晨僵

RA患者血清sPD-1的浓度与晨僵时间呈正相关（P0.05）。

There was positive correlation between the concentration of sPD-1 and morning stiffness of patients with RA ( P0.05 ) .

观察指标包括反应关节炎症表现的疼痛指数、压痛指数、肿胀指数；反应关节功能的双手握力；以及反应病情活动的血沉、C反应蛋白和晨僵时间。

Observe index including reaction joint inflammation of the pain index , tenderness performance index , the swelling index ; Reaction joint function hands grip ; And reaction condition of activities , blood sedimentation c-reactive protein and morning stiffness of time .

但在改善关节晨僵方面，两组间无显著性差异（P0.05）。

There was no significant difference ( P0.05 ) in improving and morning paralysis .

症状疗效两组间比较，试验组在改善关节功能障碍和关节疼痛、晨僵及冷痛方面优于对照组（P0.01～0.05）；

The experimental group was better than the control in dysfunction arthralgia , morning paralysis and cold pain ( P0.01 ~ 0.05 ) .

[结果]治疗前后比较，晨僵时间、关节疼痛数、关节肿胀数和ESR、CRP均有显著改善（P<0.01或P<0.05）；

[ Results ] After treatment , clinical symptoms and ESR and CRP were significantly improved ( P < 0.01 or P < 0.05 );

结果：治疗前与治疗后相比，患者晨僵持续时间、握力、ESR、CRP、RF有统计学意义（P<0.05），患者关节压痛数及关节肿胀数差异无统计学意义（P>0.05）。

ESR ? CRP ? RF ( P > 0.05 ), There have not statistical significance on the tenderness number of joint and swelling of joint ( P > 0.05 ) .

而与年龄、病程、晨僵时间、功能分级、AKA、APF、RF、抗CCP抗体水平无明显关系（P0.05）。

But had no obvious corelation with age , the disease course , length of morning stiffness , stage of function and RF , AKA , APF , anti-CCP levels .

治疗组病例治疗前后主要症状、体征积分变化情况，治疗后与治疗前相比，有统计学意义（p0.05），对照组在改善关节疼痛、晨僵症状有效（p0.05），对改善关节功能无效（p0.05）。

Some symptoms and physical signs of the control group such as joint 's pain and stiffness in the morning were improved ( p0.05 ), but knee joint 's function was no difference after treatment ( p0.05 ) .

结果：5种治疗方案1a后晨僵时间、疼痛关节数、红细胞沉降率（ESR）和C反应蛋白（CRP）均显著改善（P均001）；

RESULTS : Clinical and laboratory parameters such as morning stiffness duration , number of painful joints , erythrocyte sedimentation rate ( ESR ) and C reactive protein ( CRP ) were improved after one year 's treatment .

症状疗效两组间比较，在改善关节疼痛、肿胀及压痛等方面有显著或非常显著性差异（P0.01～0.05），在改善关节功能障碍和晨僵等方面，无显著性差异（P0.05）。

There was significant difference and obviously significant difference in relieving ache , swelling and tender of joint ( P0.01 ~ 0.05 ) . There was no significant difference ( P0.05 ) in improving dysfunction of joint and morning paralysis .

观察治疗前后患者的晨僵、关节疼痛数、关节肿胀数、血沉（ESR）、C反应蛋白（CRP）等指标及副反应。

The symptoms of morning stiffness ( MS ), joint pain ( JP ) and articular swelling ( AS ), erythrocyte sedimentation rate ( ESR ) and C-reactive protein ( CRP ) and side effects were observed before and after treatment .

如：1.改善症候方面如腰膝酸软、活动受限、晨僵明显优于SSZ。

Syndrome improve areas such as weak waist , limited mobility , morning stiffness better than SSZ . 2 .

治疗后，患者的晨僵时间、休息痛、关节压痛和双手握力等症状明显改善，而20m步行时间和肿胀关节数无明显改善（P>0.05）；

The morning stiffness , rest pain , hand grip and joint tenderness were obviously relieved , while 20m - walking time and the number of joint with swelling remained unchanged .

结果：治疗组疗效、关节疼痛和肿胀减少倒数、晨僵时间减少例数、ESR、CRP值降低均明显优于对照组（P＜0.01）。

RESULTS : Curative effect in treatment group exceeded that of the control group ( P < 0.01 ) including reduction of pain and swelling of the joint with stiffness time in the early morning and decrease of the value involving ESR and CRP .

结果：经过3个月治疗后，RA主要症状休息痛、晨僵、关节肿胀和关节压痛有明显改善（P<0.01）.关节畸形无改善；

Results : After treatment of 3 months , main symptoms of RA , rest pain , morning stiffness , arthroncus and joint tenderness were improved significantly ( P < 0 . 01 ), and deformation of joint did not improve .

