电针合局部封闭治疗急性痛风性关节炎疗效观察  

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

作　　者：刘滨[1] 王红梅[1] 王凤艳[1] 

机构地区：[1]哈尔滨医科大学附属第四医院针灸科,黑龙江哈尔滨150001

出　　处：《中国针灸》2008年第9期659-661,共3页Chinese Acupuncture & Moxibustion

摘　　要：目的:寻找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电针合局部封闭组(简称电针局封组)和西药组。电针局封组予针刺加电针治疗,穴取隐白、太冲、三阴交、足三里、丰隆、阴陵泉、阿是穴等,并配合局部封闭治疗。西药组口服消炎痛25 mg,每日3次;口服别嘌呤醇100 mg,每日3次。观察2组的临床疗效、疼痛评分、血清尿酸变化情况。结果:电针局封组有效率为96.4%,西药组为84.1%,电针局封组疗效优于西药组(P<0.05)。电针局封组疼痛评分治疗前后分别为3.48±1.05、0.94±0.85,西药组分别为3.45±1.07、2.11±0.91;电针局封组血尿酸含量治疗前后分别为(539.16±34.49)μmol/L、(376.30±52.85)μmol/L,西药组分别为(552.29±46.15)μmol/L、(425.79±48.69)μmol/L,2组患者治疗后疼痛评分、血清尿酸含量较治疗前差异均有统计学意义(P<0.01),电针局封组镇痛效果及降血尿酸效果均优于西药组(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,且可降低血尿酸。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±0.85,3.45±1.07 and 2.11±0.91,and serum uric acid contents were（539.16±34.49） μmol/L and（376.30±52.85） μmol/L,and（552.29±46.15） μmol/L and（425.79±48.69） μmol/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.

关 键 词：电针 封闭疗法 关节炎 痛风性 急性病 尿酸 

分 类 号：R259.897[医药卫生—中西医结合] R619.6[医药卫生—中医内科学]