加味桂枝芍药知母汤两种不同配伍法治疗风湿痹证的临床观察.docx

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加味桂枝芍药知母汤两种不同配伍法治疗风湿痹证的临床观察

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【摘要】目的：观察加味桂枝芍药知母汤两种不同配伍法治疗风湿痹证的临床疗效。方法：选取我院收治的64例风湿痹证患者，按照不同治疗方法将其分成对照组与研究组各32例，对照组给予加味桂枝芍药知母汤+驱风祛湿通络方治疗，研究组给予加味桂枝芍药知母汤+补肝肾方治疗，对比两组患者治疗后的临床疗效。结果：研究组的总有效率为90.6%，对照组的总有效率为62.5%，研究组明显高于对照组，对比差异有统计学意义（P0.05）；与治疗前相比，治疗后两组患者的血沉与风湿关节炎因子均明显降低，对比差异有统计学意义（P0.05）；与对照组治疗后相比，研究组患者治疗后的血沉与风湿关节炎因子均明显降低，对比差异有统计学意义（P0.05）。结论：加味桂枝芍药知母汤与补肝肾方配伍治疗风湿痹证的临床疗效显著，值得推广与应用。

【关键词】加味桂枝芍药知母汤；驱风祛湿通络方；补肝肾方；风湿痹证

ClinicalobservationofmodifiedGuizhishaoyaozhimudecoctioncombinedwithtwodifferenttreatmentofrheumaticarthralgiasyndrome

WenDengke

Departmentofrheumatism，DepartmentoftraditionalChinesemedicine，peoplesHospitalofNingxiangCountyNingxiangHunan410600

[Abstract]Objective：ToobservetheclinicaleffectofmodifiedGuizhishaoyaozhimudecoctioncombinedwithtwodifferenttreatmentofrheumaticarthralgiasyndrome.Methods：64casesofrheumaticarthralgiapatientsinourhospital，accordingtothedifferenttreatmentmethodsarepidedintocontrolgroupandstudygroupwith32casesineachgroup，thecontrolgroupwasgivenmodifiedGuizhishaoyaozhimuDecoction+windanddampnessanddredgingcollateralsintreatment，studygrouptreatedwithmodifiedGuizhishaoyaozhimuDecoctionplustonifyingtheliverandkidneypartytherapy，clinicalcurativeeffectwerecomparedbetweenthetwogroupsaftertreatment.Results：thetotaleffectiveratewas90.6%，controlgrouptotaleffectiveratewas62.5%，thestudygroupwassignificantlyhigherthanthecontrolgroup，therewasstatisticallysignificantdifference（P0.05）；comparedwithbeforetreatment，aftertreatmentofthetwogroupsofpatientswithrheumatoidarthritisfactoroferythrocytesedimentationrateweresignificantlydecreased，comparedtothedifferencewasstatisticallysignificant（P0.05）；comparedwiththecontrolgroupaftertreatment，thestudygroupaftertreatmentinpatientswithrheumatoidarthritisandESRfactorweresignificantlydecreased，therewasstatisticallysignificantdifference（P0.05）.Conclusion：theclinicalcurativeeffectofmodifiedGuizhishaoyaozhimuDecoctionandtonifyingliverandkidneyprescriptiontreatmentofrheumaticarthralgiasyndromeissignificant，worthyofpr