摘要
Objective： To observe the clinical effect of electroacupuncture（EA） plus self-made Jiawei Jinhuanggao（Supplemented Golden Yellow Paste） for gouty arthritis. Methods： A total of 80 cases with gouty arthritis were randomly allocated into an observation group（n=40） and a Western medication group（n=40）. Cases in the observation group received EA and external application of self-made Jiawei Jinhuanggao（Supplemented Golden Yellow Paste）, whereas cases in the Western medication group took Colchicine and Allopurinol tablets orally. After 10 d of treatment, the pain, joint swelling and uric acid in blood were observed. In addition, the follow-up was conducted 6 months after end of the treatment to evaluate the long-term effect. Results： After treatment, there were no between-group statistical differences in pain and uric acid in blood（P〈0.05）; and there were between-group statistical differences in joint swelling and relapse rate（P〈0.05）. The total effective rate was 97.5% in the observation group, versus 95.0% in the Western medication group, showing no statistical difference（P〈0.05）. Conclusion： EA plus Jiawei Jinhuanggao（Supplemented Golden Yellow Paste） has safe and long-term efficacy for gouty arthritis efficacy.
目的:观察电针结合自制加味金黄膏外敷治疗痛风性关节炎的临床疗效。方法:将符合纳入标准的80例痛风性关节炎患者按入院先后顺序分为观察组和对照组,每组40例。对照组给予秋水仙碱片及别嘌醇片口服治疗,观察组给予电针结合本院自制加味金黄膏外敷治疗,连续治疗10 d后观察患者疼痛、关节肿胀、血尿酸值的变化,并于治疗结束6个月后对治愈的患者进行随访,以观察远期疗效。结果:治疗后两组患者疼痛及血尿酸值差异均无统计学意义(P>0.05);观察组患者肿胀程度及随访时的复发率均低于对照组,组间差异均有统计学意义(P<0.05)。治疗后观察组总有效率为97.5%,西药组为95.0%,两组总有效率差异无统计学意义(P>0.0 5)。结论:电针结合自制加味金黄膏外敷治疗痛风性关节炎安全有效,远期疗效稳定。
