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NEJM:金丝针治疗类风湿性关节炎-病例报道

2017-11-09 xing.T MedSci原创

在东亚和全球,针灸,包括金线针刺疗法,长期以来一直被用来治疗关节疼痛。有时也使用口服和注射黄金制剂。在初步诊断类风湿性关节炎后,该患者接受甲氨蝶呤和来氟米特的联合治疗。当她被转诊至研究人员所在医院,研究者改变了她的治疗方案采用甲氨蝶呤和阿巴西普联合治疗,而且为该患者进行了足部畸形手术,关节疼痛大幅减轻。

患者为一名58岁的女性,因长期的关节疼痛和手脚畸形而到风湿病门诊就诊。她的关节症状在她18岁左右就开始了,之后她接受了布洛芬和金针疗法(用针灸针插入很细的无菌金线)。



本次就诊前十年,该患者即被诊断为类风湿性关节炎,且已得到了实验室检查结果的证实,类风湿因子628.7IU/ml(正常值<14)和抗环瓜氨酸抗体水平为170.8U/ml(正常值<5)。双手,本次就诊时拍X线平片显示手腕、近端指间关节和掌指关节严重的关节损害和畸形的,伴有大量的短的金线围绕在关节周围。

在东亚和全球,针灸,包括金线针刺疗法,长期以来一直被用来治疗关节疼痛。有时也使用口服和注射黄金制剂。在初步诊断类风湿性关节炎后,该患者接受甲氨蝶呤和来氟米特的联合治疗。当她被转诊至研究人员所在医院,研究者改变了她的治疗方案采用甲氨蝶呤和阿巴西普联合治疗,而且为该患者进行了足部畸形手术,关节疼痛大幅减轻。

原始出处:

Young-Bin Joo,et al. Gold Thread Acupuncture for Rheumatoid Arthritis. N Engl J Med 2017; http://www.nejm.org/doi/full/10.1056/NEJMicm1706737

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  1. [GetPortalCommentsPageByObjectIdResponse(id=291154, encodeId=e230291154ca, content=有没有关于金丝针的详细资料啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/25/f9c103b74b05f7c5951ad79adf5be80f.jpg, createdBy=49642274853, createdName=spake, createdTime=Mon Feb 26 19:36:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265566, encodeId=1e71126556694, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1333943, encodeId=24391333943f0, content=<a href='/topic/show?id=5306e6164b6' target=_blank style='color:#2F92EE;'>#类风湿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76164, encryptionId=5306e6164b6, topicName=类风湿)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eq2AGzrugK9ZUjU3eJxzM901ophWib0xJDrSicy49ibWl3zB5pbDto7eoR6tnzwOiaKdbq1a8PcbYFFrw/132, createdBy=6ff22500098, createdName=ms4964546379600229, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1483446, encodeId=87031483446ec, content=<a href='/topic/show?id=55a6100826cc' target=_blank style='color:#2F92EE;'>#风湿性关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100826, encryptionId=55a6100826cc, topicName=风湿性关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c237911872, createdName=ms1467340776200723, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=)]
    2018-02-26 spake

    有没有关于金丝针的详细资料啊

    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=291154, encodeId=e230291154ca, content=有没有关于金丝针的详细资料啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/25/f9c103b74b05f7c5951ad79adf5be80f.jpg, createdBy=49642274853, createdName=spake, createdTime=Mon Feb 26 19:36:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265566, encodeId=1e71126556694, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1333943, encodeId=24391333943f0, content=<a href='/topic/show?id=5306e6164b6' target=_blank style='color:#2F92EE;'>#类风湿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76164, encryptionId=5306e6164b6, topicName=类风湿)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eq2AGzrugK9ZUjU3eJxzM901ophWib0xJDrSicy49ibWl3zB5pbDto7eoR6tnzwOiaKdbq1a8PcbYFFrw/132, createdBy=6ff22500098, createdName=ms4964546379600229, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1483446, encodeId=87031483446ec, content=<a href='/topic/show?id=55a6100826cc' target=_blank style='color:#2F92EE;'>#风湿性关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100826, encryptionId=55a6100826cc, topicName=风湿性关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c237911872, createdName=ms1467340776200723, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=)]
    2017-11-10 lmm397
  3. [GetPortalCommentsPageByObjectIdResponse(id=291154, encodeId=e230291154ca, content=有没有关于金丝针的详细资料啊, beContent=null, objectType=article, channel=null, level=null, likeNumber=100, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://cdnapi.center.medsci.cn/medsci/head/2018/02/25/f9c103b74b05f7c5951ad79adf5be80f.jpg, createdBy=49642274853, createdName=spake, createdTime=Mon Feb 26 19:36:18 CST 2018, time=2018-02-26, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1265566, encodeId=1e71126556694, content=<a href='/topic/show?id=57a53011364' target=_blank style='color:#2F92EE;'>#关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=66, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=30113, encryptionId=57a53011364, topicName=关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=f90281, createdName=lmm397, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1333943, encodeId=24391333943f0, content=<a href='/topic/show?id=5306e6164b6' target=_blank style='color:#2F92EE;'>#类风湿#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=87, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=76164, encryptionId=5306e6164b6, topicName=类风湿)], attachment=null, authenticateStatus=null, createdAvatar=https://thirdwx.qlogo.cn/mmopen/vi_32/DYAIOgq83eq2AGzrugK9ZUjU3eJxzM901ophWib0xJDrSicy49ibWl3zB5pbDto7eoR6tnzwOiaKdbq1a8PcbYFFrw/132, createdBy=6ff22500098, createdName=ms4964546379600229, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1483446, encodeId=87031483446ec, content=<a href='/topic/show?id=55a6100826cc' target=_blank style='color:#2F92EE;'>#风湿性关节炎#</a>, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=100826, encryptionId=55a6100826cc, topicName=风湿性关节炎)], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=5c237911872, createdName=ms1467340776200723, createdTime=Fri Nov 10 22:50:00 CST 2017, time=2017-11-10, status=1, ipAttribution=)]
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