自拟痛风散加针刺治疗急性痛风性关节炎临床观察

Clinical Observation on the Treatment of Acute Gouty Arthritis with Gout Powder Combined with Acupuncture

目的:观察中药口服配合针灸治疗急性痛风性关节炎的临床疗效及对血尿酸的影响。方法:将60例痛风患者随机分为治疗组和对照组,每组30例。治疗组口服自拟痛风散1号方并配合针刺隐白、太冲、公孙、三阴交、足三里,结合局部取穴及远端取穴;对照组给予美洛昔康片每次15 mg,每日1次,口服;碳酸氢钠片每次1.0 g,每日3次,口服。对两组患者用药前后临床症状及体征(关节疼痛、红肿程度、关节活动度、功能评估)以及尿酸变化情况进行评估。结果:治疗组临床治愈5例,显效19例,有效5例,无效1例,有效率达96.67%;对照组临床治愈3例,显效4例,有效15例,无效8例,有效率73.33%。两组比较,差异有统计学意义(P<0.05)。各临床症状及体征评分明显降低,差异有统计学意义(P<0.01);两组血尿酸均降低,且治疗组优于对照组,差异有统计学意义(P>0.05)。结论:中药内服配合针灸治疗急性痛风性关节炎有较好的临床效果。

Objective：To observe the curative effect of taking traditional Chinese medicine orally combined with acupuncture on acute gouty arthritis and its effects on blood uric acid.Methods：60 cases of gout were randomly divided into a treatment group and a control group,30 cases in each group.The treatment group were treated with Gout Powder No.1 and needled Yinbai（SP1）,Taichong（LR3）,Gongsun（SP4）,Sanyinjiao （SP6） and Zusanli（ST36） combined with local and distal point locating.The control group were given orally Meloxicam Tablets,15mg each time,once a day;and Sodium Bicarbonate Tablets,1 g each time,3 times a day.1 weeks for 1 courses.The patients were evaluated on the aspects of clinical symptoms and signs before and after treatment（joint pain,swelling degree,range of the joint motion,function） and uric acid changes.Results：In the treatment group,5 cases were cured,19 cases were markedly effective,5 cases were effective,1 case was not healed,the effective rate being 96.67%;while in the control group,3 cases were cured,4 cases were markedly effective,15 cases were effective,8 cases were ineffective,efficiency being 73.33%.The difference between the two groups was statistically significant（P〈 0.05）.The clinical symptoms and signs scores decreased significantly,the difference was statistically significant（P〈 0.01）;the blood uric acid of the two groups decreased,and the treatment group was better than the control group,the difference being statistically signiifcant （P〉 0.05）.Conclusion：Taking traditional Chinese medicine orally combined with acupuncture has a better therapeutic effect in the treatment of acute gouty arthritis.