Clinical Observation Of Bloodletting Therapy Combined With Thunder Fire Moxibustion In The Treatment Of Acute Gouty Arthritis Of Damp Heat Accumulation Type

Objectives:To compare the clinical efficacy and improvement of laboratory indexes between bloodletting therapy combined with thunder fire moxibustion and oral etoricoxib in the treatment of acute gouty arthritis with damp heat accumulation type,and to seek more effective treatment plan for acute gouty arthritis with damp heat accumulation type,so as to provide some reference for the clinical treatment of acute gouty arthritis.Methods:68 patients with acute gouty arthritis of damp heat accumulation type who met the study criteria were selected as study subjects,and were divided into observation and control groups using a randomized experimental design method.Under the premise of basic treatment,the observation group was treated with bloodletting therapy combined with thunderbolt moxibustion therapy(thunder fire moxibustion using hanging up moxibustion therapy),and the control group was treated with oral etoricoxib alone,once a day for 3 consecutive treatments for 3 days,and the joint swelling and pain score,VAS score,blood uric acid,blood sedimentation,and CRP of both groups at the beginning of the treatment course and 1 day after the end of treatment were observed and recorded,and the first The VAS score 30 min after the first treatment was recorded to evaluate the immediate pain relief effect,and the efficacy of acute gouty arthritis was evaluated.Statistical software SPSS22.0 was used for data analysis,and P<0.05 was taken as a statistical difference.Results:1.joint swelling and pain score: before treatment,there was no statistically significant difference between the groups(P>0.05);before and after treatment,the differences within the groups were statistically significant(P<0.05);after treatment,the observation group was better than the control group when compared between the groups,and the differences were statistically significant(P<0.05).2.VAS score: before treatment,the difference was not statistically significant(P>0.05);before and after treatment,the difference was statistically significant(P<0.05);after the 1st treatment,the difference was statistically significant(P<0.05)when comparing between groups,and the difference was statistically significant(P<0.05)when comparing within groups;after treatment,the observation group was better than the control group,and the difference was statistically significant(P<0.05).The difference was statistically significant(P<0.05).3.Blood uric acid: There was no statistically significant difference between groups before treatment(P>0.05);there was no statistically significant difference between groups before and after treatment(P>0.05);there was no statistically significant difference between groups after treatment(P>0.05).4.Erythrocyte sedimentation rate: compared between groups before treatment,the difference was not statistically significant(P>0.05);compared within groups before and after treatment,the difference was statistically significant(P<0.05);compared between groups after treatment,the difference was statistically significant(P<0.05).5.CRP: Before treatment,there was no statistically significant difference between groups(P>0.05);before and after treatment,the difference was statistically significant(P<0.05);after treatment,the observation group was better than the control group,and the difference was statistically significant(P<0.05).6.Comparison of clinical efficacy: the total effective rate of the observation group was 87.50%,and the total effective rate of the control group was 77.42%,and the differences were statistically significant(P<0.05).Conclusion:1.Both bloodletting therapy combined with thunderbolt moxibustion and etoricoxib treatment alone can effectively reduce the joint swelling and pain score,VAS score,blood sedimentation and CRP in acute gouty arthritis with damp heat accumulation type,but the former has better improvement than the latter.2.The efficacy of bloodletting therapy combined with thunder fire moxibustion in the treatment of acute gouty arthritis with damp heat accumulation type is better than that of etoricoxib treatment alone.