针药并用治疗痛风性关节炎的临床观察

摘要

目的 在清热利湿、通络止痛佐以温阳的指导原则下对痛风性关节炎进行治疗,以探索温阳在治疗痛风性关节炎中的重要性.方法 将收治的116例患者随机分成两组,其中治疗组(接受针灸中药配合疗法)61例,对照组(接受常规西医治疗)55例,两组各接受2个疗程的治疗,观察临床疗效.结果 统计治疗前后两组患者的Budzyuski分值、关节肿胀评分及血尿酸值并进行比较,治疗后两组患者的分值均有明显下降(P＜0.01).治疗组总有效率为95.08％,高于对照组的85.45％ (P＜ 0.05).结论 痛风性关节炎的治疗以清热利湿、通络止痛佐以温阳疗效确切,与常规西药治疗法相比,其止痛效果更为持久稳定,且绿色安全,无毒副作用.%Objective:To explore the importance of warming yang in the gouty arthritis treatment under the principle of clearing heat and promoting diuresis,smoothing collaterals and stopping pain with warming.Methods:116 patients were randomly divided into two groups,61 in cases the treatment group(acupuncture combined with TCM),55 cases in the control group (conventional western medicine treatment).There were 2 periods of treatment,and the clinical effect was observed.Results:Budzyuski score,pain score and blood uric acid of the two groups were compared before and after treatment.After treatment,the scores of the two groups were signifi cantly decreased.Conventional therapy and acupuncture combined with traditional Chinese medicine had an obvious curative effect(P＜0.01).The curative effect of treatment group(95.08％) was better than that of control group (85.45％) (P ＜ 0.05).Conclusion:The therapy of clearing heat and promoting diuresis,activating meridians to stop pain with warming to cure gouty arthritis was effectively,which had a significant difference compared with conventional western medicine,the analgesic effect was more lasting and stable,non-toxic side effects,is worthy of clinical use.