观察报刺法联合火针治疗寒湿痹阻型类风湿性关节炎的临床疗效。【方法】 将72例寒湿痹阻型类风湿性关节炎 患者随机分为观察组和对照组，每组各 36例，对照组给予火针联合普通针刺治疗，观察组给予火针联合毫针报刺法治疗。 隔天治疗1次，每周治疗3次，治疗2周为1个疗程，持续治疗2个疗程。治疗4周后，评价2组临床疗效，观察2组患者治 疗前后疼痛视觉模拟量表（VAS）评分与焦虑自评量表（SAS）评分的变化情况，以及关节晨僵时间的情况。比较2组患者治疗 前后关节肿胀个数以及关节压痛个数的变化情况。【结果】（1）治疗后，2组患者的关节晨僵时间明显改善（P＜0.05），且观察 组在改善关节晨僵方面明显优于对照组，差异有统计学意义（P＜0.05）。（2）治疗后，2组患者的关节肿胀个数、关节压痛个 数明显改善（P＜0.05），且观察组在改善关节肿胀和关节压痛方面明显优于对照组，差异有统计学意义（P＜0.05）。（3）治疗 后，2组患者的 VAS及 SAS评分明显改善（P＜0.05），且观察组在改善 VAS及 SAS评分方面明显优于对照组，差异有统计学 意义（P＜0.05）。（4）观察组的总有效率为 91.66% （33/36），对照组为 77.78%（28/36）。观察组疗效优于对照组，差异有统计学 意义（P＜0.05）。【结论】 报刺法结合火针治疗寒湿痹阻型类风湿性关节炎，能明显改善患者的临床症状，减轻患者的焦虑情 绪，从而提高患者生活质量，疗效显著。

To observe the clinical efficacy of successive trigger needling combined with fire needling in the treatment of rheumatoid arthritis of cold-damp obstruction type. Methods A total of 72 patients with rheumatoid arthritis of cold-damp obstruction type were randomly divided into observation group and control group，36 cases in each group. The control group was treated with fire needling combined with ordinary acupuncture， and the observation group was treated with fire needling combined with filiform needle. The treatments were performed once every other day，3 times a week，2 weeks as a course of treatment，continuous treatment for 2 courses. After 4 weeks of treatment，the clinical efficacy of the two groups was evaluated. The changes of pain Visual Analogue Scale （VAS） score and Self-Rating Anxiety Scale （SAS） score before and after treatment，and the time of morning stiffness of the joints were observed in the two groups. The changes of the number of joint swelling and the number of joint tenderness were compared before and after treatment between the two groups. Results （1） After treatment， the time of morning stiffness of the joints of the two groups of patients was significantly improved （P＜0.05），and the observation group was significantly superior to the control group in improving morning stiffness of the joints， and the difference was statistically significant （P＜0.05）.（2） After treatment，the number of swollen joints and the number of joint pressure and pain in the two groups were significantly improved （P＜0.05），and the observation group was significantly superior to the control group in improving swollen joints and joint pressure and pain，and the difference was statistically significant （P＜0.05）.（3） After treatment，the VAS and SAS scores of patients in the two groups were significantly improved （P＜0.05），and the observation group was significantly superior to the control group in improving the VAS and SAS scores，and the difference was statistically significant （P＜0.05）. （4）The total effective rate of the observation group was 91.66% （33/36）， while that of the control group was 77.78%（28/36）. The efficacy of the observation group was superior to that of the control group，and the difference was statistically significant（P＜0.05）. Conclusion Successive trigger needling combined with fire needling treating rheumatoid arthritis of cold-damp obstruction type can significantly improve the clinical symptoms of patients， reduce their anxiety，and thus improve the quality of life of patients，with remarkable efficacy.

R246.9

广东省自然科学基金面上项目（编号：2022A1515011676）