| Through the clinical observation, observed that sticks to the gentle dampness certified resistance type with rheumatoid arthritis joint function, the influence of the humoral immune index, and the method to observe the therapeutic effect of RA.Methods:1. Clinical material:40cases were all for January2010to June2011in our hospital FengShiKe the inpatient department clinic of dampness with more resistance type diagnostic criteria of the patients with rheumatoid arthritis. According to the order of random doctor will patients were divided into two groups: the bread sticks with mild aconite oral to fluorine milt group (treatment group), simple oral to fluorine milt group (control group).2. Treatment:(1) the control group (to fluorine milt group):20, all patients were given to fluorine milt20mg, one a day oral, on taking for12weeks;(2) the treatment group (every thing dividing moderate+to fluorine milt group):20cases and control over the content to treatment again mild jiu, treatment after12weeks to observe its efficacy (3) when individual patients’joint pain bear hard, take into consideration the temporary add a los SuoLuoFen of sodium,3times a day, each time60mg, but not for the routine treatment (to relieve the symptoms of withdrawal). In addition, do not use and effect a permanent cure disease other related, west medicine.3. observations index:(1) symptoms index:joint function, morning stiffness time, and rest, pain, joint swelling number and the index, joint tenderness number and the index, both hands grip on average, evaluation, the doctor patient evaluation and daily living skills (2) laboratory index:rheumatoid factor, blood sedimentation, C-c-reactie protein, immunoglobulin.4. statistical methods:statistical analysis will use the spssV15.0statistical software to calculate. One measure in the data set compares the duration of matching t test, compared with between groups are two independent t test sample mean differences; The Ridit level material inspection, classified material with X2inspection. To P<0.05as a significant boundaries.Results:Two groups of40patients are complete treatment, its compliance is good, did not appear eliminate, fall off and cases.1. The two groups of joint function comparison:before and after treatment is no statistical difference between the two groups (P>0.5), but the two groups after treating joint function is to improve before treatment were obviously improved (P<0.05or P<0.01). Tip both groups can effectively improve patients’ joint function, so as to improve the quality of survival.2. The two groups of humoral immune index comparison:before and after treatment is no statistical difference between the two groups (P>0.5), after treatment, the two groups ESR CRP, RF, improve significantly better than before treatment (P<0.01), a statistical significance, and two groups of patients after treatment compared between groups (P<0.05), has the statistical significance. 3. The two groups of patients after treatment, the total curative effect comparison:control group total effectiveness85%; Treatment group total effectiveness95%. Two groups of the total curative effect the Ridit analysis, P<0.05, a statistical significance, explain the bread sticks to lateral mild+fluorine milt group total curative effect of disease than to fluorine milt group.Conclusion:This clinical results show that sticks to the gentle joint to fluorine milt can obviously improve the cold dampness bi resistance type with rheumatoid arthritis of joint function and humoral immune indicator; And every thing dividing moderate joint to fluorine milt treatment for rheumatoid arthritis had better effects than those to fluorine milt group. The experiment, it is also proved that sticks the gentle treatment can effectively reduce rheumatoid arthritis appear in the process of the various kinds of adverse reactions. For every thing dividing moderate dampness certified type resistance rheumatoid arthritis mechanism and the long-term outcome, and rheumatoid arthritis points with treatment of correlation is worth further research. |
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