针刺治疗急性痛风性关节炎疗效观察  

Observations on the Therapeutic Effect of Acupuncture on Acute Gouty Arthritis

作　　者：王罡[1] 蔡玮[2] 

机构地区：[1]四川省中西医结合医院,成都610041 [2]成都军区机关医院,成都610000

出　　处：《上海针灸杂志》2013年第7期583-585,共3页Shanghai Journal of Acupuncture and Moxibustion

摘　　要：目的观察针刺治疗急性痛风性关节炎的临床疗效。方法将60例急性痛风性关节炎患者随机分为治疗组和对照组,每组30例。治疗组采用清热利湿针法针刺治疗,对照组采用口服吲哚美辛片和别嘌呤醇片治疗。观察两组临床疗效、治疗前后疼痛评分及血尿酸变化情况。结果治疗组总有效率为93.3%,对照组为89.3%,两组比较差异无统计学意义(P>0.05)。两组治疗后疼痛评分及血尿酸与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后疼痛评分及血尿酸与对照组比较,差异均无统计学意义(P>0.05)。结论针刺是一种治疗急性痛风性关节炎的有效方法,疗效与药物治疗相当。Objective To investigate the clinical efficacy of acupuncture in treating acute gouty arthritis. Methods Sixty patients with acute gouty arthritis were randomly allocated to treatment and control groups, 30 cases each. The treatment group received heat and damp-removing acupuncture and the control group took indomethacin tablets and allopurinol tablets orally. In the two groups, the pain was scored and blood uric acid was measured before and after treatment, and the clinical therapeutic effects were evaluated. Results The total efficacy rate was 93.3% in the treatment group and 89.2% in the control group; there was a statistically significant difference between the two groups （P〈0.05）. There were statistically significant pre-/post-treatment differences in the pain score and blood uric acid in the two groups （P〈0.01）. Conclusions Acupuncture is an effective way to treat acute gouty arthritis. Its therapeutic effect is equal to that of medication.

关 键 词：针刺疗法 关节炎 痛风性 血尿酸 吲哚美辛 别嘌呤醇 

分 类 号：R246.2[医药卫生—针灸推拿学]