Evaluation of the therapeutic effect of wax therapy on cold dampness obstruction syndrome
蜡疗法对尪痹（寒湿痹阻证）的治疗效果评价

摘要

目的 评价蜡疗法对尪痹（寒湿痹阻证）的临床治疗效果。方法 在本院风湿科 2019 年 10 月至 2020 年 10 月收治的尪痹患者中选取的 80 寒湿痹阻证的患者，随机分配为对照组和实验组，每组 n＝40。对照组的患 者给予一般的西药治疗（非甾体类药物＋甲氨蝶呤片＋来氟米特片），实验组给予：西药治疗＋蜡疗法治疗。通 过观察两组尪痹（寒湿痹阻证）患者治疗一个月前后的炎症指标（血沉、C 反应蛋白）、简式 MoGill 疼痛问卷评 分、生活质量评分变化得出结果。结果 实验组和对照组治疗前炎症指标分别为血沉值（49.76±21.28）（49.52±21.68） mm/h 及 C 反应蛋白值（30.33±15.42）（30.54±15.89）mg/l,实验组治疗前的疼痛评分和生活质量评分分别为 （45.26±8.48）分、（38.69±6.27）分，对照组治疗前的疼痛评分和生活质量评分分别为（44.87±9.14）分、（38.7±6.82） 分，三组数据比较均未有统计学差异（P>0.05）；实验组尪痹（寒湿痹阻型）患者治疗后炎症指标：血沉为 （25.32±19.34）mm/h，C 反应蛋白为（9.87±5.92）mg/l 显著低于对照组炎症指标：血沉（40.62±12.78）mm/h， C 反应蛋白（15.48±6.14）mg/l（P<0.05）。实施蜡疗法一个月后，实验组患者疼痛评分、生活质量评分分别为 （7.80±3.21）分、（19.28±3.84）分，与常规疗法的对照组（21.36±3.68）分、（28.49±3.63）分比较差异有统计学 意义（P<0.05）。结论 蜡疗具有温经通络，散寒止痛的功效，在临床治疗尪痹（寒湿痹阻证）中疗效显著，可有 效缓解关节疼痛、肿胀、晨僵等关节症状；同时也显著提高了患者的生活质量，可广泛运用于临床尪痹（寒湿 痹阻证）的治疗中。

Abstract

Objective To evaluate the clinical effect of wax therapy on impediment of cold and dampness.
Methods 80 patients with cold-dampness impediment were selected from the rheumatology Department of our hospital from October 2019 to October 2020 and randomly assigned to the control group and the experimental group, with n = 40 in each group. Patients in the control group were given general western drug treatment (non-steroidal drugs + methotrexate tablets + leflunomide tablets), and the experimental group was given western drug treatment + wax therapy. The results were obtained by observing the changes of inflammation indexes (erythrocyte sediment rate, C-reactive protein), MoGill pain questionnaire score and quality of life score before and after 1 month of treatment in the two groups. Result The inflammatory indexes of the experimental group and the control group before treatment were (49.76±21.28) (49.52±21.68) mm/h and (30.33±15.42) (30.54±15.89) mg/l, respectively. The pain scores and quality of life scores of the experimental group before treatment were (45.26±8.4) 8) scores, (38.69±6.27) scores, the pain scores and quality of life scores before treatment in the control group were (44.87±9.14) scores and (38.7±6.82) scores, respectively, and there were no statistical differences among the three groups (P>0.05). After treatment, the inflammatory indexes of the patients in the experimental group were (25.32±19.34) mm/h and (9.87±5.92) mg/l of C-reactive protein, which were significantly lower than those in the control group: Erythrocyte sedimentation rate (SBR) was 40.62±12.78 mm/h, C-reactive protein (15.48±6.14) mg/l (P<0.05). After one month of wax therapy, the pain score and quality of life score of the experimental group were (7.80±3.21) points and (19.28±3.84) points, respectively, which had statistical significance compared with the control group (21.36±3.68) points and (28.49±3.63) points of conventional therapy (P<0.05).
Conclusion   Wax therapy has the effects of warming channels and clearing channels, dispelling cold and relieving pain, and it is highly effective in the clinical treatment of JV, which can effectively relieve joint pain, swelling, morning stiffness and other joint symptoms. It also improves the quality of life of patients significantly and can be widely used in the treatment of joys and dampness.