中西医结合治疗急性痛风性关节炎临床效果分析.docVIP

中西医结合治疗急性痛风性关节炎的临床效果分析 　　[摘要]目的 探讨中西医结合治疗急性痛风性关节炎的临床效果。方法 选取2016年4月～2017年4月在我院就诊的102例急性痛风性关节炎患者作为研究对象。按照随机数字法，分为对照组（51例，单一西医治疗）和观察组（51例，中西医结合治疗）。比较两组的症状改善总有效率，血尿酸、红细胞沉降率、C反应蛋白。结果 观察组的症状改善总有效率为96.1%，显著高于对照组的74.5%，差异有统计学意义（P0.05）。观察组患者治疗的后血尿酸、红细胞沉降率、C反应蛋白水平显著低于对照组，差异有统计学意义（P0.05）。 结论 中西医结合治疗急性痛风性关?炎的效果明显，可有效改善患者的临床症状，值得推广。 　　[关键词]急性痛风性关节炎；中西医结合治疗；治疗效果 　　[中图分类号] R589.7 [文献标识码] A [文章编号] 1674-4721（2017）11（b）-0156-03 　　[Abstract]Objective to analyze the clinical effect of integrated traditional Chinese and western medicine treating acute gouty arthritis.Methods 102 patients with acute gouty arthritis treated in our hospital from April 2016 to April 2017 were selected as the subjects.According to the random number method，they were divided into the control group （51 cases，a single western medicine treatment） and observation group （51 cases，integrated traditional Chinese and western medicine treatment）.The total effective rate of symptom improvement，serum uric acid，ESR and C-reactive protein between the two groups were compared.Results The total effective rate of symptom improvement in the observation group was 96.1%，which was higher than that of the control group （74.5%），and the difference was statistically significant （P0.05）.The serum uric acid，ESR and C-reactive protein level in the observation group were significantly lower than those in the control group，and the difference was statistically significant （P0.05）.Conclusion The effect of integrated traditional Chinese and western medicine treating acute gouty arthritis is obvious，and can effectively improve the clinical symptoms of patients.It is worthy of promotion. 　　[Key words]Acute gouty arthritis；Integrated traditional Chinese and western medicine treatment；Treatment effect 　　痛风是指患者体内嘌呤代谢紊乱因素等导致尿酸盐沉积而引发的关节病[1]。急性痛风性关节炎属于原发性痛风症状，起病急、病情易反复、疼痛感强烈。临床多表现为关节及软组织红肿、热痛、关节畸形，严重影响患者活动功能[2]。随着人们生活方式和饮食习惯的变化，发病率呈逐年上升势态。随着人口老龄化趋势的加剧，痛风患者合并心血管疾病、高血压、糖尿病、肥胖症等已是数见不鲜。传统上对该病的治疗多以秋水仙碱、非甾体类抗炎药、糖皮质激素等西医药物为主，虽然患者的病情得到有效控制，此类药物副作用重、