红光照射联合三黄散外敷治疗痛风性关节炎急性发作的临床观察

Clinical observation on red light irradiation combined with three yellow powder in the treatment of acute gouty arthritis

目的观察红光照射联合三黄散外敷治疗痛风性关节炎的临床疗效。方法选取痛风性关节炎急性发作的患者60例，随机分为两组，治疗组（30例）给予红光照射，2次，d，20min／次，三黄散外敷，1次／d；对照组（30例）给予秋水仙碱片口服，3次／d，0．5mg／次，治疗时间7d，分别于治疗前及治疗后观察血尿酸、血沉、CRP水平。以及治疗前后关节疼痛（视觉模拟评分法visualanaloguescale，简称VAS评分标准，0～10分）。结果患者治疗后VAS积分、UA、CRP、ESR均较前明显下降，差异有统计学意义（P〈O．05）但治疗后两组患者VAS积分、UA比较差异无统计学意义（P〉0．05），治疗后两组比较，CRP、ESR差异有统计学意义（P〈0．05），两组患者治疗有效率比较，治疗组优于对照组，差异有统计学意义（P〈0．05）。

Objective To observe the clinical efficacy of red light irradiation combined with three yellow powder in the treatment of gouty arthritis. Methods Select 60 patients with acute gouty arthritis were randomly divided into two groups, the treatment group （30 cases） to red light illuminate 30 min each time twice a day, three yellow powder topical, once per day, the control group （30 cases） given colchicine tablets, three times a day, 0.5 mg each time, treatment time, 7 days were observed before and after treatment the blood uric acid, blood sedimentation, CRP levels. And joint pain before and after the treatment （Visual Analogue Scale method of Visual Analogue Scale, referred to as ＂VAS score standard, 0 to 10）. Results After treatment in patients with VAS score, UA and CRP, ESR were markedly reduced earlier, there are significant difference （P〈0.05）, but the two groups of patients after treatment VAS score, UA was no significant difference （P〉0.05）, compared the two groups after treatment, there are significant difference of CRP, ESR （P〈0.05）, two groups of patients efficient comparison, the treatment group is better than that of control group, with significant difference （P〈0.05）. Conclusion The combination of red glow of three yellow powder topical treatment of gouty arthritis.