电针配合火针刺血疗法治疗急性痛风性关节炎的临床研究

目的:观察电针配合火针刺血疗法治疗足部急性痛风性关节炎的临床疗效。方法:将66例急性痛风性关节炎患者随机分为治疗组34例,电针足三里、三阴交、阿是穴等,每天1次,治疗6天;配合足部浅表静脉及阿是穴火针点刺放血,每3天1次,共治疗2次。对照组32例,采用口服西药治疗。测定治疗前后VAS疼痛积分、血尿酸、血沉及C反应蛋白的水平。结果:治疗组有效率为91.18%,对照组为87.5%,两组比较,差异有统计学意义(P<0.05)。两组治疗前后各项指标均较治疗前明显改善(P<0.01),治疗后,两组的疼痛积分和血尿酸水平比较,差异有统计学意义(P<0.05),而两组的血沉和C反应蛋白水平比较,差异无统计学意义(P>0.05)。结论:电针配合火针刺血疗法比口服西药更能有效地降低血尿酸,缓解患者的疼痛。

Clinical Research on Electroacupuncture Combined with Blood-Letting Therapy by Fire Needling for Treating Acute Gouty Arthritis

Objective:To observe the clinical effect of electroacupuncture combined with the blood-letting therapy by fire needling for treating acute gouty arthritis.Methods:Sixty-six cases were randomized into a treatment group(n=31)and a control group(n=32).Patients of treatment group were treated with electroacupuncture at Zusanli(ST 36),Sanyinjiao(SP 6),Ashi-points,etc,on the affected side everyday for 6 times,in combination with blood-letting by fire needling(at the superficial veins around feet and Ashi-points) once every three days for two times.Patients of control group were treated with oral medicine.VAS pain scores,and the levels of uric acid,erythrocyte sedimentation rate and C-reactive protein were measured before and after treatment.Results:After the treatment,the effective rate of the treatment group was 91.18%,and the control group was 87.5%,indicating statistical significant difference in comparison(P<0.05).All indexes were significantly improved before and after the treatment in both groups respectively.(P<0.01).After the treatment,significant difference was found between the two groups in pain scores and blood uric acid level(P<0.05),no statistically significant difference was found in erythrocyte sedimentation rate and C-reactive protein levels(P> 0.05).Conclusion:Electroacupuncture combined with blood-letting therapy by fire needling can better reduce the level of blood uric acid and the pain of the foot.