摘要
【目的】观察子午流注纳甲法联合火针治疗急性痛风性关节炎的临床疗效。【方法】将80例急性痛风性关节炎患者随机分为治疗组和对照组,每组各40例,对照组给予依托考昔片联合秋水仙碱口服,治疗组给予子午流注纳甲法联合火针治疗。7 d为1个疗程,共治疗1个疗程。治疗1周后,评价2组临床疗效,观察2组患者治疗前后中医证候积分的变化情况,比较2组患者治疗前后血尿酸的变化情况。【结果】(1)治疗后,2组患者的中医证候积分均明显改善(P<0.05),且治疗组在改善中医证候积分方面明显优于对照组,差异有统计学意义(P<0.05)。(2)治疗后,2组患者的血尿酸水平明显改善(P<0.05),且观察组在改善血尿酸水平方面明显优于对照组,差异有统计学意义(P<0.05)。(3)治疗组总有效率为100.00%(40/40),对照组为80.00%(32/40)。治疗组疗效优于对照组,差异有统计学意义(P<0.05)。【结论】子午流注纳甲法联合火针治疗急性痛风性关节炎,能够明显地改善患者的临床症状,降低患者血尿酸水平,疗效显著。
Objective To observe the clinical efficacy of midnight-noon ebb-flow acupuncture therapy combined with heat needle in treating acute gouty arthritis. Methods Eighty patients with acute gouty arthritis were randomly divided into the treatment group and the control group,with 40 cases in each group. The control group was given oral use of Etecoxib tablets combined with Colchicine tablets,and the treatment group was given midnight-noon ebb-flow acupuncture combined with heat needle therapy. Seven-day as a course of treatment,and the treatment lasted for one week. The clinical efficacy of the two groups was evaluated, the changes of traditional Chinese medicine(TCM)syndrome scores were observed before and after treatment,and the changes of serum uric acid were compared between the two groups before and after treatment. Results(1)After treatment,the TCM syndrome scores of both groups were significantly improved(P<0.05),and the treatment group was significantly superior to the control group in improving the TCM syndrome scores,the difference being statistically significant(P<0.05).(2)After treatment,serum uric acid level in the two groups was significantly improved(P<0.05),the treatment group was significantly superior to the control group in improving serum uric acid level, the difference being statistically significant(P<0.05).(3)The total effective rate was 100.00%(40/40)in the treatment group and80.00%(32/40)in the control group. The therapeutic effect of the treatment group was superior to that of the control group,the difference being statistically significant(P<0.05). Conclusion Midnight-noon ebb-flow acupuncture therapy combined with heat needle exerts significant effect in treating acute gouty arthritis through improving the clinical symptoms of patients,reducing the level of serum uric acid,and the therapeutic effect is remarkable.
作者
方晓仪
李钊杨
卢翠娜
谢丽琴
李丽霞
FNAG Xiao-Yi;LI Zhao-Yang;LU Cui-Na;XIE Li-Qin;LI Li-Xia(Dept.of Acupuncture and Moxibustion,the Affiliated TCM Hospital of Guangzhou Medical University,Guangzhou 510130 Guangdong,China)
出处
《广州中医药大学学报》
CAS
2022年第2期350-355,共6页
Journal of Guangzhou University of Traditional Chinese Medicine
基金
广州市中医药和中西医结合科技项目(编号:20192A011001)。
关键词
子午流注纳甲法
火针
急性痛风性关节炎
血尿酸
临床观察
midnight-noon ebb-flow acupuncture therapy
heat needle
acute gouty arthritis
serum uric acid
clinical observation
