丹杞颗粒联合硫酸氨基葡萄糖治疗骨性关节炎的疗效研究
Efficacy of Danqi granule combined with glucosamine sulfate on the treatment of osteoarthritis
  
DOI:10.3969/j.issn.1006.7108.2018.07.012
中文关键词:  丹杞颗粒  硫酸氨基葡萄糖  膝骨关节炎  免疫因子
英文关键词:Danqi granule  Glucosamine sulfate  Knee osteoarthritis  Immune factors
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作者单位
陈志军* 张大华 西安医学院第一附属医院和西安医学院全科医学院骨科陕西 西安 710077 
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中文摘要:
      目的 探索丹杞颗粒联合硫酸氨基葡萄糖治疗膝骨关节炎(knee osteoarthritis, KOA)患者的临床疗效。方法 对2014年7月至2017年6月期间在我院治疗的128例 KOA患者随机分为对照组和治疗组,每组64例患者,治疗组患者给予丹杞颗粒联合硫酸氨基葡萄糖治疗,对照组患者予以硫酸氨基葡萄糖治疗。比较治疗前后两组患者临床疗效和 Lequesne、VAS 、WOMAC 及SF-36评分改善情况,同时检测两组患者的血清白介素-1β(IL-1β)、白介素-6(IL-6)、肿瘤坏死因子-ɑ(TNF-α)的水平变化,并记录治疗期间两组患者出现的药物不良反应情况。结果 治疗前,两组患者的Lequesne、VAS 、WOMAC 及SF-36评分和血清IL-1β、 IL-6和TNF-α的水平比较无统计学差异(P>0.05)。经过6个月的治疗,两组患者的Lequesne、VAS 、WOMAC 及SF-36评分和血清IL-1β、 IL-6和TNF-α水平较治疗前均有显著改变(P<0.05) ,而治疗组上述指标改变幅度较对照组更为明显(P<0.05);治疗组有效率显著高于对照组(P<0.05),而两组的药物不良反应比较无统计学意义(P>0.05)。结论 丹杞颗粒结合硫酸氨基葡萄糖可以显著改善膝骨关节炎的临床症状。
英文摘要:
      Objective To observe the clinical efficacy of Danqi granule combined with glucosamine sulfate on the treatment of knee osteoarthritis (KOA). Methods One hundred and twenty-eight KOA patients treated in our hospital from July 2014 to June 2017 were randomly divided into control group and treatment group, with 64 patients in each group. Patients in treatment group received Danqi granule combined with glucosamine sulfate. Patients in the control group received sulfuric acid glucosamine only. The clinical efficacy, changes of Lequesne, VAS, WOMAC, and SF-36 scores were compared. The levels of serum interleukin-1β (IL-1β), interleukin-6 (IL-6), and tumor necrosis factor-ɑ (TNF-α) in the two groups were detected before and after treatment. The occurrence of adverse reactions in the two groups was recorded. Results Before the treatment, there were no significant differences in Lequesne, VAS, WOMAC, and SF-36 score, and the levels of serum IL-1β, TNF-α, and IL-6 between the two groups (P>0.05). After 6-month treatment, Lequesne, VAS, WOMAC, and SF-36 scores, and the levels of serum IL-1β, IL-6, and TNF-α improved significantly in both groups (P<0.05), and it was more significant in the treatment group than in the control group (P<0.05). The efficacy in the treatment group was significantly higher than that in the control group (P<0.05). These was no difference in adverse drug reactions between the two groups (P>0.05). Conclusion Danqi granule combined with glucosamine sulfate significantly alleviates clinical symptoms of KOA.
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