观察蜂针疗法对类风湿性关节炎(RA)的临床疗效。

选取2015年6月至2017年5月就诊于连云港附属医院蜂疗门诊及风湿病门诊和住院的RA患者60例，按照随机数字表法随机分为药物组和药物＋蜂针组，药物组口服醋酸泼尼松片7.5 mg，每日1次，同时服用甲氨蝶呤，初始计量为5 mg，每周1次，每次增加剂量2.5 mg，逐渐加量到10 mg为止。药物＋蜂针组在药物组基础上配合蜂针治疗，隔日治疗1次，每周3次，1个月为1个疗程，2个疗程之间休息1周。治疗2个疗程后采有用秩和检验比较2组有效率，采用t检验比较2组中医证候量表的差异。

治疗结束后药物＋蜂针组总有效率高于单纯药物组，差异具有统计学意义(Z＝－2.168，P<0.05)。治疗后药物组和药物＋蜂针组患者关节疼痛度、关节疼痛数、关节肿胀度和晨僵时间较治疗前均有改善，且差异均有统计学意义，药物组(t＝0.816、－0.569、－1.413、－0.685，P均<0.05)，药物＋蜂针组(t＝－2.594、－0.558、0.064、0.079，P均<0.05)。治疗后药物＋蜂针组的关节疼痛度、关节疼痛数、关节肿胀度和晨僵时间的改善程度优于单纯药物组，且差异有统计学意义(t＝－0.688、－1.542、0.169、－0.761，P均<0.05)。

药物＋蜂针疗法较单纯药物疗法能更有效的缓解RA患者的临床症状。

To observe the clinical effect of bee acupuncture therapy on rheumatoid arthritis (RA).

A total of 60 patients with rheumatoid arthritis from the bee acupuncture therapy clinic, rheumatology out patient and hospitalization of Lianyungang Affiliated Hospital were included in this study during the period from June 2015 to May 2017.The patients according to random number table method were randomly divided into drug group and drug + bee acupuncture group.Drug group was treated with meth otrexate, 5 mg as the initial measurement, 1 time a week, and the amount was gradually increased by 2.5 mg each time, to a total of 10 mg. Meanwhile, oral prednisolone acetate was taken by 7.5 mg once a day. The drug + bee acupuncture group was treated with the same dosage regimen with the drug group, together with the bee acupuncture therapy every other day, 3 times a week with 1 week break between 2 weeks, and 1 month for a course. The curative effect was observed in two groups after two courses of treatment.

After the treatment, the drug + bee acupuncture group was more efficient than the drug group(Z=-2.168, P<0.05). The joint pain degree, joint swelling degree, morning stiffness time and joint pain number were improved after treatment in the two groups, as in the drug group(t= 0.816, -0.569, -1.413, -0.685, all P<0.05), and the drug+ bee acupuncture group(t=-2.594, -0.558, 0.064, 0.079, all P<0.05). But the improvement of drug + bee acupuncture group was better than the drug group, and the difference was statistically significant (t=-0.688, -1.542, 0.169, -0.761, all P<0.05).

Drug+ bee acupuncture therapy is more effective in alleviating RA patients′ clinical symptoms than simple drug therapy.