上海针灸杂志2024，Vol.43Issue(7)：779-784,6.DOI:10.13460/j.issn.1005-0957.2024.07.0779
揿针配合四黄散外敷治疗急性痛风性关节炎的疗效观察
Therapeutic effect of needle-embedding therapy combined with Sihuang powder on acute gouty arthritis
摘要
Abstract
Objective To observe the clinical effect of needle-embedding therapy combined with Sihuang powder in the treatment of acute gouty arthritis(AGA).Method A total of 60 patients with AGA were randomly divided into a treatment group and a control group,with 30 cases in each group.The treatment group was treated with needle-embedding therapy combined with external application of Sihuang powder,and the control group was treated with oral diclofenac sodium extended-release capsules.The changes of visual analog scale(VAS)scores,laboratory indexes[ery-throcyte sedimentation rate(ESR),blood uric acid(BUA),hypersensitive C-reactive protein(hs-CRP)]in the two groups were observed before treatment and on the 4th and 7th d of treatment.The clinical efficacy and the incidence of adverse reactions between the two groups.Result The total effective rate of the treatment group was 96.7%,which was significantly higher than that of the control group(80.0% )(P＜0.05).The VAS score and all laboratory indexes were significantly lower in both groups on the 4th and 7th d of treatment than in the same group before treatment,and the differences were statistically significant(P＜0.05).The ESR level of the treatment group was significantly lower than that of the control group on the 4th d of treatment,and the VAS score and all laboratory indexes were significantly lower than those of the control group on the 4th and 7th d of treatment,with statistically significant differences(P＜0.05).The incidence rate of adverse reactions was 3.3% in the treatment group and 10.0% in the control group,and the difference between the two groups was not statistically significant(P＞0.05).Conclusion The efficacy of needle-embedding therapy combined with external application of Sihuang powder is effective in the treatment of AGA,which can relieve pain,regulate ESR,BUA and hs-CRP levels,and has good safety.关键词
针刺疗法/揿针/皮肤针疗法/关节炎,痛风性/视觉模拟评分/超敏C反应蛋白/针药并用Key words
Acupuncture therapy/Needle-embedding therapy/Dermal needle therapy/Arthritis,gout,Visual analogue scale/Hypersensitive C-reactive protein/Combination of acupuncture and medication分类
医药卫生引用本文复制引用
金巧丽,马晓芬,马欢欢,王芳..揿针配合四黄散外敷治疗急性痛风性关节炎的疗效观察[J].上海针灸杂志,2024,43(7):779-784,6.基金项目
磐安县科技计划项目(磐社科202107) （磐社科202107）
