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金黄散外敷联合吲哚美辛治疗急性痛风性关节炎临床观察
Clinical Efficacy of Jinhuang Powder Combined with Indomethacin in the Treatment of Acute Gouty Arthritis
  
DOI:
中文关键词:  金黄散  吲哚美辛  急性痛风性关节炎  临床疗效
英文关键词:Jinhuang powder  Indomethacin  Acute gouty arthritis  Clinical efficacy
基金项目:
作者单位
王英慧 ①江汉大学医院(武汉 430056) 
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中文摘要:
      摘 要 目的:观察金黄散外敷联合吲哚美辛治疗急性痛风性关节炎(AGA)的临床疗效和安全性。方法:58例初发AGA患者随机分为两组。对照组给予吲哚美辛治疗,观察组在对照组基础上外敷金黄散。两组疗程均为7 d。观察两组患者的临床疗效、关节症状改善和实验室指标恢复情况及药品不良反应。结果:观察组总有效率为93.10%,明显高于对照组的72.41%(P<0.05)。总体疗效比较,观察组优于对照组(P<0.01)。治疗后,两组患者的关节疼痛、肿胀和活动受限评分及红细胞沉降率(ESR)、白细胞计数(WBC)和血尿酸(BUA)水平均较治疗前下降(P<0.01);且观察组患者症状评分及实验室指标水平均优于对照组(P<0.05 和P<0.01)。两组药品不良反应症状均较轻微,发生率差异无统计学意义(P>0.05)。结论:金黄散外敷联合吲哚美辛治疗AGA能有效改善关节症状,降低血尿酸及炎症指标水平,疗效显著。
英文摘要:
      ABSTRACT Objective:To study the clinical efficacy and safety of Jinhuang powder combined with indomethacin in the treatment of acute gouty arthritis(AGA).Methods:58 cases of AGA patients who received treatment in the hospital were randomly divided into two groups. The control group was treated with indomethacin, and the observation group was given Jinhuang powder combined with indomethacin additionnally. The course was 7 days. The clinical symptoms, laboratory index, the clinical efficacy and incidence of adverse drug reaction were observed. Results:The total efficiency for patients in the observation group was 93.10%, which was significant higher than that of control group(P<0.05), which was 72.41%. While compared the total clinical efficacy, the observation group was superior to the control group. After treatment, the scores of joint symptom and the levels of ESR, BUA, WBC were all decreased in both groups than before(P<0.01) and the changes of scores of joint symptom and laboratory index in the observation group were significantly better than the control group(P<0.05 and P<0.01). There was no significant difference in two groups while compared the adverse drug reaction during the treatment(P>0.05). Conclusion:In the treatment of gouty arthritis, Jinhuang powder combined with indomethacin could obviously improve the joint symptoms, low down the levels of BUA and inflammatory index, and it had good clinical efficacy.
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