中国中西医结合外科杂志2024,Vol.30Issue(1) :86-89.DOI:0.3969/j.issn.1007-6948.2024.01.017

溶风石汤结合常规西医疗法治疗人痛风石的临床效果

Exploration of therapeutic effect of Rongfengshi decoction combined with conventional Western medicine on human gout stones

谢玉华 胡姣 符姣
中国中西医结合外科杂志2024,Vol.30Issue(1) :86-89.DOI:0.3969/j.issn.1007-6948.2024.01.017

溶风石汤结合常规西医疗法治疗人痛风石的临床效果

Exploration of therapeutic effect of Rongfengshi decoction combined with conventional Western medicine on human gout stones

谢玉华 1胡姣 2符姣1
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作者信息

  • 1. 南方医院太和分院康复医学科(广东广州 510540)
  • 2. 郴州市第一人民医院急诊科(湖南郴州 423000)
  • 折叠

摘要

目的:研究溶风石汤结合常规西医疗法对人痛风石的治疗作用.方法:选取我院2020年1月—2022年12月收治的302例人痛风石患者,进行中医辨证分型后分为4种证型:痰浊阻滞证、湿热蕴结证、痰热阻滞证及肝肾阴虚证,并分别采用随机数字表法将每种中医证型均分为观察组和对照组.对照组均予以常规西医治疗,观察组均予以溶风石汤加味结合常规西医治疗.比较不同证型治疗前后中医症状评分、临床疗效,治疗前后血沉(ESR)、血尿酸(UA)、C反应蛋白(CRP)水平以及不良反应发生率.结果:治疗后,两组不同证型下主症、次症评分及总分,ESR、UA及CRP水平均低于治疗前,差异有统计学意义(P<0.05),且观察组均较对照组低,差异有统计学意义(P<0.05);痰浊阻滞证、湿热蕴结证、痰热阻滞证及肝肾阴虚证下观察组总有效率为97.56%、100.00%、97.22%及100.00%,高于对照组的82.93%、82.50%、81.08%及81.25%,差异有统计学意义(P<0.05);两组不良反应发生率差异均无统计学意义(P>0.05).结论:溶风石汤结合常规西医治疗人痛风石,可减轻不同证型患者的症状,提升疗效并降低ESR、UA及CRP水平,安全有效.

Abstract

Objective To analyze the therapeutic effect of Rongfengshi decoction combined with conventional Western medicine on human gout stones.Methods 302 patients admitted to our hospital from January 2020 to December 2022 with gout stones were selected,and each type of traditional Chinese medicine syndrome was divided into an observation group and a control group,including phlegm turbidity obstruction syndrome,dampness heat accumulation syndrome,phlegm heat obstruction syndrome and liver kidney yin deficiency syndrome.The control group was treated with conventional Western medicine,while the observation group was treated with modified Rongfengshi decoction combined with conventional Western medicine.The traditional Chinese medicine symptom scores,clinical efficacy,erythrocyte sedimentation rates(ESR),uric acid(UA),C-reactive protein(CRP)before and after treatment and adverse reactions of patients with different syndrome types were compared.Results After treatment,the scores of the main and secondary symptoms and total scores,ESR,UA and CRP levels were lower than before treatment(P<0.05),of which the observation group were lower than those in the control group(P<0.05).The total effective rates of the observation group were 97.56%,100.00%,97.22%and 100.00%,higher than the control group's 82.93%,82.50%,81.08%and 81.25%(P<0.05).There were no statistically significant differences in the adverse reactions(P>0.05).Conclusion The combination of Rongfengshi decoction and conventional Western medicine in the treatment of human gout stones can alleviate the symptoms of patients with different syndrome types,improve the efficacy,and reduce the levels of ESR,UA and CRP.It is safe.

关键词

溶风石汤/人痛风石/血沉/血尿酸/C反应蛋白

Key words

Rongfengshi decoction/human gout stone/erythrocyte sedimentation rates/blood uric acid/C-reactive protein

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基金项目

湖南省卫生健康委员会科研基金(202103101581)

郴州市科学技术局科研基金(lcyl2021019)

出版年

2024
中国中西医结合外科杂志
中国中西医结合学会 天津市中西医结合急腹症研究所

中国中西医结合外科杂志

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影响因子:0.918
ISSN:1007-6948
参考文献量16
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