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目的探讨中西医结合治疗痛风性关节炎疗效及不良反应。方法选取2014年4月—2016年8月新乡市第一人民医院痛风性关节炎患者78例,按照随机数字表法分为观察组和对照组,每组39例。对照组采用西药秋水仙碱片+布洛芬缓释胶囊治疗,观察组于对照组的治疗基础上予以内服宣痹汤加减方与外敷中药方治疗。治疗2周后,统计对比两组疗效及不良反应发生率。结果观察组治疗总有效率94.87%(37/39)高于对照组79.49%(31/39),差异有统计学意义(P<0.05);观察组不良反应发生率10.26%(4/39)低于对照组28.21%(11/39),差异有统计学意义(P<0.05)。结论中西医结合治疗痛风性关节炎疗效确切,能提高治疗效果,降低不良反应发生率,安全性较高。
Objective To investigate the curative effect and adverse reaction of gouty arthritis treated by integrated traditional Chinese and western medicine. Methods From April 2014 to August 2016, 78 patients with gouty arthritis in First People’s Hospital of Xinxiang City were divided into observation group and control group according to random number table method, with 39 cases in each group. The control group was treated with western medicine colchicine tablets and ibuprofen sustained release capsules. The observation group was treated with Xuanbi Decoction and external application of traditional Chinese medicine on the basis of the treatment of the control group. After 2 weeks of treatment, the two groups were compared in terms of efficacy and incidence of adverse reactions. Results The total effective rate of the observation group was 94.87% (37/39), which was significantly higher than that of the control group (79.49%, 31/39) (P <0.05). The incidence of adverse reactions in the observation group was 10.26% (4/39) Lower than the control group 28.21% (11/39), the difference was statistically significant (P <0.05). Conclusion The treatment of gouty arthritis with integrated traditional Chinese and western medicine is effective and can improve the therapeutic effect, reduce the incidence of adverse reactions, and have higher safety.