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目的:比较中西医结合治疗急性痛风性关节炎的临床疗效。方法:80例住院急性痛风性关节炎患者随机分成两组,对照组40例采用消炎痛加别嘌醇口服治疗;治疗组40例在对照组的基础上,同时予针灸、刺络拔罐法治疗。两组均观察2w,分析血尿酸、血沉及临床症状积分情况,判定治疗效果。结果:治疗组与对照组的总有效率分别为92.5%和67.5%,差异有显著性意义(P<0.01)。两组治疗后BUA、ESR、症状积分指标均明显下降,与治疗前比较均有显著性差异(P<0.05);而治疗后BUA、症状积分组间比较有显著性差异(P<0.05)。结论:中西医结合治疗急性痛风性关节炎疗效较单纯西药治疗更好。
Objective: To compare the clinical efficacy of traditional Chinese and western medicine in the treatment of acute gouty arthritis. Methods: Eighty hospitalized patients with acute gouty arthritis were randomly divided into two groups. 40 cases in the control group were treated with indomethacin and allopurinol orally. In the treatment group, 40 cases were treated with acupuncture and cupping therapy at the same time on the basis of the control group . Two groups were observed 2w, analysis of uric acid, erythrocyte sedimentation rate and clinical symptom score, to determine the treatment effect. Results: The total effective rates of the treatment group and the control group were 92.5% and 67.5%, respectively, with significant difference (P <0.01). The levels of BUA, ESR and symptom scores in both groups decreased significantly after treatment compared with those before treatment (P <0.05), but there was significant difference between BUA and symptom score after treatment (P <0.05). Conclusion: The treatment of acute gouty arthritis with integrated traditional Chinese and western medicine is better than western medicine alone.