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目的:探讨活动期类风湿关节炎(RA)采用四妙汤加减联合西药治疗的临床价值。方法:选取2006年3月-2014年7月本院收治的活动期RA患者178例,随机分为联合组90例和对照组88例,对照组患者给予甲氨喋呤片+硫酸羟氯喹片+柳氮磺吡啶肠溶片口服治疗,联合组患者在上述治疗的基础上给予四妙汤加减口服。比较两组患者治疗疗效。结果:联合组患者治疗总有效率为94.44%,明显高于对照组患者的84.09%(P<0.05);治疗后,联合组患者DAS28评分明显低于对照组患者(P<0.05)。结论:四妙汤加减联合西药治疗活动期RA疗效显著,可明显改善疾病活动性。
Objective: To investigate the clinical value of active treatment of rheumatoid arthritis (RA) with Simiao decoction combined with Western medicine. Methods: From March 2006 to July 2014, 178 active RA patients treated in our hospital were randomly divided into 90 cases in combination group and 88 cases in control group. Patients in control group were given methotrexate tablets and hydroxychloroquine sulfate tablets + Sulfasalazine enteric-coated tablets oral treatment, combined group of patients in the above treatment based on the given four Miaotang decoction. The curative effect of two groups was compared. Results: The total effective rate of the combination group was 94.44%, which was significantly higher than that of the control group (84.09%, P <0.05). After the treatment, the DAS28 score of the combined group was significantly lower than that of the control group (P <0.05). Conclusion: Si Miao Decoction combined with Western medicine treatment of active RA significantly effect, can significantly improve the disease activity.