原络配穴联合背俞穴刺血拔罐治疗急性痛风性关节炎的临床观察  

Clinical observation on the treatment of acute gouty arthritis with Yuan and Luo point combination plus Back-Shu point blood-letting and cupping

作　　者：张婉瑜 邱晓科 冯大铭 吴波 陈晓辉 蔡晓雯 黄泳[2] ZHANG Wanyu;QIU Xiaoke;FENG Daming;WU Bo;CHEN Xiaohui;CAI Xiaowen;HUANG Yong(Shenzhen Pingle Orthopedics Hospital(Shenzhen Pingshan Traditional Chinese Medicine Hospital),Shenzhen 518118,China;School of Traditional Chinese Medicine,Southern Medical University,Guangzhou 510515,China)

机构地区：[1]深圳平乐骨伤科医院(深圳市坪山区中医院),深圳518118 [2]南方医科大学中医药学院,广州510515

出　　处：《上海针灸杂志》2024年第3期318-323,共6页Shanghai Journal of Acupuncture and Moxibustion

基　　金：深圳市三名工程项目(SZZYSM202108013);深圳市坪山区卫生系统科研项目(201854)。

摘　　要：目的 观察原络配穴联合背俞穴刺血拔罐治疗急性痛风性关节炎的临床疗效。方法 将66例急性痛风性关节炎患者随机分为塞来昔布组和刺血拔罐组,每组33例。两组在进行基础治疗上,塞来昔布组口服塞来昔布胶囊,刺血拔罐组采用原络配穴联合背俞穴刺血拔罐治疗。观察两组治疗前、首次治疗后1 h、治疗3 d后、治疗5 d后和治疗后视觉模拟量表(visual analog scale, VAS)评分和关节肿胀程度评分变化,比较两组治疗前后血清C反应蛋白(c-reactine protein, CRP)和尿酸(vridacid, VA)水平,并比较两组临床疗效、不良反应发生情况及复发率。结果 刺血拔罐组的显效率(74.2%)高于塞来昔布组(66.7%),差异有统计学意义(P<0.05)。刺血拔罐组治疗后各时间点VAS评分低于治疗前(P<0.05);塞来昔布组除首次治疗后1 h外各时间点VAS评分低于治疗前(P<0.05)。刺血拔罐组治疗后不同时间点的VAS评分低于塞来昔布组(P<0.05)。两组治疗后除首次治疗后1 h外各时间点关节肿胀程度评分低于治疗前(P<0.05)。刺血拔罐组治疗后除首次治疗后1 h外各时间点关节肿胀程度评分低于塞来昔布组(P<0.05)。两组治疗后血清CRP和UA水平低于治疗前(P<0.05),且刺血拔罐组治疗后血清UA水平低于塞来昔布组(P<0.05)。两组均未有不良反应发生;刺血拔罐组的复发率低于塞来昔布组(P<0.05)。结论 在基础治疗的基础上,原络配穴联合背俞穴刺血拔罐可有效缓解急性痛风性关节炎患者疼痛,减轻关节肿胀程度,降低C反应蛋白和尿酸水平,疗效较为持久。Objective To observe the clinical effect of Yuan and Luo point combination plus Back-Shu point blood-letting and cupping in the treatment of acute gouty arthritis.Method Sixty-six patients with acute gouty arthritis were randomly divided into a celecoxib group and a blood-letting and cupping group,with 33 cases in each group.In addition to the basic treatment,the celecoxib group was treated with celecoxib capsule,and the blood-letting and cupping group was treated with Yuan and Luo point combination plus Back-Shu point blood-letting and cupping.The visual analog scale(VAS)of the two groups was observed before treatment,1 h after the first treatment,after 3 d treatment,after 5 d treatment and after treatment.The levels of serum C-reactive protein(CRP)and uric acid(UA)before and after treatment were compared between the two groups.The clinical efficacy,incidence of adverse reactions and recurrence rate were compared between the two groups.Result The marked effective rate of the blood-letting and cupping group(74.2%)was higher than that of the celecoxib group(66.7%),and the difference was statistically significant(P<0.05).The VAS scores at each time point after treatment were lower than those before treatment in the blood-letting and cupping group(P<0.05).The VAS scores of the celecoxib group were lower than those before treatment at each time point except 1 h after the first treatment(P<0.05).The VAS scores at different time points after treatment in the blood-letting and cupping group were lower than those in the celecoxib group(P<0.05).The joint swelling scores at each time point except 1 h after the first treatment were lower than those before treatment in the two groups(P<0.05).The joint swelling score of the blood-letting and cupping group was lower than that of the celecoxib group at each time point except 1 h after the first treatment(P<0.05).The serum levels of CRP and UA in the two groups after treatment were lower than those before treatment(P<0.05),and the serum level of UA in the blood-letting and cuppi

关 键 词：关节炎 痛风 刺络拔罐疗法 穴 背俞 塞来昔布 疼痛 

分 类 号：R246.2[医药卫生—针灸推拿学]