摘要
目的:探讨梅花针刺络放血联合金黄散外敷治疗痛风急性发作患者的临床效果。方法:选取2019年4月至2021年10月收治的96例痛风急性发作患者,采用随机数字表法分为对照组和观察组,每组各48例。对照组予以梅花针刺络放血治疗,观察组在对照组基础上加用金黄散外敷治疗,两组均连续治疗7 d。分析两组临床治疗效果、中医证候积分、血清学指标肿瘤坏死因子-α(TNF-α)、白介素-1β(IL-1β)、白素-6(IL-6)和血尿酸(BUA)及不良反应。结果:观察组治疗总有效率95.83%,高于对照组81.25%;治疗后,观察组关节红肿、疼痛、灼热积分低于对照组,TNF-α、IL-1β、IL-6、BUA水平低于对照组,差异有统计学意义(P<0.05)。结论:痛风急性发作患者应用梅花针刺络放血联合金黄散外敷治疗具有良好的效果,能减轻关节红肿痛热。
Objective: To investigate the clinical effect of plum-blossom acupuncture on collaterals and bloodletting combined with external application of Jinhuang powder in the treatment of patients with acute gout. Methods: A total of 96 patients with acute gout attack admitted to our hospital from April 2019 to October 2021 were included and randomized into the control group and observation group, each with 48 cases. The control group were treated with plum blossom acupuncture and bloodletting, and the observation group were additionally treated with external application of Jinhuang powder on the basis of the control group. Both groups were treated for 7 days. Then, the clinical efficacy, TCM symptoms, serological indexes tumor necrosis factor alpha(TNF-α), interleukin-1β(IL-1β), interleukin-6(IL-6), blood uric acid(BUA) and adverse reactions were analyzed between the two groups. Results: The total effective rate in the observation group was 95.83%, higher than 81.25% in the control group;the scores of joint redness, swelling, pain and burning in the observation group were lower than those in the control group, but the levels of TNF-α, IL-1β, IL-6 and BUA were lower than those in the control group, and the differences were statistically significant(P<0.05). Conclusion: Plum-blossom acupuncture combined with external application of Jinhuang powder has a good effect on the treatment of acute attack of gout, which can help reduce joint redness, swelling, pain and burning in patients.
作者
郑传松
潘天锋
陈瀚
ZHENG Chuansong;PAN Tianfeng;CHEN Han(Fuzhou Changle District Hospital of Traditional Chinese Medicine,Fuzhou 350200,China)
出处
《华夏医学》
CAS
2022年第5期140-143,共4页
Acta Medicinae Sinica
关键词
痛风急性发作
梅花针刺络放血
金黄散外敷
acute attack of gout
plum blossom acupuncture for bloodletting
external application of Jinhuang powder
