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电针联合局部封闭疗法治疗急性痛风性关节炎的疗效观察

[Observation on therapeutic effect of electroacupuncture combined with local blocking therapy on acute gouty arthritis].

作者信息

Liu Bin, Wang Hong-Mei, Wang Feng-Yan

机构信息

The Forth Affiliated Hospital of Harbin Medical University, Harbin, Heilongjiang 150001, China.

出版信息

Zhongguo Zhen Jiu. 2008 Sep;28(9):659-61.

Abstract

OBJECTIVE

To search for a new method for treatment of acute gouty arthritis.

METHODS

One hundred cases of acute gouty arthritis were randomly divided into an observation group and a control group. The observation group were treated with local blocking and electroacupuncture at Yinbai (SP 1), Taichong (LR 3), Sanyinjiao (SP 6), Zusanli (ST 36), Fenglong (ST 40), Yinlingquan (SP 9) and Ashi points, and the control group were treated with oral administration of 25 mg Indomethacin, thrice each day, and 100 mg Allopurinol, thrice daily. The therapeutic effects and changes of pain score, serum uric acid were observed in the two groups.

RESULTS

The effective rate was 96.4% in the observation group and 84.1% in the control group, the former being better than the later (P < 0.05). Before and after treatment, pain scores were 3.48 +/- 1.05 and 0.94 +/- 10.85, 3.45 +/- 1.07 and 2.11 +/- 0.91, and serum uric acid contents were (539.16 +/- 34.49) micromol/L and (376.30 +/- 52.85) micromol/L, and (552.29 +/- 46.15) micromol/L and (425.79 +/- 48.69) micromol/L in the two group, respectively. After treatment, pain score and serum uric acid content very significantly decreased in the two groups (both P < 0.01) and the observation group in the analgesic effect and the effect in decreasing serum uric acid content was better than the control group (both P < 0.01).

CONCLUSION

Electroacupuncture combined with local blocking is an effective method for treatment of acute gouty arthritis and it can decrease blood uric acid level.

摘要

目的

探寻治疗急性痛风性关节炎的新方法。

方法

将100例急性痛风性关节炎患者随机分为观察组和对照组。观察组采用局部封闭结合针刺隐白(SP 1)、太冲(LR 3)、三阴交(SP 6)、足三里(ST 36)、丰隆(ST 40)、阴陵泉(SP 9)及阿是穴治疗,对照组采用口服25 mg吲哚美辛,每日3次,100 mg别嘌醇,每日3次治疗。观察两组的治疗效果及疼痛评分、血尿酸的变化。

结果

观察组有效率为96.4%,对照组为84.1%,观察组优于对照组(P < 0.05)。治疗前后,两组疼痛评分分别为3.48±1.05和0.94±1.085、3.45±1.07和2.11±0.91,血尿酸含量分别为(539.16±34.49)μmol/L和(376.30±52.85)μmol/L、(552.29±46.15)μmol/L和(425.79±48.69)μmol/L。治疗后,两组疼痛评分和血尿酸含量均显著降低(均P < 0.01),且观察组在镇痛效果及降低血尿酸含量方面优于对照组(均P < 0.01)。

结论

电针结合局部封闭是治疗急性痛风性关节炎的有效方法,且能降低血尿酸水平。

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