摘要
目的:观察湿热痹阻型痛风性关节炎急性发作丝瓜叶、半枝莲、路边青外敷治疗的疗效。方法:回顾性选取2019年1月-2020年2月本院湿热痹阻型痛风性关节炎急性发作患者100例,依据治疗方法分为外敷治疗组(丝瓜叶、半枝莲、路边青外敷治疗,n=50)和药物治疗组(秋水仙碱、美洛昔康分散片药物治疗,n=50)。统计分析两组中医症候积分、关节疼痛程度、主要理化指标、临床疗效、不良反应发生情况。结果:治疗后,两组中医症候积分、VAS评分均较治疗前降低,外敷治疗组低于药物治疗组(P<0.05)。治疗后,两组类风湿因子、血尿酸、红细胞沉降率、C反应蛋白水平均较治疗前降低,外敷治疗组低于药物治疗组(P<0.05)。外敷治疗组治疗总有效率为96.0%(48/50),高于药物治疗组的76.0%(38/50),差异有统计学意义(P<0.05)。外敷治疗组不良反应发生率为0,低于药物治疗组的18.0%(9/50),差异有统计学意义(P<0.05)。结论:湿热痹阻型痛风性关节炎急性发作丝瓜叶、半枝莲、路边青外敷治疗的效果显著。
Objective:To observe the curative effect of external application of Luffa Leaf,Scutellaria Barbata and Yellow Avens on acute attack of gouty arthritis of damp heat obstruction type.Method:A total of 100 patients with acute attack of gouty arthritis of damp heat obstruction type in our hospital from January 2019 to February 2020 were retrospectively selected and divided into the external application treatment group(Luffa Leaf,Scutellaria Barbata,Yellow Avens external application treatment,n=50)and the drug treatment group(Colchicine,Meloxicam Dispersible Tablets drug treatment group,n=50)according to the treatment methods.The TCM symptom scores,joint pain degree,main physical and chemical indexes,clinical efficacy and adverse reactions of the two group were statistically analyzed.Result:After treatment,the TCM symptom score and VAS score of the two groups were significantly lower than those before treatment,the external application treatment group was lower than the the drug treatment group(P<0.05).After treatment,the levels of rheumatoid factor,uric acid,erythrocyte sedimentation rate,C-reactive protein of the two groups were significantly lower than those before treatment,the external application treatment group was lower than the the drug treatment group(P<0.05).The total effective rate of the external application group was 96.0%(48/50),which was higher than 76.0%(38/50)of the drug treatment group,the difference was statistically significant(P<0.05).The incidence of adverse reactions of the external application group was 0,which was lower than 18.0%(9/50)of the drug treatment group,the difference was statistically significant(P<0.05).Conclusion:The external application of Luffa Leaf,Scutellaria Barbata and Yellow Avens has significant effect on acute attack of gouty arthritis of damp heat obstruction type.
作者
张建宏
苏艳仙
谢婧娜
严清梅
ZHANG Jianhong;SU Yanxian;XIE Jingna;YAN Qingmei(Yangchun Hospital of Traditional Chinese Medicine,Yangchun 529600,China)
出处
《中外医学研究》
2021年第8期4-6,共3页
CHINESE AND FOREIGN MEDICAL RESEARCH
基金
阳江市医疗卫生类科技计划项目(阳科通[2019]50号138)。
关键词
湿热痹阻型
痛风性关节炎
急性发作
丝瓜叶
半枝莲
路边青
外敷
Damp heat obstruction type
Gouty arthritis
Acute attack
Luffa Leaf
Scutellaria Barbata
Yellow Avens
External application
