首页|自拟痛风散联合中药熏蒸治疗急性期湿热淤阻型痛风性关节炎的临床观察

自拟痛风散联合中药熏蒸治疗急性期湿热淤阻型痛风性关节炎的临床观察

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目的:探讨自拟痛风散联合中药熏蒸治疗急性期湿热淤阻型痛风性关节炎的临床效果.方法:从2021年6月-2023年5月期间梧村骨科医院收治的急性期痛风性关节炎患者中选取118例符合研究纳入标准的患者作为研究对象,按照组间基线资料具有可比性原则分为两组,均为59例.对照组患者按照常规西医治疗方案,给予患者美洛昔康片治疗,研究组则辅以自拟痛风散和中药熏蒸治疗;评估临床治疗效果与中医症候积分,同时检测患者治疗前、后血尿酸(UA)、血沉(ESR)、C反应蛋白(CRP)与超氧化物歧化酶(SOD)等血清学指标水平变化情况.结果:1个疗程后,研究组治疗总有效率(91.53%)高于对照组(77.97%),中医症候积分低于对照组,UA、ESR、CRP水平均低于对照组,SOD水平则高于对照组(P<0.05).结论:自拟痛风散联合中药熏蒸治疗急性期湿热淤阻型痛风性关节炎,能够更好地改善患者临床症状和炎症水平,提升临床效果.
Objective:To investigate the clinical effect of self-proposed gouty powder combined with traditional Chinese medicine fumigation in the treatment of acute-phase gouty arthritis with damp-heat stagnation.Methods:From the patients with acute-phase gouty arthritis admitted to Wucun Orthopaedic Hospital during the period of June 2021-May 2023,118 patients who met the study inclusion criteria were selected as the study subjects,and were divided into two groups of 59 cases according to the principle of comparability of baseline data between groups.In the control group,patients were treated with meloxicam tablets according to the conventional western medical treatment plan,while in the study group,patients were supplemented with self-proposed gout dispersal and traditional Chinese medicine fumigation;the clinical therapeutic effect was evaluated with the Chinese medicine symptom score,and the changes in the levels of serological indexes,such as blood uric acid(UA),blood sedimentation rate(ESR),C-reactive protein(CRP),and superoxide dismutase(SOD),were detected in the pre-treatment and post-treatment periods of the patients.Results:After 1 course of treatment,the total effective rate of treatment in the study group(91.53%)was higher than that in the control group(77.97%),the TCM symptom score was lower than that in the control group,and the levels of UA,ESR,and CRP were lower than that in the control group,while the level of SOD was higher than that in the control group(P<0.05).Conclusion:The treatment of acute-phase gouty arthritis with damp-heat stagnation combined with traditional Chinese medicine fumigation can better improve the clinical symptoms and inflammation level of patients and enhance the clinical effect.

Acute-phase gouty arthritisdamp-heat stagnation typegout powderChinese medicine fumigationserologic indexes

蔡剑波、李云璋

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厦门思明景元中医院 福建厦门 361000

急性期痛风性关节炎 湿热淤阻型 痛风散 中药熏蒸 血清学指标

2023

黑龙江中医药
黑龙江省中医研究院

黑龙江中医药

影响因子:0.425
ISSN:1000-9906
年,卷(期):2023.52(5)
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