首页|清热活血逐痹汤联合正清风痛宁对痛风性关节炎炎症反应及生活质量的影响

清热活血逐痹汤联合正清风痛宁对痛风性关节炎炎症反应及生活质量的影响

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目的 探讨清热活血逐痹汤联合正清风痛宁对痛风性关节炎的炎症反应及生活质量的影响.方法 该研究选择2020年2月-2023年4月痛风性关节炎患者70例为研究对象,随机分为两组,各35例,对照组采用常规西医疗法,观察组在此基础上应用清热活血逐痹汤联合正清风痛宁,持续治疗2个月.治疗前后测定两组患者血清C反应蛋白(CRP)、血尿酸(UA)、白细胞介素-1β(IL-1β)、白细胞介素-6(IL-6)和肿瘤坏死因子-α(TNF-α)水平,并比较两组患者的临床疗效、中医症状积分、疼痛(VAS)评分和生活质量(WHOQOL-BREF)评分.结果 观察组患者中医症状积分降低程度优于对照组(P<0.05);观察组CRP、UA水平降低程度优于对照组(P<0.05);观察组IL-1β、IL-6和TNF-α水平降低程度优于对照组(P<0.05);观察组疼痛减轻程度优于对照组,VAS评分下降更为明显(P<0.05);两组患者生活质量WHOQOL-BREF评分较治疗前均有明显提升(P<0.05),生活质量均有所改善,与对照组比较,观察组评分升高更加显著(P<0.05);对照组总有效率为85.71%,低于观察组总有效率97.14%,差异有统计学意义(P<0.05).结论 清热活血逐痹汤联合正清风痛宁可以改善痛风性关节炎患者临床症状和体征,具有清热除湿、活血化瘀、宣痹通脉之效,能够扩张血管,改善微循环,抗炎镇痛,可以提高痛风性关节炎患者的临床疗效.
Effect of Qingre Huoxue Zhubi Decoction(清热活血逐痹汤)Combined with Zhengqing Fengtongning(正清风痛宁)on Inflammatory Response and Quality of Life of Gouty Arthritis
Objective To explore the effect of Qingre Huoxue Zhubi Decoction(清热活血逐痹汤)combined with Zhengqing Fengtongning(正清风痛宁)on inflammatory response and quality of life of gouty arthritis.Methods In this study,70 patients with gouty arthritis from February 2020 to April 2023 were selected and randomly divided into two groups with 35 cases in each.The control group was treated with conventional western medicine,and the observation group was treated with Qingre Huoxue Zhu-bi Decoction combined with Zhengqing Fengtongning for 2 months.The levels of serum C-reactive protein(CRP),blood uric acid(UA),interleukin-1 β(IL-1β),interleukin-6(IL-6)and tumor necrosis factor-α(TNF-α)were measured before and after treatment.The clinical efficacy,TCM syndrome scores,visual analog scale(VAS)score and WHOQOL-BREF score of the two groups were compared.Results The reduction degree of TCM syndrome scores in the observation group was better than that in the control group(P<0.05).The levels of CRP and UA in the observation group were lower than those in the control group(P<0.05).The levels of IL-1 β,IL-6 and TNF-α in the observation group were lower than those in the control group(P<0.05).The pain relief degree of the observation group was better than that of the control group,and the VAS score decreased more signifi-cantly(P<0.05).The WHOQOL-BREF score of quality of life in both groups was significantly improved compared with that before treatment(P<0.05),and the quality of life in both groups was improved.Compared with that in the control group,the score in the observation group was more significantly increased(P<0.05).The total effective rate of the control group was 85.71%,which was lower than that of the observation group(97.14%),with statistical significance(P<0.05).Conclusion Qin-gre Huoxue Zhubi Decoction combined with Zhengqing Fengtongning has the effect of clearing heat and removing dampness,pro-moting blood circulation and removing blood stasis,and dispering Bi syndrome and dredging vessels.It can improve the clinical symptoms and signs of patients with gouty arthritis,dilate blood vessels,improve microcirculation,anti-inflammation and relieve pain.It can improve the clinical effect of gouty arthritis patients.

Qingre Huoxue Zhubi Decoction(清热活血逐痹汤)Zhengqing Fengtongning(正清风痛宁)gouty arthritisinflammatory responsequality of life

程华威、戴基浩、董和平、张皖东

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明光市人民医院,安徽明光 239400

安徽中医药大学第一附属医院,安徽 合肥 230601

清热活血逐痹汤 正清风痛宁 痛风性关节炎 炎症反应 生活质量

2025

辽宁中医杂志
辽宁中医药大学,辽宁省中医药学会

辽宁中医杂志

北大核心
影响因子:0.815
ISSN:1000-1719
年,卷(期):2025.52(1)