围刺法治疗急性痛风性关节炎疗效对比观察

Observation on therapeutic effect of surrounded needling therapy on acute gouty arthritis

目的:观察围刺法与药物治疗急性痛风性关节炎的临床疗效差异,寻找治疗急性痛风性关节炎的较佳方法。方法:将60例急性痛风性关节炎患者随机分为围刺组(30例)和西药组(30例)。围刺组采用局部多针浅刺法为主,同时酌情选配4～5个远端腧穴,每日治疗1次;西药组口服吲哚美辛及别嘌呤醇,每日3次。两组均治疗15日为一疗程。观察两组的临床疗效、血清尿酸变化及不良反应。结果:围刺组总有效率为93.3%,优于西药组的80.0%,差异有统计学意义(P<0.01);围刺组血清尿酸含量治疗前后分别为(516.85±48.63)μmol/L、(293.77±68.45)μmol/L,西药组分别为(509.66±51.11)μmol/L、(333.66±89.22)μmol/L,两组血清尿酸含量较治疗前差异均有统计学意义(均P<0.05),围刺组治疗后血尿酸含量与西药组比较差异有统计学意义(P<0.01)。围刺组未出现不良反应,西药组不良反应率为46.7%,两组比较差异有统计学意义(P<0.01)。结论:围刺法治疗急性痛风性关节炎疗效优于西药治疗,是一种治疗急性痛风性关节炎安全、有效的方法。

Objective To compare clinical therapeutic effect of surrounded needling therapy and medication on acute gouty arthritis. Methods Sixty cases of acute gouty arthritis were randomly divided into a surrounded needling therapy group and a western medicine group, 30 cases in each group. The surrounded needling therapy group was treated with shallow needling on local affected area as main and 4~5 distant acupoints as adjuvant, once each day; the western medicine group was treated with oral administration of Indomethacin and Allopurinol, thrice each day. They were treated for 15 days. The clinical therapeutic effects, the changes of serum uric acid content and the adverse reaction were observed in the two groups. Results The total effective rate was 93.3% in the surrounded needling therapy group and 80.0% in the western medicine group, with a significant difference between the two groups （P〈0.01） ; the serum uric acid contents before and after treatment were （516.85±48.63） μmol/L and （293.77± 68.45） μmol/L in the surrounded needling therapy group, and （509. 66 ± 51. 11） μmol/L and （333. 66 ± 89.22） μmol/L in the western medicine group, respectively, with significant differences before and after treatment in the two groups （both P〈0.05）, and with a significant difference in the serum uric acid content after treatment between the two groups （P〈0.01）. The surrounded needling therapy group had no adverse reaction, and the adverse reaction rate of the western medicine group was 46.7%, with a significant difference between the two groups （P〈0.01）. Conclusion Surrounded needling therapy is superior to the western medicine in the therapeutic effect on acute gouty arthritis, and it is a safe and effective method for acute gouty arthritis.