CAJ | 학술논문

目的：观察利湿通络方加减辨治急性痛风性关节炎及高尿酸血症临床效果。方法70例患者随机分为对照组和观察组各35例。对照组予常规西药治疗，观察组在对照组基础上加用利湿通络方加减治疗，观察治疗后临床效果。结果观察组的总有效率91.43%优于对照组的77.14%（P<0.05）。治疗前两组血尿酸、血沉、白细胞、尿素氮、血肌酐、丙氨酸氨基转移酶差别不大（均P>0.05）。两组治疗后血尿酸、血沉、白细胞均较治疗前改善（均P<0.05），且观察组血尿酸、血沉、白细胞改善优于对照组（均P<0.05）。两组治疗后观察组关节疼痛、关节肿胀、关节僵硬积分改善均优于对照组（均P<0.05）。结论利湿通络方加减能提高急性痛风性关节炎及高尿酸血症临床效果，且安全性高。
목적：관찰리습통락방가감변치급성통풍성관절염급고뇨산혈증림상효과。방법70례환자수궤분위대조조화관찰조각35례。대조조여상규서약치료，관찰조재대조조기출상가용리습통락방가감치료，관찰치료후림상효과。결과관찰조적총유효솔91.43%우우대조조적77.14%（P<0.05）。치료전량조혈뇨산、혈침、백세포、뇨소담、혈기항、병안산안기전이매차별불대（균P>0.05）。량조치료후혈뇨산、혈침、백세포균교치료전개선（균P<0.05），차관찰조혈뇨산、혈침、백세포개선우우대조조（균P<0.05）。량조치료후관찰조관절동통、관절종창、관절강경적분개선균우우대조조（균P<0.05）。결론리습통락방가감능제고급성통풍성관절염급고뇨산혈증림상효과，차안전성고。
Objective:To investigate Dampness meridians Decoction Treating acute gouty arthritis and hyper?uricemia clinical results in order to find the best treatment methods to improve clinical diagnosis and treatment. Methods:70 patients were divided into two groups,35 cases in each group. And the control group were treated with conventional western medicine therapy,while the teratment group were given Dampness meridians Decoc?tion besides. And the clinical effect was observed after treatment. Results:The total efficiency of treatment group (91.43%)was higher than that of control group(77.14%)(P<0.05). The blood uric acid,ESR,WBC and symp?tom score joint pain,joint swelling,joint stiffness of both groups were all inproved,and the difference between two groups was statistically significant(P < 0.05). Conclusion:Dampness meridians Decoction can improve acute gouty arthritis and hyperuricemia clinical effects,with high safety.