利湿通络方联合常规西医治疗急性痛风性关节炎及高尿酸血症的临床观察∗

摘要

Objective:To investigate Dampness meridians Decoction Treating acute gouty arthritis and hyper⁃uricemia clinical results in order to find the best treatment methods to improve clinical diagnosis and treatment. Methods:70 patients were divided into two groups,35 cases in each group. And the control group were treated with conventional western medicine therapy,while the teratment group were given Dampness meridians Decoc⁃tion besides. And the clinical effect was observed after treatment. Results:The total efficiency of treatment group (91.43%)was higher than that of control group(77.14%)(P<0.05). The blood uric acid,ESR,WBC and symp⁃tom score joint pain,joint swelling,joint stiffness of both groups were all inproved,and the difference between two groups was statistically significant(P < 0.05). Conclusion:Dampness meridians Decoction can improve acute gouty arthritis and hyperuricemia clinical effects,with high safety.%目的：观察利湿通络方加减辨治急性痛风性关节炎及高尿酸血症临床效果。方法70例患者随机分为对照组和观察组各35例。对照组予常规西药治疗，观察组在对照组基础上加用利湿通络方加减治疗，观察治疗后临床效果。结果观察组的总有效率91.43%优于对照组的77.14%（P<0.05）。治疗前两组血尿酸、血沉、白细胞、尿素氮、血肌酐、丙氨酸氨基转移酶差别不大（均P>0.05）。两组治疗后血尿酸、血沉、白细胞均较治疗前改善（均P<0.05），且观察组血尿酸、血沉、白细胞改善优于对照组（均P<0.05）。两组治疗后观察组关节疼痛、关节肿胀、关节僵硬积分改善均优于对照组（均P<0.05）。结论利湿通络方加减能提高急性痛风性关节炎及高尿酸血症临床效果，且安全性高。