【摘要】 目的 :观察刺血疗法不同刺血量及西药治疗急性痛风性关节炎的疗效 ,并探讨其作用机理。方法 :将 90例急性痛风性关节炎患者随机分成A组、B组、C组 ,分别采用点刺穴位放血 5mL、10mL及内服西药 3种方法治疗。结果 :B组止痛效果最好 ,疗效优于其它两组 ;B组与C组降血尿酸效果与A组相比 ,差异具有非常显著性意义 (P <0 0 1) ,B组与C组差异无显著性意义 (P >0 0 5 ) ;B组与其它两组降尿尿酸效果相比 ,差异有非常显著性意义 (P <0 0 1)。结论 :刺血疗法是治疗急性痛风性关节炎的有效方法 ,疗效与出血量有关 ,其作用机制是通过抑制血尿酸的合成 ,促进尿尿酸排泄 ,发挥其疗效。更多还原

【Abstract】 Objective To observe therapeutic effects of pricking blood therapy with different amount of bleeding and western medicine on acute gout arthritis and probe into the mechanism. Methods Ninety cases of acute gout arthritis were divided randomly into 3 groups, group A, group B and group C. They were respectively by pricking blood therapy with bleeding amount of 5 mL and 10 mL, and oral administration of western medicine. Results The analgesic effect in the group B was the best and was superior to other two groups; there were very significant differences as the group A compared with the group B and the group C (P<0.01), and no significant difference between the group B and the group C (P>0.05) in decrease of blood uric acid; a very significant difference as the group B compared with the group A and the group C (P<0.01) in decrease of uric acid in urine. Conclusion Pricking blood therapy is an effective method for acute gout arthritis. The therapeutic effect is related with amount of bleeding and carried out through inhibiting synthesis of blood uric acid and promoting excretion of uric acid in urine.更多还原