The Clinical Study Of Bloodletting Therapy In The Treatment Of Acute Gouty Arthritis Caused By Heat-Damp Syndrome

ObjectiveTreatment of acute gouty arthritis by comparing the treatment group and the control group of the clinical effect and effect on related laboratory parameters (UA、ESR、CRP), for the treatment of acute gouty arthritis find new clinical direction, to provide more information to prove one of bloodletting as a clinical treatment options in treatment of acute gouty arthritis, physical therapy techniques in order to promote Chinese medicine in clinical application.MethodsSelect 60 patients clinically consistent with acute gouty arthritis diagnostic criteria used by the US ACR1987 diagnostic criteria proposed to implement a small randomized controlled study, the treatment group received basic treatment+bloodletting (every other day), control group selection (basic treatment+etoricoxib 60mg qd), the latter two methods treatment groups were observed improvement in the patient with acute gouty arthritis pain, and the week of treatment, observation and recording before and after treatment to improve symptoms and related laboratory indicators of change, using SPSS19.0 statistical analysis of their results, and finally draw conclusions.Results1.After one week after treatment, by comparing the two groups before treatment and, in total effective rate, the total effective treatment group was 93%, the total effective rate of the control group of 83%, these two groups showed no comprehensive therapeutic effect statistically significant (P> 0.05), described bloodletting with etoricoxib have good ease acute gouty arthritis role, but the efficacy of two quite.2. After treatment 1h, timely analgesic effect of the two groups were analyzed before and after treatment, pain score (p<0.01), significant differences, both groups showed significant analgesic effect, the treatment group and the control group after treatment 1h after comparing the pain points (p<0.05), there are differences between the two groups was statistically significant, indicating that bloodletting in immediate pain relief effect, better than etoricoxib3. In the anti-inflammatory effect, through the two groups before and after treatment CRP, ESR of comparison (p<0.05), the difference was statistically significant, but between the two groups (p>0.05), no significant difference, indicating that both groups significant anti-inflammatory effect, but no difference between the treatment group and the control group.4. Observation of serum uric acid index change, before and after treatment group and control group comparison of serum uric acid (p> 0.05), the difference was not statistically significant, it can be deduced in terms of uric acid, both methods no significant difference, and then the blood group before and after treatment uric acid were compared (p<0.01), blood uric acid were compared before and after the decline and the decrease was statistically significant, indicating that bloodletting with basic therapy not only can effectively relieve pain, more well improve the patient’s uric acid level.This shows that the bloodletting has some role in lowering blood uric acidConclusionIn this clinical study, combined with bloodletting therapy on the treatment of acute gouty arthritis, can play a better relieve pain, improve the role of gout symptoms, especially in the immediate analgesic effect, bloodletting rapid onset, simple and inexpensive, for lack of clinical and medical conditions in place to carry out clinic.