浙江中医药大学学报
浙江中醫藥大學學報
절강중의약대학학보
JOURNAL OF ZHEJIANG UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2015年
6期
464-466
,共3页
痛风性关节炎%慢性%痰浊阻滞%祛风活络泄浊汤%历节病%痹症%BUA
痛風性關節炎%慢性%痰濁阻滯%祛風活絡洩濁湯%歷節病%痺癥%BUA
통풍성관절염%만성%담탁조체%거풍활락설탁탕%력절병%비증%BUA
gouty arthritis%chronic%Tan Zhuo Zu Zhi%Qu Feng Huo Luo Xie Zhuo tang%Li Jie%Bi Zheng%BUA
[目的]观察祛风活络泄浊汤治疗痰浊阻滞型慢性痛风性关节炎的临床疗效。[方法]选择2013年6月至2014年12月在乐清市第二人民医院门诊的116例痰浊阻滞型慢性痛风性关节炎患者，通过随机数字表法平均分为治疗组和对照组，治疗组58例予自拟祛风活络泄浊汤治疗，对照组58例予别嘌醇治疗，疗程均为2个月。评估两组患者治疗前、治疗2个月后的血尿酸（BUA）值及临床疗效，并进行适当统计分析。[结果]治疗前两组BUA值无明显差异；治疗2个月后，治疗组BUA值低于对照组，且两组差异有统计学意义（P<0.05）。治疗组总有效率为87.9%，对照组总有效率为68.9%，治疗组的疗效优于对照组的疗效，且两组差异有统计学意义（P<0.05）。[结论]祛风活络泄浊汤治疗痰浊阻滞型慢性痛风性关节炎有较好的临床效果，且优于常规西医别嘌醇的疗效，值得临床进一步观察研究。
[目的]觀察祛風活絡洩濁湯治療痰濁阻滯型慢性痛風性關節炎的臨床療效。[方法]選擇2013年6月至2014年12月在樂清市第二人民醫院門診的116例痰濁阻滯型慢性痛風性關節炎患者，通過隨機數字錶法平均分為治療組和對照組，治療組58例予自擬祛風活絡洩濁湯治療，對照組58例予彆嘌醇治療，療程均為2箇月。評估兩組患者治療前、治療2箇月後的血尿痠（BUA）值及臨床療效，併進行適噹統計分析。[結果]治療前兩組BUA值無明顯差異；治療2箇月後，治療組BUA值低于對照組，且兩組差異有統計學意義（P<0.05）。治療組總有效率為87.9%，對照組總有效率為68.9%，治療組的療效優于對照組的療效，且兩組差異有統計學意義（P<0.05）。[結論]祛風活絡洩濁湯治療痰濁阻滯型慢性痛風性關節炎有較好的臨床效果，且優于常規西醫彆嘌醇的療效，值得臨床進一步觀察研究。
[목적]관찰거풍활락설탁탕치료담탁조체형만성통풍성관절염적림상료효。[방법]선택2013년6월지2014년12월재악청시제이인민의원문진적116례담탁조체형만성통풍성관절염환자，통과수궤수자표법평균분위치료조화대조조，치료조58례여자의거풍활락설탁탕치료，대조조58례여별표순치료，료정균위2개월。평고량조환자치료전、치료2개월후적혈뇨산（BUA）치급림상료효，병진행괄당통계분석。[결과]치료전량조BUA치무명현차이；치료2개월후，치료조BUA치저우대조조，차량조차이유통계학의의（P<0.05）。치료조총유효솔위87.9%，대조조총유효솔위68.9%，치료조적료효우우대조조적료효，차량조차이유통계학의의（P<0.05）。[결론]거풍활락설탁탕치료담탁조체형만성통풍성관절염유교호적림상효과，차우우상규서의별표순적료효，치득림상진일보관찰연구。
Objective] To observe the clinical efficacy of using Qu Feng Huo Luo Xie Zhuo tang to treat the chronic gouty arthritis of Tan Zhuo Zu Zhi Zheng. [Methods] From June 2013 to December 2014, 116 patients who got chronic gouty arthritis of Tan Zhuo Zu Zhi Zheng were chosen from the orthopedic outpatient cases in our hospital. All patients were equally divided into treatment group and control group by using random number table. The 58 patients of treatment group were treated with Qu Feng Huo Luo Xie Zhuo tang while the other 58 patients of the control group were treated with allopurino for 2 months. We analyzed the value of the Blood Uric Acid(BUA) and clinical efficacy before treatment and 2 months after treatment.[Results] The results showed that value of the BUA of two groups had no significant difference( P>0.05) before treatment, after 2 months, the value of the BUA of treatment group was lower than control group, the value of the BUA of two groups had significant difference( P<0.05).The rate of effective cases in treatment group was 87.9% while the control group was 68.9%, the clinical efficacy of the treatment group was better than the control group.There was statistical difference in the results of treatment between the groups( P<0.05).[Conclusion] Using Qu Feng Huo Luo Xie Zhuo tang to treat the chronic gouty arthritis of Tan Zhuo Zu Zhi Zheng could get good effect,and it was better than allopurinol which was often used in western medicine.It was worth to be researched and observed in clinic.
