三藤三土四妙汤结合超声疗法治疗急性痛风性关节炎的疗效观察

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英文篇名：Clinical Curative Effect Observation of Santeng Santu Simiao Decoction Combined with Ultrasound Therapy in the Treatment of Acute Gout Arthritis 作者：杨洋 ; 刘达 ; 张启东 ; 任爽 英文作者：YANG Yang;LIU Da;ZHANG Qidong;The First Hospital of China Medical University; 关键词：三藤三土四妙汤 ; 超声疗法 ; 急性痛风性关节炎 ; 疗效观察 英文关键词：Santeng Santu Simiao Decoction;;Ultrasound therapy;;Acute gout arthritis;;Curative effect observation 中文刊名：ZYJZ 英文刊名：Journal of Emergency in Traditional Chinese Medicine 机构：中国医科大学附属第一医院;中国医科大学附属盛京医院; 出版日期：2017-05-15 出版单位：中国中医急症 年：2017 期：v.26;No.229 基金：辽宁省科学技术厅自然科学基金项目(201202261) 语种：中文; 页：ZYJZ201705046 页数：4 CN：05 ISSN：50-1102/R 分类号：143-146

摘要

目的对三藤三土四妙汤结合超声疗法治疗急性痛风性关节炎的临床疗效进行研究。方法将我院收治的117例急性痛风性关节炎患者随机分为对照组59例和观察组58例,对照组患者给予口服西药洛索洛芬钠片+碳酸氢钠片治疗,观察组患者给予三藤三土四妙汤+超声疗法治疗,比较对照组和观察组患者的治疗前后的症状积分分级量化差异,比较血尿酸、血沉水平、白细胞计数和C反应蛋白指标变化情况,比较两组患者的临床疗效,并比较两组患者的不良反应发生。结果观察组患者治疗后的症状积分分级量化值均显著低于对照组(P<0.05);两组患者治疗后血尿酸、血沉水平、白细胞计数和C反应蛋白指标均显著低于治疗前(P<0.05),观察组治疗后的血尿酸、血沉水平、白细胞计数与对照组比较差异有统计学意义(P<0.05),两组C反应蛋白值差异无统计学意义(P>0.05);观察组的临床疗效的治愈率和总有效率均要显著优于对照组(P<0.05)。结论采用三藤三土四妙汤结合超声疗法治疗急性痛风性关节炎,能够明显改善症状积分分级量化值、降低血尿酸、血沉水平、白细胞计数和C反应蛋白水平,提高临床疗效并降低不良反应。
        Objective: To study the clinical effect of oral Santeng Santu Simiao Decoction combined with ultrasound therapy in the treatment of acute gout arthritis. Methods: 117 cases of acute gout arthritis were randomly divided into the control group(n = 59) and the observation group(n = 58). The control group were treated with oral loxoprofen sodium tablets and sodium bicarbonate tablets,and the observation group were treated with oral Santeng Santu Simiao Decoction and ultrasound therapy. The following data was compared between the control group and the observation group before and after the treatment: symptoms classification of differences,UBA,ESR,WBC and CRP in blood levels,clinical efficacy and adverse reaction. Results: After treatment,symptom quantified points in the observation group were significantly lower than those of the control group(P < 0.05);UBA,ESR,WBC and CRP in blood of two groups after treatment were significantly lower than those before treatment(P < 0.05);UBA,ESR and WBC in blood before and after treatment were significant different(P < 0.05),but CRP in blood before and after treatment showed no significant difference(P > 0.05);the cure rate and the total efficiency of the observation group were significantly better than those of the control group(P < 0.05). Conclusion: Santeng Santu Simiao Decoction combined with ultrasound therapy in the treatment of acute gout arthritis can significantly improve the classification of symptoms quantitative differences,decrease UBA,ESR,WBC and CRP in blood,increase the clinical efficacy and reduce adverse reaction.

引文

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