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目的:比较针刺加红外线灯照射与西药吲哚美辛治疗急性痛风性关节炎的疗效差异,及对肝功能的影响。方法:将160例痛风患者随机分为针刺组(80例)和吲哚美辛组(80例)。针刺组针刺足三里、三阴交、曲池、血海、阳陵泉、阿是穴,同时配合局部红外线灯照射,每日1次;吲哚美辛组予吲哚美辛口服治疗,每次25mg,每日3次。两组均治疗5d,于治疗前后分别测定患者疼痛程度及血尿酸(BUA)、血沉(ESR)、谷丙转氨酶(ALT)、谷草转氨酶(AST)的含量,并评价疗效及对肝功能的影响。结果:针刺组治愈率为52.5%(42/80),优于吲哚美辛组的22.5%(18/80)(P<0.01);针刺组镇痛效果优于吲哚美辛组(P<0.01),降血尿酸和降血沉效果与吲哚美辛组相同(均P>0.05);针刺组治疗后ALT、AST无升高,吲哚美辛组治疗后ALT、AST明显升高(均P<0.01)。结论:针刺加红外线灯治疗急性痛风性关节炎疗效优于口服吲哚美辛,其镇痛效果显著,且无肝功能损害。
Objective: To compare the curative effects of acupuncture plus infrared lamp irradiation with western medicine indomethacin in the treatment of acute gouty arthritis and its effect on liver function. Methods: 160 patients with gout were randomly divided into acupuncture group (n = 80) and indomethacin group (n = 80). Acupuncture group acupuncture Zusanli, Sanyinjiao, Qu pool, blood sea, Yanglingquan, A is the acupoint, at the same time with local infrared light irradiation, 1 day; indomethacin group indomethacin oral treatment, each Times 25mg, 3 times a day. The patients in both groups were treated for 5 days. The degree of pain and the levels of BUA, ESR, ALT, AST were measured before and after treatment. The curative effect and the effect on the liver function were evaluated . Results: The cure rate of acupuncture group was 52.5% (42/80), which was superior to that of indomethacin group (22.5%, 18/80) (P <0.01). The analgesic effect of acupuncture group was better than indomethacin group (P <0.01), and the effect of lowering blood uric acid and reducing blood sedimentation were the same as that of indomethacin group (all P> 0.05). ALT and AST did not increase after acupuncture treatment, ALT and AST were significantly increased after indometacin treatment (All P <0.01). Conclusion: Acupuncture and infrared light treatment of acute gouty arthritis is superior to oral indomethacin, its analgesic effect is obvious, and no liver damage.