首页|清热祛湿通络方辨证加减联合西医常规治疗湿热蕴结型急性痛风性关节炎的临床效果分析

清热祛湿通络方辨证加减联合西医常规治疗湿热蕴结型急性痛风性关节炎的临床效果分析

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目的 分析湿热蕴结型急性痛风性关节炎采用清热祛湿通络方辨证加减联合西医常规治疗的效果。方法 110 例湿热蕴结型急性痛风性关节炎患者,根据不同治疗方法分为对照组与干预组,每组 55 例。对照组给予西医常规治疗,干预组在对照组基础上联合清热祛湿通络方辨证加减治疗。比较两组的治疗效果、血尿酸水平、中医症状评分、生活质量、不良反应发生情况和复发情况。结果 干预组治疗总有效率为 96。36%,比对照组的 83。64%要高(P<0。05)。治疗 1、2、3 个月后,两组患者的血尿酸水平较本组治疗前降低(P<0。05);干预组治疗 3 个月后的血尿酸水平(355。47±42。38)μmol/L低于对照组的(387。24±47。65)μmol/L(P<0。05)。与本组治疗前相比,两组治疗后的中医症状评分明显降低,日常生活能力量表(ADL)评分明显升高(P<0。05);干预组治疗后的中医症状评分(4。65±1。20)分低于对照组的(5。27±1。49)分,ADL评分(80。10±7。55)分高于对照组的(77。26±6。36)分(P<0。05)。治疗过程中,两组不良反应发生率比较无明显差异(P>0。05)。随访 3 个月,干预组复发率为 7。27%,低于对照组的 23。64%(P<0。05)。结论 清热祛湿通络方辨证加减联合西医常规治疗湿热蕴结型急性痛风性关节炎的疗效更好,能显著降低血尿酸水平和复发率,改善中医症状和生活质量,且不良反应少,具有临床推广价值。
Analysis of the clinical effect of modified Qingre Qushi Tongluo formula combined with conventional Western medicine on patients with acute gouty arthritis of dampness heat accumulation type
Objective To analyze the effect of modified Qingre Qushi Tongluo formula combined with conventional Western medicine on patients with acute gouty arthritis of dampness heat accumulation type.Methods 110 patients with acute gouty arthritis of dampness heat accumulation type were selected.According to different treatment methods,they were divided into a control group and an intervention group,with 55 cases in each group.The control group was given conventional Western medicine treatment,while the intervention group was treated with modified Qingre Qushi Tongluo formula based on the control group.The treatment efficacy,blood uric acid levels,traditional Chinese medicine symptom score,quality of life,adverse reactions and recurrence were compared between the two groups.Results The total effective rate of the intervention group was 96.36%,which was higher than 83.64%of the control group(P<0.05).After 1,2 and 3 months of treatment,the serum uric acid level in both groups was lower than that before treatment(P<0.05).After 3 months of treatment,the serum uric acid level in the intervention group was(355.47±42.38)μmol/L,which was lower than(387.24±47.65)μmol/L in the control group(P<0.05).Compared with before treatment,the traditional Chinese medicine symptom score in both groups decreased significantly and the activities of daily living(ADL)score increased significantly after treatment(P<0.05).After treatment,the intervention group had lower traditional Chinese medicine symptom score of(4.65±1.20)points than(5.27±1.49)points in the control group,and higher ADL score of(80.10±7.55)points than(77.26±6.36)points in the control group(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).After 3 months of follow-up,the recurrence rate in the intervention group was 7.27%,which was lower than 23.64%in the control group(P<0.05).Conclusion The combination of modified Qingre Qushi Tongluo formula and conventional Western medicine has a better therapeutic effect on acute gouty arthritis of dampness heat accumulation type.It can significantly reduce blood uric acid levels and recurrence rate,improve traditional Chinese medicine symptoms and quality of life,and have fewer adverse reactions.It has promotion value.

Acute gouty arthritisDampness heat accumulation typeQingre Qushi Tongluo formulaIntegrated traditional Chinese and Western medicineBlood uric acid

张国平、刘媛媛

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276400 临沂市中心医院

急性痛风性关节炎 湿热蕴结型 清热祛湿通络方 中西医结合 血尿酸

2024

中国现代药物应用
中国水利电力医学科学技术学会

中国现代药物应用

影响因子:0.862
ISSN:1673-9523
年,卷(期):2024.18(8)
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