中医药治疗社区高尿酸血症患者100例临床观察

目的观察中医药治疗高尿酸血症的临床疗效。方法选取社区门诊高尿酸血症患者100例,随机分为治疗组和对照组各50例。治疗组根据中医辨证分为湿热蕴结型和瘀血阻滞型,分别予以中药治疗,对照组予以痛风定胶囊治疗,两组同时进行饮食控制和降尿酸茶饮辅助治疗,两组均治疗3个月,比较两组治疗前后症状体征及血尿酸变化情况。结果两组总有效率比较,差异有统计学意义（P〈0.05）,两组痊愈率比较,差异亦有统计学意义（P〈0.01）;两组治疗前后血尿酸值均有改善（P〈0.05或P〈0.01）,但治疗组改善作用明显优于对照组,两组比较,差异有统计学意义（P〈0.01）。结论采用中医辨证治疗高尿酸血症,对于降低血尿酸、控制痛风发作,其疗效优于中成药痛风定胶囊,且患者整体症状改善明显。

Clinical Observation on 100 Cases of Hyperuricemia in Community Treated with Chinese Medicine

Objective To observe the clinical efficacy on hyperuricemia treated with Chinese medicine.Methods 100 cases of hyperuricemia were collected from community clinic and were divided randomly into a treatment group and a control group,50 cases in each one.In treatment group,according to pattern differentiation of traditional Chinese medicine,the cases were differentiated into retention of damp heat pattern and blood stagnation pattern and they were treated with Chinese medicine correspondingly.In control group,tongfengding capsule were prescribed.The adjuvant treatment was applied to either group,including diet control and tea drink for reducing uric acid.The cases in either group were treated for 3 months.The changes in symptoms,physical signs and serum uric acid were compared before and after treatment in two groups.Results The statistical significant differences in the total effective rate and curative rate presented between two groups（P0.05,P0.01）.The level of serum uric acid was improved before and after treatment in either group（P0.05 or P0.01）.But the improvement in treatment group was obviously superior to that in control group,indicating statistical significant difference（P0.01）.Conclusion The treatment of hyperuricemia according to pattern differentiation in traditional Chinese medicine achieves superior efficacy of reducing serum uric acid and controlling gout attack as compared with Chinese patent medicine,tongfengding capsule.Additionally,the overall symptoms of the patients are relieved apparently.