痛风急性发作早期与缓解期降尿酸配合疼痛护理治疗疗效对照的研究

Study on the Effect of Reducing Uric Acid and Pain Nursing in the Early and Remission Stage of Acute Gout

目的探讨早期降尿酸治疗是否能减少急性痛风发作的次数和持续时间,并与传统方法和两种结合疼痛护理的方法进行比较。方法将患者分作以下四组,每组15例:急性痛风发作早期降尿酸组,急性痛风发作早期降尿酸组配合疼痛护理治疗组,急性痛风发作传统降尿酸组,急性痛风发作传统降尿酸配合疼痛护理治疗组,第1天及第30天收集各组治疗前后炎性指标变化、临床完全缓解所需天数、复发率等数据。结果入组第30天,急性痛风发作早期降尿酸组与急性痛风发作早期降尿酸组配合疼痛护理治疗组对照血沉、C反应蛋白、完全缓解所需天数、30 d内复发次数均有统计学差异,急性痛风发作早期降尿酸组与急性痛风发作传统降尿酸组对照血沉、C反应蛋白、完全缓解所需天数、30 d内复发次数均有统计学差异。结论早期降尿酸治疗相比传统方法,可以减少痛风急性发作次数及持续时间,减少复发,疼痛护理治疗在减轻患者疼痛程度及缩短患者疼痛持续时间、减少痛风急性发作次数及持续时间等方面起到一定效果。

Objective To investigate whether early uric acid-lowering therapy can reduce the number and duration of acute gout attacks compared with traditional methods and two methods co mbined with pain care.Methods Patients divided into the following four groups,each group of 15 people:early acute gout attack uric acid group,acute gout attack early fall uric acid with pain nursing treatment group,acute gout attack traditional drop uric acid group,traditional drop uric acid with acute gout attack pain nursing treatment group,the first day and 30 days to collect the changes of inflammatory indexes before and after treatment,the number of days needed for clinical complete remission,relapse rate and other data.Results Into the group of 30 days,acute gout attack uric acid and acute gout attack early early reduction uric acid with pain nursing treatment group comparison blood sedimentation,c-reactive protein,completely relieve the required number of days,30 days,and recurrence rate were statistically significant early acute gout attack uric acid group and traditional acute gout attack uric acid reduction control group blood sedimentation,c-reactive protein,completely relieve the required number of days and recurrence rate were statistically significant for 30 days.Conclusion Compared with traditional methods,early treatment of lowering uric acid can reduce the number and duration of acute gout attacks and reduce the recurrence.Pain nursing treatment can reduce the pain degree and duration of patients,reduce the number and duration of acute gout attacks and play a certain effect.