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1、消肿定痛膏外敷治疗痛风性关节炎的临床观察[摘耍]冃的:使用我院口制剂消肿定师膏局部外敷治疗师风性关节炎,观察疗效。方法:治疗纟R在患处外敷佇科消肿止痛膏,用绷带固定,每隔24h更换药膏,连用4d,观察疗效。对照组口服秋水仙碱片每隔1h服1片,连服6片后停药3d,待不良反应减轻后改为每次0.5mg,毎天3次,共7d,观察疗效。结果:治疗组总有效率为98.1%,对照组为94.1%,两组比较,无显著性差片(P>0.05);两组关节红肿缓解情况比较,治疗组缓解明显,与対照组比较,有显著性差异(P〈0・05);两组关节疼痛缓解情况比较,治疗组止痛效果明显,与对照组比较,有显著性差异(P<0.05
2、)。结论:消肿定痛膏用于外敷治疗痛风性关节炎疗效显著,治疗时间短,无明显毒副作用。[关键词]消肿定痛膏;秋水仙碱;外敷;痛风性关节炎[中图分类号]R589.7[文献标识码]A[文章编号]1673-7210(2010)03(a)-070-02ClinicalobservationonXiaozhong-DingtongPasteinthetrcatmentofgoutyarthritisbyexternalapplicationsLTAOLijin,HUANGXia,PANGWeiming,HONGJiamo(No.2TraditionalChineseMedicineHospitali
3、nZhanjiang,Zhanjiang524013,China)[Abstract]Objective:Tousetheseif-madeXiaozhong-Dingtongpastetotreatgoutyarthritisbylocalexternalapplication,observingandcontrastingthecurativeeffect.Methods:Treatedgroup,appliedtheXiaozhong-Dingtongpastetotheaffectedareaexternallyandthenholditwithbandage,changedt
4、heplasterevery24hours,for4days,observingthecurativeeffect-Controlgroup,colchicinepillsweretakenorally,onepillatimeeveryonehour,didnottakeitagainaftertaking6pillsfor3days,instead,tookit0・5mgatime,3timesaday,for7daysaftertheadversereactionsal1eviated,andthenobservedthecurativeeffect.Results:Theove
5、ral1responserateofthetreatedgroupwas98.1%,andtheoverallresponserateofthecontrolgroupwas94.1%,therewasnosignificantdifferenceinthecurativeeffectbetweonthetwogroups(P>0.05);contrastodthedepressionsoftheredandswollcnjointsbetweenthetwogroups,therewasasignificantdiffereneeinthedepressionsinthetreate
6、dgroup(P<0.05)comparedwiththecontrolgroup;contrastedthedepressionsofthepaininthejointsbetweenthetwogroups,therewasasignificantdifferenceinthedepressionsinthetreatedgroup(P<0.05)comparedwiththecontrolgroup・Conclusion:Xiaozhong-DingtongPasteiseffectivetotreatthegoutyarthritisbyexternalapplications
7、.Tttakesshortertimetotreatgoutyarthritisandthereisnoobviousadverseeffect.[Keywords]Xiaozhong-DingtongPaste;Colchicine;ExternalApplications;Goutyarthritis痛风是由于长期瞟吟代谢的障碍,尿酸盐沉积在关节而引起急性关节炎反应的一种疾病。该病均为急性发作,局部关节出现红、肿、热、痛症状,属于中医“痹症