火针围刺加腹针治疗急性原发性痛风性关节炎患者的疗效及对UA、ESR含量的影响

Effect of Fire Needle plus Abdominal Acupuncture on Patients with Acute Primary Gouty Arthritis and Its Effect on UA and ESR Content

目的探讨火针围刺加腹针治疗急性原发性痛风性关节炎患者的临床疗效及对尿酸(uric acid,UA)、红细胞沉降率(erythrocyte sedimentation rate,ESR)含量的影响。方法选取我院2016年12月至2017年11月收治的90例急性原发性痛风性关节炎患者作为观察组(火针+腹针组),另选择同期180例急性原发性痛风性关节炎患者随机分为对火针组与腹针组作为对照,每组各90例。所有患者均进行基础治疗,观察组给予火针围刺+腹针治疗,火针组接受火针治疗,腹针组接受腹针治疗。比较3组临床疗效、治疗前后疼痛持续时间、关节疼痛评分、UA和ESR含量及主要临床症状(关节疼痛、红肿、压痛、活动受限)积分。结果观察组治疗总有效率高于火针组与腹针组(P<0.05);治疗后,3组患者疼痛持续时间、视觉模拟评分(visual analogue scale,VAS)、UA、ESR含量、主要临床症状积分较治疗前均显著下降,且观察组疼痛持续时间、VAS评分、UA和ESR含量、关节疼痛、红肿、压痛及总积分较火针组与腹针组均降低(P<0.05)。结论火针围刺加腹针治疗急性原发性痛风性关节炎具有较好的临床治疗效果,能有效降低血尿酸及血沉水平,减轻患者疼痛,改善其临床症状,值得推广。

Objective To investigate the clinical efficacy of fire needle and abdominal acupuncture in treating patients with acute primary gouty arthritis and their effects on the content of UA and ESR in patients. Methods A total of 90 patients with acute primary gouty arthritis treated in our hospital from December 2016 to November 2017 were selected as the observation group （fire needle plus abdominal acupuncture）. In the same period, 180 patients with acute primary gouty arthritis were randomly divided into fire needle group and abdominal acupuncture group （control groups）, with 90 cases in each group. All patients were treated with basic therapy. The observation group was received fire needle encircling acupuncture and abdominal acupuncture treatment. The fire needle group received fire needle treatment. The abdominal acupuncture was received abdominal acupuncture treatment. The clinical effects, pain relief and duration, joint pain score before and after treatment, UA, ESR content and clinical symptoms （arthralgia, swelling, pressing pain, activity limitation） between the three groups were compared. Results The total effective rate of treatment in the observation group was higher than that of the control groups （P〈0.05）. After treatment, the pain duration, VAS scores, UA, ESR, clinical symptoms scores of the three groups decreased significantly. The pain duration, VAS score, UA, ESR, joint pain, redness, pressing pain, and total scores of the observation were significantly lower than those of the control groups （P〈0.05）. Conclusion The fire needling plus abdomen acupuncture are safe and effective in treating acute primary gouty arthritis, which can effectively reduce the level of serum uric acid and erythrocyte sedimentation rate, relieve the pain and improve the clinical symptoms and signs, and it is worth promoting.