针刀结合药物治疗急性痛风性关节炎疗效观察  

Observations on the effect of laser needle-knife surgery plus drugs on acute gouty arthritis

作　　者：刘吉琴[1] 陈雄[2] 曾玉琴[1] 汪晓芬[1] 李雪峰[1] 

机构地区：[1]湖北省十堰市太和医院/湖北医药学院附属医院,湖北十堰442000 [2]湖北中医药大学,湖北武汉430065

出　　处：《现代中西医结合杂志》2014年第25期2755-2757,共3页Modern Journal of Integrated Traditional Chinese and Western Medicine

基　　金：2011年湖北省教育厅科研资助项目(D20112105)

摘　　要：目的观察针刀结合药物治疗急性痛风性关节炎的临床疗效,并探讨其治疗机制。方法将急性痛风性关节炎患者64例随机分为2组,治疗组36例采用针刀联合药物治疗,对照组28例仅采用药物治疗,2组治疗2个疗程后进行VAS评定,并观察关节肿胀的变化及血尿酸水平,比较2组临床疗效。结果治疗2个疗程后,治疗组患者关节疼痛的缓解程度、关节肿胀的减轻程度、血清尿酸值的降低程度均优于对照组(P均<0.05)。结论针刀结合药物治疗急性痛风性关节炎效果优于单纯药物治疗,值得推广应用。Objective It is to observe the clinical efficacy of laser needle-knife surgery plus medicine on acute gouty ar-thritis, and to explore its treatment mechanism .Methods Sixty-four patients with acute gouty arthritis were randomly allocated to treatment groups of 36 cases and control groups of 28 cases, the treatment group was treated by laser needle-knife surgery combined with drugs , the control group was treated by drugs only .After two treatment courses , VAS score evaluation was per-formed on , and the changes of joint swelling and the level of blood uric acid were observed to compare the clinical efficacy in both groups .Results After 2 periods of corresponding treatment courses , the degrees of alleviating of joint pain and swelling and the decrease of blood uric acid level in treatment groups were obviously superior to those of the control group .There were statistically significant differences between the two groups （P〈0.05）.Conclusion Laser needle-knife surgery plus drugs is effective in treating acute gouty arthritis .Its effect is superior to that of treatment with drugs only , and is worthy widely appli-cating in clinic .

关 键 词：针刀 美洛昔康 秋水仙碱 急性痛风性关节炎 

分 类 号：R589.7[医药卫生—内分泌]