电针加药物治疗急性痛风性关节炎临床观察

目的:观察电针加西药治疗急性痛风性关节炎的临床疗效及对血尿酸的影响,探讨针灸治疗急性痛风性关节炎的作用机理.方法:将100例患者随机分为电针组(穴取足三里、丰隆、阿是穴)、西药组(口服消炎痛、痛风利仙)和针药组(电针加西药)3组,并检测3组患者治疗前后血尿酸的变化,然后进行3组临床疗效的对比研究.结果:3组临床疗效比较差异有显著性意义(P<0.05),针药组、电针组和西药组的有效率分别为97.5%、90.0%、86.7%,其中针药组有效率明显高于电针组、西药组;3组患者治疗后其血尿酸均有明显的变化(P<0.05),其中针药组对血尿酸下降程度较电针组、西药组明显.结论:电针加西药治疗急性痛风性关节炎疗效确切,可作为中西医结合治疗疾病的较为理想的方法.

Clinical observation on electroacupuncture combined with medicine for treatment of acute gouty arthritis

Objective To observe clinical therapeutic effect of electroacupuncture combined with medicine on acute gouty arthritis and effect on blood uric acid content. Methods One hundred cases of acute gouty arthritis were randomly divided into 3 groups, an electroacupuncture group treated by acupuncture at Zusanli (ST 36), Fenglong (ST 40) and Ashi points, a western medicine group by oral administration of indometacin and benzbromarone, and a combined electroacupuncture and medicine group by electroacupuncture combined with the western medicine. The changes of their blood uric acid levels before and after treatment were detected and their therapeutic effects were compared. Results There was a significant difference among the three groups in clinical therapeutic effect (P<0.05), and the effective rate was respectively 97.5%, 90.0% and 86.7% in the combined electroacupuncture and medicine group, the electroacupuncture group and the western medicine group, the combined electroacupuncture and medicine group being significantly higher than the electroacupuncture group and the western medicine group; after treatment, the blood uric acid level in all the 3 groups had significant change (P<0.05), the blood uric acid in the combined electroacupuncture and medicine group had more obvious decrease as compared with those in the electroacupuncture group or the western medicine group. Conclusion Electroacupuncture combined with the western medicine has a definite therapeutic effect on acute gouty arthritis.