不同频率电针与药物治疗急性痛风性关节炎的比较

Treatment of acute gouty arthritis with electro-acupuncture at different frequencies versus medication

观察不同频率电针治疗及口服西药治疗急性痛风性关节炎的疗效。将90例急性痛风性关节炎患者随机分为100Hz电针组、2Hz电针组、西药组,每组30例。分别采用100,2Hz电针及口服西药3种方法治疗,观察3组的镇痛效果、镇痛起效时间和维持时间,并于治疗前后分别测定患者血尿酸、尿尿酸的含量。结果表明,100Hz电针组、2Hz电针组镇痛起效时间均短于西药组(P<0.01),镇痛维持时间均长于西药组(P<0.01),100Hz电针组、2Hz电针组相比较,2Hz电针组镇痛效果更佳(P<0.01);2Hz电针组降低血尿酸和尿尿酸效果优于100Hz电针组(P<0.01),且与西药组相当(P>0.05)。可见电针是治疗急性痛风性关节炎的有效方法,且低频(2Hz)电针的治疗效果更佳。

To observe the therapeutic effects of electreacupuncture （EA） at different frequencies and western medicine on acute gouty arthritis. Ninty patients with acute gouty arthritis were divided randomly into medication group, 100 Hz EA and 2 Hz EA groups with 30 cases in each group. Patients were treated by 100 Hz and 2 Hz EA and oral administration of western medicine respectively, and the analgesic effect, analgesic time and the action time were studied in three groups, and the levels of blood uric acid and uric acid in acid were measured before and after treatment. The result indicated that the analgesic time was shorter in 100 Hz and 2 Hz EA groups than that in the medication group （P 〈 0.01）, while the analgesic time was longer in 2 Hz and 100 Hz EA groups in comparison with the medication group （P 〈 0.01）. The analgesic effect in 2 Hz EA group was better than that in the 100 Hz EA group （P 〈 0.01 ）, and the blood uric acid and uric acid in acid in 2 Hz EA group decreased more than those in the 100 Hz EA group （P 〈 0.01）, while it was similar to that in the medication group （P 〉 0.05）. Therefore EA is an effective method for treating acute gouty arthritis, and the analgesic effect at 2 Hz is better than at 100 Hz EA.