刺血疗法治疗急性痛风性关节炎60例的临床观察(1)
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摘要：目的：观察刺血疗法治疗急性痛风性关节炎的临床疗效。方法：将60例急性痛风性关节炎患者随机分为治疗组和对照组，两组各30例，治疗组采用单纯刺血疗法，对照组采用口服消炎痛治疗，疗程为10天，观察两组患者治疗前后血尿酸、症状体征积分的变化，评估疗效。结果：治疗组总有效率为96.7%，对照组总有效率为93.4%，两组在降低血尿酸方面无显著性差异(P﹥0.05)；两组在改善患者关节疼痛、红肿压痛及功能障碍方面存在非常显著性差异(P﹤0.01)，治疗组明显优于对照组。结论：刺血疗法治疗急性痛风性关节炎疗效显著,不仅能降低患者血尿酸水平，与口服西药相比，它能更好地改善痛风患者关节红肿热痛、功能障碍情况。
关键词： 急性痛风性关节炎 刺血疗法 血尿酸 临床观察
Punctures the blood therapy treatment acute pain wind arthritis 60 examples clinical observation
Yi Jiaojun Shi Peng
Abstract:Objective:Observes punctures the blood therapy treatment acute pain wind arthritis the clinical curative effect. Methods :Divides into the treatment group and the control group stochastically 60 example acute pain wind arthritis patient,two group of each 30 examples,the treatment group uses the pure thorn blood therapy,the control group uses the oral administration indomethacin to treat,the treatment course is 10 days around,observes two group of patients to treat the blood uric acid,the symptom symptom integral change,the appraisal curative effect. Results :The treatment group effective for 96.7℅,the control group always effective for 93.4℅,two groups is always reducing the blood uric acid aspect non-significance difference (P﹥0.05); Two groups are improving the patient joint ache,the inflamed tenderness and the function barrier aspect have the unusual significance difference (P﹤0.01),the treatment group surpasses the control group obviously. Conclusion :Punctures the blood therapy treatment acute pain wind arthritis curative effect to be remarkable,not only can reduce the patient hematuria acid water to be even,compares with the oral administration western medicine,it can improve the pain wind patient joint inflamed hot pain,the function barrier situation well.
Keywords:Acute pain wind arthritis Punctures the blood therapy Blood uric acid Clinical observation
【中图分类号】R45 【文献标识码】B 【文章编号】1008-1879(2010)12-0009-02
痛风(Gouty)为嘌呤代谢紊乱和/或尿酸排泄障碍所致血尿酸增高的一组异质性疾病，急性痛风性关节炎常是首发症状，临床以起病急骤、疼痛剧烈、关节红肿热痛为其特点，严重影响患者的生活质量，成为困扰患者的一大严重问题。笔者近年来采用刺血疗法治疗急性痛风性关节炎，并以西药进行对照研究，现总结如下：
1 临床资料
1.1 一般资料。本组病例共60例，受累关节全部发于双下肢，其中单关节受累17例，2个或以上关节受累的43例。其中治疗组男24例，女6例，最小年龄25岁，最大年龄74岁，病程8小时～30年，，此次急性发作时间3h～7天 ......
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