壮医葫芦茶除痹汤治疗急性痛风性关节炎的临床观察

Clinical Observation of Using Hulucha Chubi Decoction to Treat Acute Gout Arthritis

目的:观察壮医葫芦茶除痹汤治疗急性痛风性关节炎的临床效果。方法:釆用随机数余数分组法将60例患者分为治疗组30例和对照组30例,治疗组给予葫芦茶除痹汤水煎剂口服,对照组给予双氯芬酸钠双释放肠溶胶囊口服,疗程均为15天。比较两组治疗前后血尿酸(SUA)、关节肿痛指数、中医证候评分等指标胡变化。结果:对照组因出现不良反应脱落2例。两组的SUA、关节肿痛积分、中医证候评分治疗后均比治疗前降低(P<0.05)。治疗组的SUA、中医证候评分降低情况优于对照组(P<0.01,P<0.05),治疗组的关节肿痛积分降低情况与对照组相当(P>0.05),中医证候积分指数治疗组高于对照组(P<0.05),两组关节肿痛指数比较差异无统计学意义(P>0.05)。结论:壮医葫芦茶除痹汤治疗急性痛风性关节炎临床效果好,无明显毒副作用和不良反应,有较高的临床应用价值。

Objective： To discuss the clinical efficacy of Hulucha Chubi Decoction in treating Acute Gout Arthritis. Method： sixty cases were randomly divided into two groups,treatment group in which 30 cases were treated by Hulucha Chubi Decoction,and control group in which 30 cases were treated by Diclofenac Sodium Enteric-coated capsule,with a course of 15 days. The SUA,painful joint integral and TCM symptoms integral were measured. Result： 2 case of control group shed off because of adverse reaction. In both groups,the levels of SUA,painful joint integral and TCM symptoms integral were much lower than that before therapy（ P 0. 05）. After treatment,the levels of SUA and TCM syndrome integral of the treatment group were much lower than that of the control group（ P 0. 01,P 0. 05）,the difference of painful joint integral in two groups was not significant（ P 0. 05）,TCM syndrome integral index of the treatment group were much higher than that of the control group（ P 0. 05）,the difference of painful joint integral index in two groups was not significant（ P〉0. 05）. Conclusion：Hulucha Chubi Decoction have better clinical effects on AGA,and signs without toxic or side effect or any adverse reaction,. Hulucha Chubi Decoction has high value in clinical application.