清痹散外敷联合西药治疗湿热痹阻型急性痛风性关节炎随机平行对照研究

目的]观察清痹散外敷联合西药治疗湿热痹阻型急性痛风性关节炎疗效。方法]使用随机平行对照方法,将60例住院患者按就诊先后顺序随机分为两组。对照组30例碳酸氢钠片,0.5g/次,3次/d;饮水2000mL/d、低嘌呤饮食、戒酒;疼痛难以忍受时安康信,120mg,1次/d;扶他林乳胶剂1次/d,外涂。治疗组30例清痹散(石膏、黄柏、冰片等)适量,凉开水:75%医用酒精=3:7比例调成糊状外敷于患处,保鲜膜包裹2h,1次/d;西药治疗同对照组。连续治疗14d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。结果]治疗组显效13例,有效15例,无效2例,总有效率为93.33%。对照组显效11例,有效13例,无效6例,总有效率为80.00%。治疗组疗效优于对照组(P0.05)。结论]清痹散外敷联合西药治疗湿热痹阻型急性痛风性关节炎疗效满意,无副作用,值得推广。

Acute Gouty Arthritis Randomized Parallel Group Study Qingbi Powder Topical combined with Western Medicine

Objective ] Qingbi powder combined topical treatment of acute gouty arthritis medicine efficacy. Method ] random parallel control method, 60 cases of hospitalized patients were randomly divided into two groups according to treatment sequence . A control group of 30 patients with sodium bicarbonate, 0.5g / time, 3 times / d, the implementation of water 200OraL / d, a low -purine diet, alcohol . When the pain unbearable Etoricoxib Tablets, 120mg, 1 times / d. Voharen Emulgel 1 times / d, coated. Treatment group of 30 patients Qingbi powder （ the main ingredient：the plaster, cork, borneol etc. ） amount, cold water ： 75 % alcohol = 3 ： 7 ratio of topical to the affected area into a paste, wrapped in plastic wrap 2h, 1 times / d ; western medicine with the control group. 14d is a continuous course of treatment. Observing clinical symptoms of adverse reactions. A course of treatment to determine efficacy. Results ] 13 cases were markedly effective in 15 cases, 2 cases noneffective, the total effective rate was 93.33%. The control group 11 cases markedly effective in 13 cases, 6 cases noneffective, total effective rate was 80.00%. Treatment group than the control group （ P 〈0.05 ） . Conclusion ] Qingbi powder combined topical treatment of acute gouty arthritis medicine satisfactory outcome, no side effects, it is worth promoting.