刺血加艾灸治疗急性痛风性关节炎临床疗效观察

Clinical observation of pricking blood combined with moxibustion for acute gouty arthritis

目的：观察刺血加艾灸疗法与西药对比治疗急性痛风性关节炎的临床疗效差异。方法：将40例急性痛风性关节炎患者随机分为刺血加艾灸组和西药组,每组20例。刺血加艾灸组采用刺血配合艾灸治疗,选取有红、肿、痛关节的最痛点进行刺血放血,3天治疗1次,共治疗3次,并于红、肿、痛关节处艾灸,每日1次,每次15-20min,共治疗10天;西药组口服布洛芬0.3g,每日2次,共治疗10天。观察两组治疗前后尿酸（uric acid,UA）、超敏C反应蛋白（high sensitivity C-reactive protein,hs-CRP）、血沉（erythrocyte sedimentation rate,ESR）及关节症状体征积分的变化。结果：与治疗前比较,两组的干预措施均能降低痛风性关节炎患者UA、hs-CRP、ESR及关节症状体征总积分（均P〈0.05）;与西药组相比,刺血加艾灸组在治疗后UA、ESR及关节症状体征总积分下降更为明显（均P〈0.05）;刺血加艾灸组总有效率为85.0%（17/20）,优于西药组的75.0%（15/20,P〈0.05）。结论：刺血加艾灸疗法能够更好地改善关节症状,疗效优于口服布洛芬。

Objective To compare the clinical effective differences between pricking blood combined with moxibustion and west medication for acute gouty arthritis.Methods Forty patients with acute gouty arthritis were randomly divided into a pricking blood combined with moxibustion group（a combination group）and a western medication group,20 cases in each one.In the combination group,pricking blood was used at the most painful points of the red turgid and painful joint once three days,total 3times;moxibustion was applied at the same joint for 15-20min,once a day.The moxibustion was adopted for 10 days.In the western medication group,0.3g ibuprofen was prescribed orally twice a day for 10 days.The changes of uric acid（UA）,high sensitivity C-reactive protein（hs-CRP）,erythrocyte sedimentation rate（ESR）and the joint syndrome and symptom score before and after treatment were observed.Results In the two groups,the UA,the hs-CRP,the ESR and the joint syndrome and symptom scores were lower than those before treatment（allP〈0.05）.After treatment,the UA,the ESR and the joint syndrome and symptom scores in the combination group were declined more apparently than those in the western medication group（allP〈0.05）.The total effective rate in the combination group was 85.0%（17/20）which was better than 75.0%（15/20）in the western medication group（P〈0.05）.Conclusion Pricking blood combined with moxibustion could improve the joint symptoms more effectively and the effect is better than ibuprofen orally.