舒筋接骨汤治疗膝骨关节炎的临床研究
Clinical study on the treatment of knee osteoarthritis with Shu Jin Jie Gu Tang
  
DOI:10.3969/j.issn.1006-7108.2016.10.022
中文关键词:  中医中药  舒筋接骨汤  膝骨关节炎  临床研究
英文关键词:Chinese medicine  Shu Jin Jie Gu Tang (SJJGT)  Knee osteoarthritis  Clinical research
基金项目:
作者单位
王功国 郑胜 董济青 王均动 贾庆运* 山东省日照市中医医院骨伤科山东日照276800 
摘要点击次数: 1169
全文下载次数: 511
中文摘要:
      目的 观察舒筋接骨汤对膝骨关节炎患者WOMAC骨关节炎指数、关节压痛、肿胀、活动度及血清肿瘤坏死因子(TNF-α)、白细胞介素-1(IL-1)和转化生长因子-β(TGF-β)水平的变化的影响,从而评价其临床疗效。方法 132例膝骨关节炎患者随即分为对照组和治疗组,各66例。对照组给予口服硫酸氨基葡萄糖,治疗组给予口服舒筋接骨汤,治疗4w后,通过比较两组患者WOMAC骨关节炎指数、VAS评分、关节压痛、肿胀、关节活动度以及血清TNF-α、IL-1、TGF-β的变化。结果 4w后,治疗组与对照组相比两组WOMAC指数、VAS评分、关节压痛、肿胀、关节活动度评分均有下降,且两组比较差异有显著性意义(P<0.05),治疗组血清中TNF-α、IL-1较对照组下降,两组比较差异有显著性意义(P<0.05),血清中TGF-β较对照组上升,差异有显著性意义(P<0.05)。结论 舒筋接骨汤对膝骨关节炎疗效显著,可以有效抑制关节炎症,减少关节破坏,缓解改善关节炎临床症状。
英文摘要:
      Objective In knee osteoarthritis patients, to observe the effects of Shu Jin Jie Gu Tang (SJJGT) on WOMAC osteoarthritis index, joint tenderness, swelling, joint activity and serum tumor necrosis factor (TNF-α), interleukin -1 (IL-1) and changes in transforming growth factor -β (TGF-β) levels, in order to evaluate its clinical efficacy. Methods 132 patients with knee osteoarthritis were divided into control group and treatment group, with 66 cases in each group. Controls were given oral glucosamine sulfate, and the treatment group oral SJJGT. Four weeks after treatment, comparisons between the two groups of patients were made on changes of WOMAC osteoarthritis index, joint tenderness, swelling, and changes in activity and serum TNF-α, IL-1, TGF-β levels. Results After 4 weeks, the treatment group compared with the control group had significantly lower WOMAC index, VAS score, joint tenderness, swelling and joint activity scores (P<0.05), significantly lower TNF-α and IL-1 (P<0.05), but significantly higher serum TGF-β (P<0.05).Conclusion FYJGT showed a significant effect on knee joint osteoarthritis, and can effectively restrain joint inflammation, reduce joint destruction, and alleviate clinical symptoms.
查看全文  查看/发表评论  下载PDF阅读器
关闭
function PdfOpen(url){ var win="toolbar=no,location=no,directories=no,status=yes,menubar=yes,scrollbars=yes,resizable=yes"; window.open(url,"",win); } function openWin(url,w,h){ var win="toolbar=no,location=no,directories=no,status=no,menubar=no,scrollbars=yes,resizable=no,width=" + w + ",height=" + h; controlWindow=window.open(url,"",win); } &et=3C06DB566315F8DC59AE367DE863DD0BDF784E3F3A9A816F0DB9CD54A0CF1CACB434A514E7341CA4F45182CDD1D6C5B42B6B17A5A91E1C024D4CDB8D3A61FD53063BA42C9DF621875A1AC77E34CE4A6C&pcid=A9DB1C13C87CE289EA38239A9433C9DC&cid=527A01A248DACB72&jid=CA678592D11E309E8E3FB3B2BFE9BE1A&yid=9F915C6F01DE79C5&aid=E47EE23C3D45AF6DCD1C4D7843249595&vid=&iid=F3090AE9B60B7ED1&sid=1EB017852C08068A&eid=DAC6E84CD2802686&fileno=20161022&flag=1&is_more=0"> var my_pcid="A9DB1C13C87CE289EA38239A9433C9DC"; var my_cid="527A01A248DACB72"; var my_jid="CA678592D11E309E8E3FB3B2BFE9BE1A"; var my_yid="9F915C6F01DE79C5"; var my_aid="E47EE23C3D45AF6DCD1C4D7843249595";