[1]陈大伟 白书臣 李浩 毛田.四妙汤联合通痹膏外敷治疗急性痛风性关节炎的临床观察[J].中国中医骨伤科杂志,2016,24(10):40-42.
　CHEN Dawei BAI Shuchen LI Hao MAO Tian.Clinical Observation of Simiao Decoction Combined withTongbi External Application in Treating Acute Gouty Arthritis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(10):40-42.
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四妙汤联合通痹膏外敷治疗急性痛风性关节炎的临床观察
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《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年10期
页码:
40-42
栏目:
临床研究
出版日期:
2016-10-01

文章信息/Info

Title:
Clinical Observation of Simiao Decoction Combined with Tongbi External Application in Treating Acute Gouty Arthritis
文章编号:
1005-0205(2016)10-0040-03
作者:
陈大伟1 白书臣1 李浩1 毛田1
1.湖北省中医院(武汉,430061)
Author(s):
CHEN Dawei1 BAI Shuchen1 LI Hao1 MAO Tian1
1.Hubei Hospital of Traditional Chinese Medicine, Wuhan 430061,China.
关键词:
四妙汤;  通痹膏;  痛风性关节炎;  临床观察
Keywords:
simiao decoction;  tongbi external application;  acute gouty arthritis;  clinical observation
分类号:
R274.39
文献标志码:
A
摘要:
目的:评价四妙汤联合通痹膏外敷治疗急性痛风性关节炎的临床疗效。方法:选取急性痛风性关节炎患者100例,随机分为两组。治疗组50例,口服四妙汤1剂/d,水煎2次,共取药汁300 mL,分2次服用,并用通痹膏外敷患处,2 d换药1次; 对照组50例,口服依托考昔片,1次/d,120 mg,早晨空腹服用。1周为1疗程,观察治疗前后临床症状和血尿酸的变化。结果:治疗组和对照组治疗后症状积分均明显降低(P<0.01),治疗组症状缓解较对照组明显(P<0.05)。治疗组和对照组治疗后血尿酸均较前好转(P<0.01)。两组间差异无统计学意义(P>0.05)。结论:四妙汤联合通痹膏外敷能有效降低血尿酸和改善临床症状,能有效治疗急性痛风性关节炎。
Abstract:
Objective:To observe the clinical effect of Simiao decoction combined with Tongbi external application in treating acute gouty arthritis. Methods:100 patients with acute gouty arthritis were randomly divided into treatment group(50 patients)and control group(50 patients). Patients in the treatment group were treated with Simiao decoction(one dose a day, which was taken decocted with water for 2 times, take medicine juice 300 mL, 2 times to take)combined with Tongbi external application(dressing 1 times in 2 days).Patients in the control group were treated with Etoricoxib, 120mg/times,1times/day, morning fasting. Clinical symptom and uric acid(UA)were observed after one week. Results:After treatment, symptom scores of treatment group and control group were significantly reduced(P< 0.01). Compared with the control group, the treatment group was significantly better than the control group(P<0.05). After treatment, the level of UA in the two groups decreased(P<0.01). There was no statistical significance between the two groups(P>0.05). Conclusion:Simiao decoction combined with Tongbi external application can effectively reduce the uric acid and improve the clinical symptoms. And Simiao Decoction has reliable curative effect on patients with acute gouty arthritis.

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更新日期/Last Update: 2016-10-15