摘要
目的观察穴位贴敷治疗急性痛风性关节炎的临床疗效。方法将80例急性痛风性关节炎患者随机分为2组,对照组40例予塞来昔布胶囊治疗,治疗组40例在对照组治疗基础上加穴位贴敷治疗。2组均治疗10d后统计疗效,比较2组治疗前后关节疼痛、关节肿胀及活动受限、全身症状评分变化,同时统计2组关节疼痛缓解时间,检测2组治疗前后血尿酸、红细胞沉降率(ESR)及C反应蛋白(CRP)水平变化。结果治疗组总有效率92.5%,对照组82.5%,2组总有效率比较差异有统计学意义(P<0.05),治疗组临床疗效优于对照组。2组治疗后关节疼痛、关节肿胀及活动受限、全身症状评分,ESR、CRP水平均较本组治疗前明显降低(P<0.05),且治疗组关节疼痛、关节肿胀及活动受限、全身症状评分低于对照组,关节疼痛缓解时间明显缩短,比较差异均有统计学意义(P<0.05)。结论在塞来昔布治疗的基础上,联合中药穴位贴敷治疗急性痛风性关节炎,能明显改善临床症状,减少塞来昔布用药量,疗效安全可靠,具有临床应用价值。
Objective To observe the clinical effects of acupoint application on the treatment of acute gouty arthritis. Methods 80 patients with acute gouty arthritis were randomly divided into two groups. 40 cases in control group were treated by celecoxib capsule,40 cases in treatment group were treated by acupoint application on the basis of control group treatment. The curative effect was evaluated after 10 d treatment in two groups. The arthralgia,arthrocele,limitation of motion,constitutional symptoms scores before and after treatment were compared in two groups,and the pain relief time and curative effect were evaluated. The blood uric acid（BUA）,erythrocyte sedimentation rate（ESR）,c-reaction protein（CRP） before and after treatment were measured in two groups. Results The total effective rate in treatment group（92. 5%） was superior to that in control group（82. 5%,P〈0.05）. The scores of arthralgia,arthrocele,limitation of motion,constitutional symptoms,the levels of ESR and CRP after treatment were decreased in two groups（P〈0.05）,and the scores in treatment group were lower than control group. The pain relief time in treatment group was obviously shorter than control group,with statistical differences（P〈0.05）. Conclusion On the basis of celecoxib capsule treatment,combined with acupoint application on the treatment of acute gouty arthritis can obviously improve clinical symptoms,reduce dose of delecoxib,safe and reliable,have some value in clinical application.
出处
《河北中医》
2016年第10期1535-1538,1543,共5页
Hebei Journal of Traditional Chinese Medicine
关键词
关节炎
痛风性
穴位贴敷法
Arthritis
Gouty
Acupoint application therapy
