CAJ | 학술논문

目的：观察针刀结合药物治疗急性痛风性关节炎的临床疗效，并探讨其治疗机制。方法将急性痛风性关节炎患者64例随机分为2组，治疗组36例采用针刀联合药物治疗，对照组28例仅采用药物治疗，2组治疗2个疗程后进行VAS评定，并观察关节肿胀的变化及血尿酸水平，比较2组临床疗效。结果治疗2个疗程后，治疗组患者关节疼痛的缓解程度、关节肿胀的减轻程度、血清尿酸值的降低程度均优于对照组（ P均＜0．05）。结论针刀结合药物治疗急性痛风性关节炎效果优于单纯药物治疗，值得推广应用。
목적：관찰침도결합약물치료급성통풍성관절염적림상료효，병탐토기치료궤제。방법장급성통풍성관절염환자64례수궤분위2조，치료조36례채용침도연합약물치료，대조조28례부채용약물치료，2조치료2개료정후진행VAS평정，병관찰관절종창적변화급혈뇨산수평，비교2조림상료효。결과치료2개료정후，치료조환자관절동통적완해정도、관절종창적감경정도、혈청뇨산치적강저정도균우우대조조（ P균＜0．05）。결론침도결합약물치료급성통풍성관절염효과우우단순약물치료，치득추엄응용。
Objective It is to observe the clinical efficacy of laser needle-knife surgery plus medicine on acute gouty ar-thritis, and to explore its treatment mechanism .Methods Sixty-four patients with acute gouty arthritis were randomly allocated to treatment groups of 36 cases and control groups of 28 cases, the treatment group was treated by laser needle-knife surgery combined with drugs , the control group was treated by drugs only .After two treatment courses , VAS score evaluation was per-formed on , and the changes of joint swelling and the level of blood uric acid were observed to compare the clinical efficacy in both groups .Results After 2 periods of corresponding treatment courses , the degrees of alleviating of joint pain and swelling and the decrease of blood uric acid level in treatment groups were obviously superior to those of the control group .There were statistically significant differences between the two groups (P<0.05).Conclusion Laser needle-knife surgery plus drugs is effective in treating acute gouty arthritis .Its effect is superior to that of treatment with drugs only , and is worthy widely appli-cating in clinic .