益气泄浊饮代茶频饮结合西医常规疗法治疗慢性痛风30例

30 cases of chronic gout treated with Yiqi Xiezhuo tea drink combined with routine therapy of uestern medicine

目的观察益气泄浊饮代茶频饮结合西医常规疗法治疗慢性痛风的临床疗效。方法将60例慢性痛风患者随机分为对照组和治疗组,每组30例。对照组给予西医常规干预措施,治疗组在西医常规措施基础上给予益气泄浊饮煎汤代茶频饮。两组疗程均为12周,观察临床疗效及血尿酸、关节疼痛评分(BRS-6疼痛评分)变化情况。结果治疗组、对照组总有效率分别为93.3%、70.0%;组间临床疗效比较,差异有统计学意义(P<0.05)。治疗前后组内比较,两组血尿酸及BRS-6疼痛评分差异均有统计学意义(P<0.05);组间治疗后比较,血尿酸及BRS-6疼痛评分差异有统计学意义(P<0.05)。结论饮食控制等一般治疗措施对慢性痛风有一定疗效,在此基础上加用益气泄浊饮代茶频饮,可以进一步降低患者的血尿酸水平,改善患者的关节疼痛,提高整体治疗效果。

Objective To observe the clinical efficacy of Yiqi Xiezhuo tea drink combined with routine therapy of uestern medicine in the treatment of chronic gout.Methods 60 patients with chronic gout were randomly divided into the control group and treatment group,30 cases in each group. The control group was treated with routine interventions of uestern medicine,and the treatment group was treated with Yiqi Xiezhuo tea drink in small doses at short intervals based on the treatment for the control group,with a course of 12 weeks. The clinical efficacy was observed,and the level of serum uric acid and the score of 6-point behavioral rating scale( BRS-6) were detected and compared. Results The total effective rate was 93. 3% in the treatment group and 70. 0% in the control group. There was statistically significant difference on the clinical efficacy between the two groups( P < 0. 05). For the comparison between treatment before and after,there were statistically significant differences on the level of serum uric acid and the BRS-6 score for joint pain in both groups( P < 0. 05). For the comparison after treatment,there were statistically significant differences on the level of serum uric acid and the BRS-6 score for joint pain between the two groups( P < 0. 05). Conclusion The alimentary control and other general treatment show a certain efficacy in the treatment of chronic gout. On this basis,additional therapy of Yiqi Xiezhuo tea drink in small doses at short intervals can further reduce the level of serum uric acid,improve the joint pain of patients and enhance the overall efficacy.