| Objective:To compare the clinical curative effeect of governor-directed moxibustion for rheumatoid arthritis,and to provide an optimized treatment plan through scientific and standardized clinical research design,and to provide clinical application of rheumatoid arthritis for the treatment of rheumatoid arthritis with external treatment of Chinese medicine objective basis.Methods:The patients were divided into three groups according to the random number table design and 34 cases.Among them,8 cases were shed,and 32 cases were included in the Tong-du moxibustion group,30 cases in the ordinary box moxibustion group,and 32 cases in the Western medicine group for 4 weeks.(1)Governed by the moxibustion group at the Dazhui to Yaoshu acupuncture points and the two sides of the bladder were scraped with a reddish-red skin,and two gingerbreads with a length of 25cm and a width of 8cm were placed on the gingerbread.3 cm long and 10 cm long Ai Zhu column,2 times a week treatment,a total of 8 times;(2)Ordinary box moxibustion group to take Dazhui to lumbar acupoints of the Du Vessel and bladder side line to handle the length of 26cm,width 12cm eight holes Ai Box two,each moxibustion box to add 6 long 3cm wormwood,2 times a week treatment.a total of 8 times.(3)Western medicine group was given to patients with oral methotrexate(Tonghua Maoxiang Pharmaceutical Co.,Ltd.,Zhuozi,H22022674,specifications 2.5mg*100 tablets)10mg each time,Dayton clothing,2 times a week,4 times for a course of treatment,A total of 8 treatments.The clinical symptoms and functions of the three groups were compared before and after treatment,and the changes of ESR,CRP,and RF indicators before and after the three groups were statistically analyzed.Results:1.Clinical curative effect:After treatment the total effective rate of the Tongdu moxibustion group after the three groups was 93.75%,the effective rate of the ordinary box moxibustion group was 86.66%,and the total effective rate of the western medicine group was 71.87%.The difference between the three groups was statistically significant(P<0.05).2 Comparison of clinical symptoms:1)Comparison of the three groups of joint swelling scores:before and after treatment of Tongdu moxibustion and ordinary box moxibustion group(all P<0.05),the difference was statistically significant;before and after Western medicine group treatment(P>0.05),the difference was not Statistically significant,it can not be said that the western medicine group is effective;between the three groups,there is no statistically significant difference in the symptoms of joint swelling in the three groups before treatment(P>0.05),yet there is no clear difference between the three groups before the treatment.Comparisons can be made between Tong du moxibustion group and western medicine group and ordinary box moxibustion group.The difference is statistically significant(all P<0.01).There is a significant difference between Tong du moxibustion and the other two groups,indicating the efficacy of tong du moxibustion group.It was significantly better than Western medicine group and ordinary box moxibustion group;the difference between normal box moxibustion group and western medicine group was statistically significant(P<0.05),indicating that ordinary box moxibustion group was better than western medicine group.2)Comparison of the scores of three groups of joint tenderness:before and after treatment of tongdu moxibustion group,ordinary box moxibustion group and western medicine group(all P<0.05),the difference was statistically significant;between the three groups:the symptoms of joint tenderness before the treatment For comparison,the difference was not statistically significant(P>0.05).There was no clear difference between the three groups before the treatment.There was a statistically significant difference between Tongtong moxibustion group and normal box moxibustion group(P>0.05).<0.05);Western medicine group and ordinary box moxibustion group compared,the difference was statistically significant(all P 0.05);tong du moxibustion group and Western medicine group,the difference was not statistically significant(P>0.05),can not explain the ordinary There are differences between the box moxibustion group and the western medicine group.3)Comparison of VAS scores of three groups:before and after governor moxibustion,ordinary box moxibustion and western medicine group(all P<0.05),the difference was statistically significant;between the three groups,the VAS scores of the three groups before treatment were compared,and there was no statistical difference.The significance of the study(P>0.05)can’t explain the obvious differences in the pre-treatment symptom scores between the three groups and can be compared.The differences between Tong du moxibustion and the ondinary box moxibustion group are statistically significant(P<0.05);Compared with the ordinary box moxibustion group,the difference was statistically significant(P<0.05);there was no statistically significant difference between the Tong du moxibustion group and the Western medicine group(P>0.05),and the difference between the Tong du moxibustion group and the western medicine group could not be considered..3.Comparison of biochemical indexes:1)Erythrocyte sedimentation rate comparison between the three groups before and after treatment:Tong du moxibustion group and ordinary box moxibustion group before and after treatment(all P<0.05).the difference was statistically significant;Western medicine group before and after treatment(P>0.05),difference No statistical significance,can not yet be considered Western medicine group before and after treatment differences;comparison between the three groups:before treatment compared ESR(P>0.05),the difference was not statistically significant.yet can not explain the three groups before treatment ESR significantly difference Can be compared between groups,Tong du moxibustion group and Western medicine group,ordinary box moxibustion group compared,the difference was statistically significant(all P<0.01),Tong du moxibustion and the other two groups were significantly different;ordinary box moxibustion group and Western medicine group,the difference was statistically significant(P<0.05),indicating that the ordinary box moxibustion group was better than the western medicine group.2)Comparison of CRP before and after treatment in the three groups:Before and after treatment in Tong du moxibustion group and ordinary box moxibustion group(all P<0.05),the difference was statistically significant;before and after treatment in Western medicine group(P>0.05),the difference was not statistically significant.It cannot be considered that there are significant differences before and after Western medicine treatment.There was no significant difference between the three groups before treatment(P>0.05).There was no significant difference between the three groups before treatment and there was no significant difference between the three groups.Comparison between the three groups:Tong du moxibustion group compared with the ordinary box moxibustion group,the difference was statistically significant(P<0.05);ordinary box moxibustion and Western medicine group,the difference was statistically significant(P 0.05);Compared with the Western medicine group after treatment,the difference was statistically significant(P<0.05),and the Tong du Moxibustion group was superior to the Western medicine group.3)RF comparison between the three groups before and after treatment(all P<0.05),the difference was statistically significant;the RF values before the three groups were compared,the difference was not statistically significant(P>0.05),yet it was not clear that the three groups had obvious RF before treatment.Differences can be compared.There was no statistically significant difference between the Tong du moxibustion group and the ordinary box moxibustion group(P>0.05).The difference between the Tong du moxibustion group and the ordinary box moxibustion could not be considered.The difference between the western medicine group and the ordinary box moxibustion group was statistically significant.(P<0.05),there was a statistically significant difference between Western medicine group and tong du moxibustion group after treatment(P<0.05).Western medicine group was superior to the other two groups.Conclusion:1.All three therapies can treat rheumatoid arthritis,and governor moxibustion therapy is superior to the other two groups.2 The governor moxibustion therapy has a prominent effect in relieving joint swelling in patients with iheumatoid arthritis.3.Inspect the moxibustion operation specification and adapt to the promotion. |
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