首页|痛风舒汤联合虎力散外敷治疗急性痛风性关节炎的临床观察

痛风舒汤联合虎力散外敷治疗急性痛风性关节炎的临床观察

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目的 通过观察痛风舒汤联合虎力散对急性痛风性关节炎(湿热蕴结型)患者关节肿痛以及实验室指标的影响,探讨痛风舒汤联合虎力散对急性痛风性关节炎的疗效.方法 选取急性痛风性关节炎患者90例,按随机数字表法分为对照组1、对照组2及观察组,每组30例.对照组1给予基础治疗,对照组2给予基础治疗+痛风舒汤口服,观察组给予基础治疗+痛风舒汤口服+虎力散外敷.收集治疗前及治疗1周后的关节肿痛程度、血尿酸水平、红细胞沉降率、白细胞计数和C反应蛋白水平的数据,评价3组患者的临床疗效.结果 观察组止痛消肿疗效优于两个对照组(P<0.05).在实验室指标方面,观察组降血尿酸、红细胞沉降率、白细胞计数和C反应蛋白水平明显优于对照组1(P<0.05),但和对照组2无明显差异(P>0.05).结论 痛风舒汤联合虎力散可以明显改善急性痛风性关节炎(湿热蕴结型)患者关节肿胀和疼痛,缓解临床症状,并具有一定的降血尿酸水平以及抗炎作用.
Clinical Observation of Tongfengshu Decoction Combined with External Application of Huli Powder in the Treatment of Acute Gouty Arthritiis
Objective:To observe the effect of Tongfengshu Decoction combined with Huli Powder on joint swell-ing and pain and laboratory indexes in patients with acute gouty arthritis(syndrome of accumulated dampness-heat),and to explore the curative effect of Tongfengshu Decoction combined with Huli Powder on acute gouty ar-thritis.Methods:A total of 90 patients with acute gouty arthritis were selected.According to the random number table method,they were divided into control group 1,control group 2 and observation group,with 30 cases in each group.The control group 1 was given basic treatment,the control group 2 was given basic treatment+Tongfengshu Decoction orally and the observation group was given basic treatment+Tongfengshu Decoction orally+Huli Pow-der for external application.Data on the degree of joint swelling and pain,serum uric acid levels,erythrocyte sedi-mentation rate,white blood cell counts,and C-reactive protein levels were collected before and 1 week after treat-ment,the data were analyzed to evaluate the clinical efficacy of Tongfengshu Decoction combined with external ap-plication of Huli Powder in the treatment of acute gouty arthritis.Results:The effect of reducing swelling and pain in the observation group was better than that in the two control groups(P<0.05).In terms of laboratory index-es,the levels of uric acid,erythrocyte sedimentation rate,white blood cell count and C-reactive protein in the ob-servation group were significantly better than those in the control group 1(P<0.05),but there was no significant difference between the observation group and the control group 2(P>0.05).Conclusion:Tongfengshu Decoction combined with Huli Powder can significantly improve joint swelling and pain in patients with acute gouty arthritis(syndrome of accumulated dampness-heat),relieve clinical symptoms,reduce serum uric acid level and anti-in-flammatory effect.

Gouty arthritisTongfengshu DecoctionHuli PowderJoint swelling and pain

黄杰荣、崔伟、孟鑫、梁浩瀚、钟益称、李欣

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广西中医药大学,广西 南宁 530001

广西中医药大学附属瑞康医院田阳院区,广西百色 533600

痛风性关节炎 痛风舒汤 虎力散 关节肿痛

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(9)