Fire needling and bloodletting at cleft points in treatment of 35 patients with acute gouty arthritis  

郄穴火针放血治疗急性痛风性关节炎35例（英文）

作　　者：许素瑜[1] 涂云[1] 王志花[1] 

机构地区：[1]湛江中心人民医院中医科,广东湛江524000

出　　处：《World Journal of Acupuncture-Moxibustion》2016年第2期73-78,共6页世界针灸杂志（英文版）

摘　　要：Objective To observe the clinical efficacy of fire needling and bloodletting at cleft points for acute gouty arthritis, and to explore its functional mechanism. Methods Thirty-five patients with acute gouty arthritis were enrolled into this study, and fire needling and bloodletting with 10 mL/ time were applied at cleft points of corresponding meridians and collaterals at the affected side. The treatment was conducted for once every other day, and treatment for three consecutive times was needed. Serum uric acid （UA） and pain score were tested in patients before treatment and on the 6th day after treatment, follow-up visit for 3 months was performed in patients who stopped treatment, and recurrence rate was calculated. Results Budzyuski 6-point behavioral rating scale was applied to score pain. T-test was conducted on mean and standard deviation of pain score before treatment （4.09 ＋ 0.82） and after treatment （1.14 ＋ 1.33）, showing that the difference was significant （P〈0.05）; t-test was also conducted on mean and standard deviation of serum UA before treatment [（555.34 ＋ 53.09） pmol/L] and after treatment [（414.23 ＋ 67.04） pmol/L], showing that the difference was significant （P〈0.05）; among the 35 patients with acute gouty arthritis, 14 patients were cured （40.0%）, improvement was found in 19 patients （54.3%）, and effectiveness was found in 33 patients （94.3%）. Based on follow-up visit for 3 months in 33 patients with efficacy, recurrence was found in 3 patients （9.1%）. Conclusion Fire needling and bloodletting at cleft points is an effective method in treatment of acute gouty arthritis with significant analgesic effect, efficacy of reducing serum UA, high cure rate and low recurrence rate, which is worth of being generalized clinically.目的:观察郄穴火针放血治疗急性痛风性关节炎的临床疗效,并探讨其作用机制。方法:对2009年至2015年收治的急性痛风性关节炎患者35例采用火针点刺患侧相应经络的郄穴放血治疗,每次10 m L,隔天1次,连续治疗3次。在治疗前和治疗开始后的第6天对两组患者的血尿酸(UA)和疼痛评分进行测试,并对停止治疗的患者随访3个月,计算其复发率。结果:用Budzyuski六点行为评分法对患者治疗前后的疼痛进行评分,治疗后的疼痛评分均数和标准差(1.14±1.33)分与治疗前(4.09±0.82)分做t检验,差异有统计学意义(P<0.05);治疗后血UA的均数和标准差(414.23±67.04)μmol/L与治疗前的(555.34±53.09)μmol/L做t检验,差异有统计学意义(P<0.05);35例急性痛风性关节炎患者中,治愈14例(40.0%),好转19例(54.3%),总有效33例(94.3%)。对33例治疗有效患者随访3个月,复发3例(9.1%)。结论:郄穴火针放血是治疗急性痛风性关节炎的有效方法,其止痛效果、降血尿酸效果显著,治愈率高,复发率低,值得临床推广。

关 键 词：acute gouty arthritis cleft point fire needling BLOODLETTING 

分 类 号：R246.1[医药卫生—针灸推拿学]