论文部分内容阅读
[目的]观察中西医结合治疗痛风性关节炎疗效。[方法]将75例痛风随机分为两组,对照组35例应用塞来昔布胶囊(西乐葆)、别嘌醇口服,治疗组40例在对照组基础上加用中医汤剂口服及患处中药外用熏洗。观察治疗1w、2w后血尿酸下降水平、胃肠道反应、白细胞减少、肝肾损害、皮疹等药物不良反应。随访3月,观察复发情况。[结果]治疗1w、2w后,治疗组临床疗效均优于对照组(P<0.05),血尿酸、血沉变化治疗组疗效优于对照组(P<0.05);随访3个月复发率治疗组疗效低于对照组(P<0.05)。[结论]中西医综合治疗痛风性关节炎疗效好于单纯西药,效果稳定。
[Objective] To observe the curative effect of integrated traditional Chinese and western medicine on gouty arthritis. [Methods] 75 cases of gout were randomly divided into two groups. In the control group, 35 cases were treated with celecoxib capsules (Celebrex) and allopurinol orally. Forty cases in the treatment group were treated with oral Chinese decoction and the affected area Traditional Chinese medicine fumigation. Observe the treatment of 1w, 2w serum uric acid levels, gastrointestinal reactions, leukopenia, liver and kidney damage, rash and other adverse drug reactions. Follow-up in March, observe the recurrence. [Results] After 1 and 2 weeks of treatment, the clinical curative effect of the treatment group was better than that of the control group (P <0.05). The therapeutic effect of blood uric acid and erythrocyte sedimentation rate in the treatment group was better than that in the control group (P <0.05) The curative effect was lower than the control group (P <0.05). [Conclusion] The curative effect of integrated traditional Chinese and western medicine on gouty arthritis is better than western medicine alone and the effect is stable.