银针灸组治疗前后晨僵时间、20m步行时间、胸廓活动度变化均有显著性意义（P<0.05，P<0.01）。

There were significant differences in morning ankylosis time , 20m walking time and change in thoracic activity between pretreatment and posttreatment in the silver-needle moxibustion group ( P < 0.05 , P < 0.01 ) .

3组治疗前后晨僵时间、外周关节肿痛数、血沉（ESR）、C反应蛋白（CRP）改变差异均有显著性（P<0.01）。

There were very significant changes in morning rigidity duration , the number of peripheral joints with swelling and pain , erythrocyte sedimentation rate ( ESR ) and C-reactive protein ( CRP ) before and after treatment in the 3 groups ( P < 0 . 01 ) .

结果治疗24周时，各组临床指标改善的疗效相当，但TGP+MTX组对关节肿胀指数的改善不如其他组，MTX组对晨僵的改善更优于其他组；

Results After 24 weeks of treatment , the clinical items improvement was similar among five groups except the index of joint swelling in TGP plus MTX group and morning stiffness in MTX group was better than that of the other groups .

采用Lysholm膝关节功能评分表评价疗效，比较两组治疗前后关节疼痛、晨僵、关节部位肿胀、步行能力评分。

The use of internationally recognized and widely used Lysholm knee joint function score for efficacy evaluation index . Comparison of the two groups before and after treatment of joint pain , morning stiffness , joint swelling , walking ability score . 2 .

结果：治疗0.5a关节疼痛、肿胀、压痛、握力、晨僵症状治疗组均优于对照组（P<0.01）。

RESULTS : After 0.5 a treatment , the treatment group got better effectiveness than the control group in such symptons as joint pain , swelling , pressing pain , weak holding strength , and morning stiffness ( P < 0.01 ) .

晨僵和雷诺征是重要的伴随症状。

Morning numb and Lei Nuozheng 's accompanying symptom being significant .

治疗组在改善患者关节肿胀、晨僵程度方面优于对照组（P<001，P<005）。

The clinical symptoms improved better in treatment group than in control group ( P < 0.01 , P < 0.05 ) .

此方案已经减轻了患者的关节疼痛，且在一定程度上控制了晨僵，晨僵目前为35分钟，而治疗前是2小时。

This regimen has alleviated her joint pain ; her morning stiffness is limited to35 minutes , as opposed to the previous duration of2 hours .

晨僵、炎性腰痛和夜间痛是AS具有特征性的临床表现，是确立诊断的重要线索。

The morning stiffness , inflammatory back pain and night pain were the characteristic manifestations of AS which played a great role in the diagnosis .

刺络放血可以缓解强直性脊柱炎腰骶晨僵以及受累部关节肿痛或肌腱附着点疼痛等临床症状。

Blood-letting puncture therapy could relieve clinical symptoms such as lumbosacral early morning stiffness and involved joint swelling or pain at attachment point of tendon , etc.

结果观察组与对照组比校，观察组组患者晨僵时间、日常活动能力、关节活动痛明显改善。

Results Compared with control group , the improvement of morning stiffness time , daily living activity and joint motion pain of patients in observation group were more significantly .

在晨僵、握力、关节疼痛数和（或）压痛数、关节肿胀数、血沉和C-反应蛋白指标均比安慰剂组10例改善明显。

This treatment was superior to 10 patients with placebo as measured by improvement in morning stiffness , grip strength , joint pain and / or tenderness , joint swelling , ESR and C-reactive protein .

观察症状和体征的变化情况，记录治疗前后的晨僵时间、双手握力、10米步行时间，关节肿胀、关节疼痛指数、关节功能等级情况。

Observe the changes in symptoms and signs recorded before and after treatment time of morning stiffness , double-hand edge , 10 meters walking , joint swelling , joint pain index , grade of joint function .

进行频数分析得出，风湿病以关节疼痛、肿胀、麻木、晨僵等主要临床表现，治法以祛风、利湿、清热、通络、活血、行气、补虚为主。

For frequency analysis , rheumatism to joint pain , swelling , numbness , morning stiffness etc major clinical manifestations , herbs , with wind , heat , suits , tongluo , blood circulation , gas .

临床表现可见双手、腕、肘、膝、踝和足关节的疼痛、肿胀及晨僵、可有发热、皮下结节、血管炎、心包炎等关节外表现。

Clinical manifestations can be seen with both hands , wrist , elbow , knee , ankle and foot joint pain , swelling and morning stiffness , may have fever , subcutaneous nodules , vasculitis , pericarditis , and other extra-articular manifestations .