阮敏

【摘 要】 目的：观察中西医结合治疗湿热痹阻型关节痛的疗效。方法：将60例湿热痹阻型关节痛的患者随机分为两组各30例。对照组采用西药常规治疗，观察组在对照组基础上加用中药外敷关节痛处，均治疗1个疗程。应用证候积分量化表比较治疗前后两组疗效差异。结果：治疗前，两组证候积分量化表评分比较差异无统计学意义（P>0.05）；治疗后，两组治疗前后组内比较，差异具有统计学意义（P<0.05）；两组治疗前后组间比较，差异具有统计学意义（P<0.05）；两组总有效率比较，差异有统计学意义（P<0.05）。结论：中药外敷联合西药治疗湿热痹阻型关节痛的效果优于单纯西医治疗，值得临床应用推广。

【关键词】 湿热痹阻；关节痛；中药外敷；消炎止痛

【中图分类号】R684 【文献标志码】 A 【文章编号】1007-8517（2018）05-0094-03

Abstract：Objective To observe curative effect of combination of Traditional Chinese and Western medicine treatment of dampness heat blockage type joint pain. Methods 60 patients were randomly divided into the damp heat blockage type of joint pain into two groups， 30 cases in each group，both two groups were treated with conventional western medicine treatment， the observation group based on the use of traditional Chinese medicine with joint pain， after a course of treatment before and after the application of syndrome integral quantization table measurement. Results Before treatment， two groups of syndromes integral quantization table score was not statistically significant （P>0.05）； after treatment， the two groups before and after treatment within the group， significant difference （P<0.05）； the two groups were compared between groups， the difference is significant （P<0.05）； the total effective rate between two groups was statistically significant （P<0.05）.Conclusion The effect of Western medicine and external application of traditional Chinese medicine in treating joint pain of damp heat arthralgia type is better than that of simple western medicine.

Keywords：Damp heat arthralgia； Joint pain； External application of traditional Chinese medicine； Anti-inflammatory and analgesic.

關节痛主要由关节炎症或各种原因导致的关节损伤引起的，是临床常见症状。外力牵拉、挤压、撕裂、肿瘤压迫、炎症产生化学物质的刺激、关节腔积液产生的机械压迫是其常见病因[1]，均可损害关节结构进而引起关节疼痛。西医对于该病的治疗一般为对症治疗，予以消炎镇痛，必要时进行手术治疗。中医治疗该病有独特的疗效，中药外敷便是其中的特色疗法之一。笔者观察中药外敷联合西药治疗湿热痹阻型关节痛30例，将结果报告如下。

1 资料与方法

1.1 一般资料 选择2016年11月至2017年11月铜陵市立医院以关节痛为主要诊断的患者为研究对象，共纳入60例。随机分为对照组和观察组各30例。对照组30例，男13例，女17例，年龄33～65岁，病程9个月至15年。观察组30例，男16例，女14例，年龄32～63岁，病程11个月至11年。两组在性别、年龄及病程上差异无统计学意义，具有可比性（P>0.05）。见表1。

1.2 诊断标准 参照《中药新药临床研究指导原则》[2]中中医证候（湿热痹阻证）诊断标准。