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目的:观察宣痹汤加减联合火针放血疗法治疗急性痛风性关节炎的疗效,并探讨其作用机理.方法:选择84例我院确诊为急性痛风性关节炎的患者,随机分为A、B、C组,分别采用西药对照、口服宣痹汤加减及口服中药联合火针放血的疗法进行治疗.结果:C组有效率最高,疗效优于其它两组;与B组相比,差异具有显著性意义(P＜0.05),与A组相比,差异具非常显著性意义(P＜0.01).结论:以针药合用,内外并施的方法治疗急性痛风性关节炎疗效显著,可靠.“,”Objective:To observe the curative effect of Xuanbi Decoction combined with needle pricking blood therapy in the treatment of acute gouty arthritis,and to explore its mechanism.Methods:84patients in our hospital diagnosed as acute gouty arthritis,randomly divided into A,B,C groups respectively,by western medicine group,Xuanbi Decoction group and traditional Chinese medicine combined with acupuncture blood letting therapy group.Results:the C group had the highest efficiency,curative effect was better than the other two groups; compared with B group,the difference was significant (P＜ 0.05),compared with the A group,with a very significant difference (P＜0.01).Conclusion:The combined use of acupuncture and medicine are more effective and reliable in the treatment of acute gouty arthritis.