子午流注火针刺法对急性痛风性关节炎的临床疗效观察

Clinical Efficacy Observation of Fire Needle based on Midnight-Noon Ebb-Flow Theory on Acute Gouty Arthritis

目的选择急性痛风性关节炎患者为研究对象,基于子午流注理论采用火针治疗方式,观察临床疗效及对血清尿酸水平的影响。方法将符合急性痛风纳入标准的60例随机分组,治疗组采用基于子午流注火针疗法,对照组采用口服依托考昔及少量秋水仙碱。疗程1周,观察对比患者治疗前后临床证候(关节疼痛、压痛、红肿及活动度)积分、疗效指数及血清尿酸水平。结果治疗组总有效率达100.00%,明显优于对照组总有效率83.33%(P<0.01);治疗组血清尿酸降低水平优于对照组。结论子午流注火针疗法可明显改善急性痛风患者的临床症状,降低血清尿酸水平。

Objective:To observe the clinical efficacy and the influence of serum uric acid level for patients with acute gouty arthritis treated with fire needle therapy based on the theory of midnight-noon ebb-flow.Methods:A total of 60 cases with acute gout were randomly divided into two groups.The treatment group was treated with fire needle therapy based on midnight-noon ebb-flow theory,and the control group was treated with oral etocoxib and a small amount of colchicine.The clinical symptoms(joint pain,tenderness,redness and activity),therapeutic effect index and serum uric acid level were observed and compared before and after 1 week of treatment.Results:The total effective rate of the treatment group was 100.00%,which was better than that of the control group(83.33%)(P<0.01);the level of serum uric acid in the treatment group was significantly better than that in the control group.Conclusion:Fire needle therapy based on the theory of midnight-noon ebb-flow can improve the clinical symptoms of patients with acute gout and significantly reduce the serum uric acid level.