健脾利湿法治疗痛风性关节炎急性发作临床观察  

Clinical observation on the treatment of acute attack of gouty arthritis by Jianpi Lishi Method

作　　者：李征[1] LI Zheng(Department of Rheumatology, WangjingHospital, Chinese Academy of Traditional Chinese Medicine, Beijing 100102, China)

机构地区：[1]中国中医科学院望京医院风湿病科

出　　处：《中国处方药》2019年第8期120-121,共2页Journal of China Prescription Drug

摘　　要：目的探讨健脾利湿法治疗痛风性关节炎急性发作效果.方法选取某院2017年2月~2018年10月90例痛风性关节炎急性发作患者,随机分为观察组与对照组,每组45例,两组患者均给予止痛、碳酸氢钠片等常规治疗,对照组采用秋水仙碱片和双氯芬酸钾口服,观察组患者给予健脾利湿方治疗,比较两组患者临床疗效、不良反应发生情况.结果观察组患者治疗后临床症状积分低于对照组,差异有统计学意义(P<0.05);观察组患者治疗后血尿酸(BUA)与红细胞沉降率(ESR)水平低于对照组,差异有统计学意义(P<0.05).结论健脾利湿法可有效改善痛风性关节炎急性发作患者临床症状,抑制炎症反应,降低血尿酸水平.Objective To explore the effect of Jianpi Lishi Method on acute attack of gouty arthritis. Methods Ninety patients with acute attack of gouty arthritis in our hospital from February 2017 to October 2018 were randomly divided into observation group and control group with 45 cases in each group. Both groups were given routine treatment such as analgesic and sodium bicarbonate tablets. The control group was given colchicine tablets and diclofenac potassium orally. The observation group was given Jianpi Lishi recipe. The clinical efficacy and adverse reactions of the two groups were compared. Results After treatment, the clinical symptom score of the observation group was lower than that of the control group( P < 0.05), and the blood uric acid( BUA) and erythrocyte sedimentation rate( ESR) levels of the observation group were lower than those of the control group( P < 0.05). Conclusion The method of Jianpi Lishi Method can effectively improve the clinical symptoms, inhibit the inflammatory reaction and reduce the level of serum uric acid in patients with acute gouty arthritis.

关 键 词：痛风性关节炎 急性发作 健脾利湿法 疗效 

分 类 号：R259[医药卫生—中西医结合]