引用本文:章懿婷,刘秋红,高忠恩,赵琳.398例类风湿关节炎中医证型分析[J].世界中医药,2015,10(09):. |
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398例类风湿关节炎中医证型分析 |
Analysis of Pattern of Chinese Medicine in 398 Rheumatoid Arthritis Cases |
投稿时间:2015-05-04 |
DOI:10.3969/j.issn.1673-7202.2015.09.036 |
中文关键词: 类风湿关节炎 中医证型 |
English Keywords:Rheumatoid arthritis Pattern of Chinese Medicine |
基金项目:苏州市科技发展计划项目(编号:SYSD2014176) |
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中文摘要: |
目的:分析类风湿关节炎(RA)患者中医证型与相关临床指标的关系,为临床诊断、治疗提供客观依据。方法:对398例RA患者的中医证型与年龄、病程、主要实验室指标(RF、anti-CCP、ESR、CRP)及DAS28进行回顾性分析。结果:各证型在病程、病情活动度(ESR、CRP、DAS28)方面有显著性差异;在年龄、RF、anti-CCP方面差异无统计学意义(P>0.05)。398例患者中,湿热痹阻型最多,占38.69%,其次为痰瘀痹阻型和肝肾阴虚型,分别占23.12%和21.61%。结论:本地区活动期RA患者以湿热痹阻型最为常见,缓解期则多见肝肾阴虚型及痰瘀痹阻型。 |
English Summary: |
To observe the relationship between clinical indicators of rheumatoid arthritis (RA) and the pattern of Chinese medicine. Methods: Retrospective analytical method was performed to investigate pattern distribution, age, course, main laboratory indexes (RF, anti-CCP, ESR and CRP) and DAS28 0f 398 RA patients. Results: There were great differences in course of diseases and pathogenetic condition (ESR, CRP, and DAS28) among different patterns. There was no statistical significance in age, RF and anti-CCP. The majority of the patterns was damp-heat obstruction pattern which accounted for 38.69%, next came phlegm-stasis obstruction pattern and liver-kidney yin deficiency pattern which accounted for 23.12% and 21.61% respectively. Conclusion: Pattern of dampness-heat obstruction pattern is most commonly seen in active stage of RA, and liver-kidney yin deficiency pattern and phlegm-stasis obstruction pattern are common in remission stage. |
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