作　　者： (张金山）; (张方园）; (阮丽萍）; (王青松）;

机构地区： 安徽省太和县中医院,安徽太和236600

出　　处： 《中医药临床杂志》 2017年第8期1147-1149,共3页

摘　　要： 目的:探索虚实证型免疫炎症指标及关节外部位受累规律。方法:随机抽取太和县中医院风湿科2015年、2016年60例类风湿节关炎病历,以八纲辨证的"虚实原则"把所有患者按证型分为虚实两组,统计虚实证型比例及伴关节外部位受累例数,分析免疫炎症指标变化与虚实证型的相关性。结果:60例中虚证22例(36.67%),实证38例(63.33%)。虚证组关节外部位受累8例(36.36%),实证组3例(7.89%)。与实证组比较,虚证组类风湿因子、血沉、C反应蛋白数值明显降低。结论:基于"虚实理论"的中医证型分组,对类风湿关节炎关节外部位受累预测,免疫炎症指标特点等总结有一定的指导价值。 Objective： Based on the theory of deficiency and excess, the distribution pattern of TCM syndromes in 60 cases of rheumatoid arthritis was analyzed retrospectively, to explore the inflammatory indexes and extra-articu- lar changes . Methods： 60 RA cases randomly selected from the rheumatology of Taihe Hospital of Chinese Medicine in 2015 and 2016 , were divided into deficiency and excess group, based on the ＂deficiency-excess＂ principal, then an- alyze the proportion of types of syndromes, extra-articular changes and inflammatory index. Results： 1. There were 22 cases （ 36.67% ） in deficiency group, 38 cases （ 63.33% ） in excess group. 2. The number of joint external involvement： 8 cases （ 36.36% ） in deficiency group, and 3 cases （ 7.89% ） in excess group. 3. Compared with the excess group, rheumatoid factor, ESR, and C reactive protein were lower obviously than that in deficiency group. Conclusion： The TCM Syndrome Classification based on deficiency-excess theory has profound guiding significance for the prediction of joint external involvement and the characteristics of immune inflammatory indexes in rheumatoid arthritis.

关 键 词： 虚实理论 类风湿关节炎 免疫炎症 关节外部位受累 规律