【摘要】目的：探讨上中下通用痛风方对急性痛风性关节炎湿热瘀阻型的疗效。方法：80例急性痛风性关节炎患者，随机分为两组，治疗组40例采用上中下通用痛风方配合西药治疗，对照组40例采用单纯西药治疗。结果：治疗组疗效及血尿酸下降明显优于对照组(P<0．01)。结论：上中下通用痛风方治疗急性痛风性关节炎湿热瘀阻型有良好的效果。

【关键词】急性痛风性关节炎；上中下通用痛风方；湿热瘀阻型

Clinical study on treatment of acute gouty arthritis with the upper—middle—lower gout recipe 

Wen  Ping

(Hengyang Hospital of TCM，Hengyang 421001，Hunan，China)

【Abstract】Objective：To investigate the effects of the upper—middle—lower gout recipe in treating acute gouty arthritis. Method：80 patients were randomized into two groups,patients in treat group received chinese medicine combimed with western medicine and the patients in the control group were received western medicine.Results：The treat group showed superiority in improving the patients’symptoms and lowing UA. Conclusion：the upper—middle—lower gout recipe combimed with western medicine have a better efficacy than western medicine along in treat acute gouty arthritis,which belong to obstrations of collaterals due to damp-heart syndrome.

【Keywords】 Acute gouty arthritis；The upper—middle—lower gout recipe; obstrations of collaterals due to damp-heart syndrome.

急性痛风性关节炎是因尿酸盐以结晶形式在关节和关节周围组织沉积而引起的急性炎症反应，以关节迅速出现红肿、发热、触痛为主症。本病好发于中老年男性和绝经后女性，下肢关节尤其拇趾关节为急性痛风性关节炎好发部位^［1］。笔者近年来用上中下通用痛风方配合双氯酚酸缓释片治疗急性痛风性关节炎，与单用西药治疗作对照，取得了较好的疗效，现报道如下。

1 临床资料

1．1一般资料  80例病例均为本院住院及门诊病人，随机分为中西医结合组(治疗组)及单纯西药组(对照组)。治疗组40例，其中男性30例，女性10例，年龄50~75岁，平均(60．2±9．6)岁；病程1～7d。对照组40例，其中男性29例，女性11例，年龄48~72岁，平均(58．4±8．7)岁；病程1～10d。两组性别、年龄、病程、病情程度经统计学处理(P>0．05)，具有可比性。