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目的:观察中药辨证配合西药治疗急性痛风性关节炎的临床疗效。方法:63例患者均以三土汤为基本方,湿热并重者合用四妙散,偏湿重者合用三仁汤,并配合西乐保及碳酸氢钠片口服。结果:治愈56例,治愈率为88.89%,好转7例,总有效率为100%。其中2例出现胃肠道反应,予以加服法莫替丁护胃后,症状缓解。1例服药3天后出现过敏反应,停用西乐保后症状缓解。患者治疗前VAS(视觉疼痛模拟评分法)评分为8.96分,治疗后为2.05分,与治疗前比较,差异有显著性意义(P<0.05)。结论:中药辨证配合西药治疗急性痛风性关节炎有较好的临床疗效,值得推广。
Objective: To observe the clinical efficacy of traditional Chinese medicine combined with Western medicine in the treatment of acute gouty arthritis. Methods: Sixty-three patients took Sanshitang as the basic prescription, combined with Siji Miao Powder in combination with dampness and heat, San Ren Tang combined with partial wetting and oral administration of celecoxib and sodium bicarbonate tablets. Results: 56 cases were cured, the cure rate was 88.89%, improved in 7 cases, the total effective rate was 100%. Two cases of gastrointestinal reactions, to be given plus famotidine stomach, the symptoms ease. 1 case of allergic reactions occurred 3 days after taking the drug, stop the West Lok Po relief of symptoms. The score of VAS (visual analogue pain score) was 8.96 before treatment and 2.05 after treatment. There was significant difference between before and after treatment (P <0.05). Conclusions: TCM syndrome differentiation and western medicine treatment of acute gouty arthritis have better clinical efficacy, it is worth promoting.