电针结合加味金黄膏外敷治疗痛风性关节炎疗效观察

摘要

Objective:To observe the clinical effect of electroacupuncture (EA) plus self-made Jiawei Jinhuanggao (Supplemented Golden Yellow Paste) for gouty arthritis.Methods:A total of 80 cases with gouty arthritis were randomly allocated into an observation group (n=40) and a Western medication group (n=40). Cases in the observation group received EA and external application of self-madeJiawei Jinhuanggao(Supplemented Golden Yellow Paste), whereas cases in the Western medication group took Colchicine and Allopurinol tablets orally. After 10 d of treatment, the pain, joint swelling and uric acid in blood were observed. In addition, the follow-up was conducted 6 months after end of the treatment to evaluate the long-term effect.Results:After treatment, there were no between-group statistical differences in pain and uric acid in blood (P>0.05); and there were between-group statistical differences in joint swelling and relapse rate (P<0.05). The total effective rate was 97.5% in the observation group, versus 95.0% in the Western medication group, showing no statistical difference (P>0.05).Conclusion:EA plus Jiawei Jinhuanggao (Supplemented Golden Yellow Paste) has safe and long-term efficacy for gouty arthritis efficacy.%目的:观察电针结合自制加味金黄膏外敷治疗痛风性关节炎的临床疗效.方法:将符合纳入标准的 80例痛风性关节炎患者按入院先后顺序分为观察组和对照组, 每组 40例.对照组给予秋水仙碱片及别嘌醇片口服治疗,观察组给予电针结合本院自制加味金黄膏外敷治疗,连续治疗10 d后观察患者疼痛、关节肿胀、血尿酸值的变化, 并于治疗结束6个月后对治愈的患者进行随访, 以观察远期疗效.结果:治疗后两组患者疼痛及血尿酸值差异均无统计学意义(P>0.05); 观察组患者肿胀程度及随访时的复发率均低于对照组, 组间差异均有统计学意义(P<0.05).治疗后观察组总有效率为97.5%,西药组为95.0%,两组总有效率差异无统计学意义(P>0.0 5).结论:电针结合自制加味金黄膏外敷治疗痛风性关节炎安全有效, 远期疗效稳定.