针药并用于痰浊阻滞型痛风性关节炎中的临床应用价值分析

Clinical Application Value Analysis of Combination of Acupuncture and Drug in the Treatment of Gouty Arthritis of Phlegmatic Blockage Type

目的讨论于痰浊阻滞型急性痛风性关节炎中针药并用的应用价值。方法随机选取2014年4月—2015年5月间于该院住院治疗的痰浊阻滞型急性痛风关节炎的患者共60例,将其以随机分组的形式均分为针药结合组及对照组两组,每组30例。针药结合组采用内服中药辅以针灸治疗,对照组进行西药治疗,对比两组患者治疗前及治疗后血尿酸(BUA)值及治疗后患者不良反应出现情况。结果治疗后,针药结合组BUA值显著低于对照组,差异有统计学意义(P<0.05);对照组总有效率(86.7%)明显低于针药结合组(66.7%),差异有统计学意义(P<0.05);针药结合组治疗后患者出现不良反应情况明显少于对照组,差异有统计学意义(P<0.05)。结论于痰浊阻滞型急性痛风性关节炎的治疗中,针药并用疗效较好且副作用小,值得于临床中进一步推广使用。

Objective To study the application value of combination of acupuncture and drug in the treatment of gouty arthritis of phlegmatic blockage type. Methods 60 cases of patients with gouty arthritis of phlegmatic blockage type treated in our hospital from April 2014 to May 2015 were selected and randomly divided into acupuncture and drug combination group and control group with 30 cases in each. The acupuncture and drug combination group were given oral administration of Chinese medicine supplemented by acupuncture treatment and the control group were treated with western medicine, blood uric acid values （BUA）of the two groups before and after the treatment and adverse reaction occurrences of patients after the treatment were compared. Results After treatment, the BUA value of the combination group was significantly lower than that of the control group ,and the difference was statistically significant （P〈0.05）;the total effective rate of the control group （86.7%） was significantly lower than that of the combination group （66.7%）, and the difference was statistically signifi-cant（P〈0.05）; adverse reaction occurrences in the combination group were significantly fewer than those in the control group, and the difference was statistically significant （P〈0.05）. Conclusion Combination of acupuncture and drug in the treatment of gouty arthritis of phlegmatic blockage type has better curative effect and fewer side effects, which is worthy of further promotion and application in clinic.