四妙散加减为主治疗痛风性关节炎40例

目的：观察四妙散加减为主治疗痛风性关节炎的临床疗效。方法：80例符合纳入标准的患者随机分为四妙散加减为主治疗组（治疗组）和秋水仙碱治疗组（对照组）各40例,均连续治疗2周,观察主要症状红、肿、热、痛的改善情况和不良反应发生率。结果：治疗组总有效率达95.0%,对照组为92.5%,两组疗效差异没有统计学意义（P〉0.05）;两组患者治疗后症状积分均有所下降,较治疗前差异均具有统计学意义（P〈0.05）;且治疗后治疗组的症状积分低于对照组,差异具有统计学意义（P〈0.05）;两组患者治疗期间不良反应发生率分别为7.5%（治疗组）和25.0%（对照组）,治疗组发生率低于对照组,差异具有统计学意义（P〈0.05）。结论：四妙散加减为主治疗痛风性关节炎疗效确切,且减轻了单纯西药治疗的不良反应。

Treating of 40 cases of gouty arthritis by Simiao powder

Objective：To observeSimiao powder decoction based treatment of gouty arthritis clinical efficacy.Methods：80 cases met the inclusion criteria were randomly divided intoSimiao powder decoction treatment group（treatment group） and the colchicine treatment group（control group） 40 cases,both continuous treatment for 2 weeks,and the main symptoms of red,swelling,heat,pain and improvement in the incidence of adverse reactions.Results：The total effective rate was 95.0%,92.5% in the control group,differences between two groups was not statistically significant（P0.05）;symptom score after treatment,two groups of patients has declined,compared with pre-treatment differences were statistically significance（P0.05）;and the treatment group,the symptom score than the control group,the difference was statistically significant（P0.05）;two groups of patients the incidence of adverse reactions during treatment were 7.5%（treatment group ） and 25.0%（control group） ,treatment group was lower than the control group,the difference was statistically significant（P0.05） .Conclusion：Simiao powder decoction based treatment of gouty arthritis is effective,and reduce the adverse effects of western medicine alone.