。由于风、寒、湿、热之邪气侵袭机体， 根据感邪特点分为风寒湿痹和风湿热痹两大类[5]。本文重点讨论由风寒湿邪侵袭人体引发的风寒