目的：针刺配合阿是穴放血治疗急性痛风性关节炎的临床疗效。方法将70例急性痛风性关节炎患者随机分为治疗组38例和对照组32例。治疗组采用针刺配合阿是穴刺络放血治疗，对照组采用常规药物治疗。观察两组治疗前后血尿酸及C反应蛋白含量变化情况，比较两组临床疗效。结果两组治疗1、2个疗程后血尿酸及C反应蛋白含量与同组治疗前比较，差异均具有统计学意义(P＜0.01)。治疗组治疗2个疗程后C反应蛋白含量与对照组比较，差异具有统计学意义(P＜0.05)。治疗组总有效率为84.2%，对照组为81.3%，两组比较差异具有统计学意义(P＜0.05)。结论针刺配合阿是穴刺络放血是一种治疗急性痛风性关节炎的有效方法。%Objective To investigate the clinical efficacy of acupuncture plus ashi point pricking bloodletting in treating acute gouty arthritis.Methods Seventy patients with acute gouty arthritis were randomly allocated to a treatment group of 38 cases and a control group of 32 cases. The treatment group received acupuncture plus ashi point pricking bloodletting and the control group, routine medication. Blood uric acid and C reaction protein contents were measured in the two groups before and after treatment. The clinical therapeutic effects were compared between the two groups.Results There were statistically significant differences in blood uric acid and C reaction protein contents after one and two courses of treatment compared with before treatment in the two groups (P<0.01). After two courses of treatment, there was a statistically significant difference in comparing C reaction protein contents between the two groups (P<0.05). The total efficacy rate was 84.2% in the treatment group and 81.3% in the control group; there was a statistically significant difference between the two groups (P<0.05).Conclusion Acupuncture plus ashi point pricking bloodletting is an effective way to treat acute gouty arthritis.
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