逐痹汤联合关节镜清理术治疗膝痛风性关节炎的临床探讨  

Clinical Study of Self-made Zhubi Decoction Combined with Arthroscopic Debridement in the Treatment of Knee Gouty Arthritis

作　　者：江摩[1] 江新浩 胡伟 

机构地区：[1]解放军第184医院骨科,江西鹰潭335000 [2]余干县中医院骨科,江西余干335100

出　　处：《中国中医药现代远程教育》2017年第15期110-111,共2页Chinese Medicine Modern Distance Education of China

摘　　要：目的探讨自拟逐痹汤联合关节镜清理术治疗膝痛风性关节炎的临床效果。方法选择我院2014年7月—2016年11月所收治的48例膝痛风性关节炎患者作为研究对象,随机将患者分成研究组和对照组,每组各24例。对照组单纯进行关节镜清理术治疗,研究组则采用自拟逐痹汤联合关节镜清理术进行治疗。结果研究组膝关节炎症环缓解时间、血尿酸下降作用时间明显优于对照组,数据差异具有统计学意义(P<0.05)。研究组在经过治疗后,临床总有效率为95.83%,而对照组为79.17%,试验组明显高于对照组,2组数据组间对比差异具有统计学意义(P<0.05)。结论自拟逐痹汤联合关节镜清理术治疗膝痛风性关节炎的临床效果显著,能够有效地提高临床治疗总有效率。Objective To investigate the clinical effect of Zhubi decoction combined with arthroscopic debridement in treating knee gouty arthritis. Methods 48 cases of patients with knee gouty arthritis treated in our hospital from July 2015 to November 2016 were randomly divided into study group and control group, and each group had a total of 24 cases. The control group of patients was treated with simple arthroscopic debridement. The study group was treated with Zhubi decoction combined with arthroscopic debridement.Results Patients in the study group were significantly better than those in the control group in the remission time and the decrease of serum uric acid（P〈0.05）. The patients in the study group after treatment, the total clinical effective rate was 95.83 %, while the control group was 79.17%, the experimental group was significantly higher than the control group, and the differences between the two groups of data comparison was statistically significant（ P〈0.05）. Conclusion The clinical effect of self-made Zhubi decoction combined with arthroscopic debridement for knee gouty arthritis is significant, and can effectively improve the clinical therapeutic effect.

关 键 词：逐痹汤 关节镜清理术 膝痛风性关节炎 痹证 

分 类 号：R687.4[医药卫生—骨科学]