员利针治疗湿热蕴结型急性痛风性关节炎临床研究

Clinical Study of Round-Sharp Needling in Treating Acute Gouty Arthritis of Damp-Heat Accumulation Pattern

目的:探讨员利针治疗湿热蕴结型急性痛风性关节炎的临床疗效。方法:选取我院就诊的80例湿热蕴结型急性痛风性关节炎患者,随机分为治疗组(n=40)和对照组(n=40)。对照组采用常规治疗,治疗组在对照组基础上予以员利针治疗。比较两组治疗前后症状体征评分、血清炎性因子指标[肿瘤坏死因子(TNF-α)、白介素-1β(IL-1β)],并对比临床疗效。结果:治疗后两组症状体征评分均较治疗前降低,且治疗组明显低于对照组(P<0.05);治疗后两组血清中TNF-α、IL-1β均较治疗前降低,且治疗组明显低于对照组(P<0.05);治疗组临床疗效明显高于对照组(P<0.05)。结论:在常规治疗基础上,员利针治疗湿热蕴结型急性痛风性关节炎能有效改善临床症状体征,可能与抑制炎症反应有关。

Objective:To explore the clinical efficacy of round-sharp needling in treating acute gouty arthritis of damp-heat accumulation pattern.Methods:80 patients with acute gouty arthritis of damp-heat accumulation pattern were randomly divided into the treatment group(n=40)and the control group(n=40).The control group was treated with conventional treatment;on which basis,the treatment group was also treated with round-sharp needling.The scores of symptoms and signs,serum inflammatory factor indexes,such as TNF-αand IL-1βwere compared between before and after the treatment in the two groups,and the clinical efficacy was also compared between the two groups.Results:After the treatment,the scores of symptoms and signs were significantly decreased in the two groups;of which the decreases in the treatment group were more significant(P<0.05).The levels of TNF-αand IL-1βwere lower after the treatment in the two group;of which the treatment group was lower in the control group(P<0.05).The clinical efficacy of the treatment group was significantly higher than that of the control group(P<0.05).Conclusion:On the basis of conventional treatment,round-sharp needling can effectively improve clinical symptoms and signs in treating acute gouty arthritis of damp-heat accumulation pattern,which may be related to inhibiting inflammatory response.