中医药对痛风间歇期不同证型的疗效观察  

Clinical effects of traditional Chinese medicine on treating gouty arthritis in intermission and uric acid with different syndromes types

作　　者：安琦[1] 丁井永[1] 蒋林[1] 任秦有[1] 

机构地区：[1]第四军医大学唐都医院中医科,西安710038

出　　处：《陕西中医》2016年第9期1176-1178,共3页Shaanxi Journal of Traditional Chinese Medicine

摘　　要：目的:观察中医药对痛风间歇期不同证型的疗效及血尿酸的影响。方法:将120例患者随机分为对照组和观察组各60例。对照组口服碳酸氢钠片和别嘌醇片,观察组口服中药汤剂,用药治疗1个月后比较不同证型对照组和观察组的临床疗效、血尿酸值及不良反应发生事件。结果:治疗后不同证型(痰湿阻滞型、痰瘀互结型、气虚血滞型)的中医观察组总有效率显著高于对照组。除气虚血滞型对照组外,其余各组治疗后与治疗前血尿酸值比较均下降,且各证型观察组治疗后血尿酸值明显低于对照组,但不同证型观察组治疗后血尿酸值组间比较,差异无统计学意义。结论:中医治疗痛风间歇期的疗效明显优于西药治疗,降尿酸效果佳,对防止痛风反复发作具有重要意义。Objective ：To observe the clinical effects of traditional Chinese medicine on treating gouty arthritis in intermission and uric acid with different syndromes types. Methods： 120 patients were randomly devided into the control group （50 cases） and the observation group （60 cases）. The control group was given sodium bicarbonate tablets and allo- purinol tablets, while the observation group was given decoction of Chinese medicine. Then the total effective rate, the side effects rate and the blood uric acid were compared after one month treatment. Results ： After treatment the total ef-fective rate in the observation group was superior to that of control group between different syndromes types, which included phlegm-dampness stagnation syndrome, phlegm-bood stasis syndrome and qi deficiency-blood stasis syndrome. The blood uric acid reduced obviously after treatment in all groups except in the control group of qi deficiency-blood stasis syndrome. And the blood uric acid in observation group were notably lower than those of control group within each syn-drome. But there was no significant difference among observation groups of three syndromes. Conclusion： The clinical effects of the traditional Chinese medicine show superior to the western medicine, and can reduce the blood uric acid obviously be important to prevent the recurrence of gouty arthritis.

关 键 词：痛风间歇期/中医药疗法 不同证型/疗效观察 

分 类 号：R273[医药卫生—中西医结合]