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目的观察红光照射联合三黄散外敷治疗痛风性关节炎的临床疗效。方法选取痛风性关节炎急性发作的患者60例,随机分为两组,治疗组(30例)给予红光照射,2次/d,20 min/次,三黄散外敷,1次/d;对照组(30例)给予秋水仙碱片口服,3次/d,0.5 mg/次,治疗时间7d,分别于治疗前及治疗后观察血尿酸、血沉、CRP水平。以及治疗前后关节疼痛(视觉模拟评分法visual analogue scale,简称VAS评分标准,0~10分)。结果患者治疗后VAS积分、UA、CRP、ESR均较前明显下降,差异有统计学意义(P<0.05)但治疗后两组患者VAS积分、UA比较差异无统计学意义(P>0.05),治疗后两组比较,CRP、ESR差异有统计学意义(P<0.05),两组患者治疗有效率比较,治疗组优于对照组,差异有统计学意义(P<0.05)。结论红光照射联合三黄散外敷可有效治疗痛风性关节炎
Objective To observe the clinical efficacy of red light irradiation and San Huang San external application in the treatment of gouty arthritis. Methods Sixty patients with acute gouty arthritis were selected and randomly divided into two groups. The treatment group (30 cases) received red light irradiation twice per day for 20 minutes every time. The control group (30 cases) was given colchicine tablets orally, 3 times / d, 0.5 mg / time, treatment time 7d, respectively, before and after treatment of serum uric acid, erythrocyte sedimentation rate, CRP levels. And joint pain before and after treatment (visual analogue scale visual analogue scale, referred to as VAS score, 0 to 10 points). Results The VAS scores, UA, CRP and ESR of patients after treatment were significantly lower than those before treatment (P <0.05), but there was no significant difference in VAS score and UA between the two groups after treatment (P> 0.05) The difference of CRP and ESR between the two groups after treatment was statistically significant (P <0.05). The treatment efficiency of the two groups was better than that of the control group, the difference was statistically significant (P <0.05). Conclusion Red glitter combined with San Huang San external application can effectively treat gouty arthritis