小四五汤治疗痛风性关节炎的疗效及对疼痛的缓解效果

目的 评价小四五汤在痛风性关节炎中的治疗效果及对疼痛的缓解效果.方法 选取本科室2019年1月至2020年1月诊治的102例痛风性关节炎患者,按照不同疗法分为A组(51例)、B组(51例);A组口服依托考昔,120 mg/次,1次/d,治疗1周;B组温服小四五汤,200 mL/次,1剂/d,治疗1周;治疗后对比两组患者...

The effect of Xiaosiwu Decoction on gouty arthritis and its pain relief effect

Objective To observe the curative effect of Xiaosiwu Decoction on gouty arthritis and its pain relief effect.Methods The 102 patients with gouty arthritis diagnosed and treated in our hospital from January 2019 to January 2020 were screened out and divided into group A(51 cases)and group B(51 cases)according to different treatment plans.Group A took Etocoxib orally,120 mg/time,1 time/d for 1 week.Group B took Xiaosiwu Decoction 1h after meals,200 mL/time,1 dose/d for 1 week.The clinical symptoms (ioint swelling score,activity limitation score),pain intensity (VAS),C-reactive protein level,and overall efficacy of the two groups after treatment were compared.Results The joint swelling score and activity limitation score (0.65±0.18 points,0.45±0.12 points) of group B after treatment were lower than those of group A (0.97±0.21 points,0.70±0.16 points),P<0.05.The post-treatment VAS score (2.21±0.83 points) of group B was lower than that of group A (4.19±1.04 points),P<0.05.The level of C-reactive protein (10.25±2.31 mg/L) after treatment in group B was lower than that of group A(17.69±5.14 mg/L),P<0.05.The total effective rate of group B (92.2%) was higher than that of group A(76.5%),P<0.05.Conclusion Xiaosiwu Decoction is effective in treating gouty arthritis.It can significantly reduce joint swelling and activity limitation,relieve pain,and reduce C-reactive protein levels.It has high total effective rate and is worthy of clinicians'' popularization.