丹郁骨康丸对膝骨性关节炎患者生活质量和炎症因子的影响
Effect of Danyugukang pill on quality of life and inflammatory factors in patients with knee osteoarthritis
  
DOI:10.3969/j.issn.1006-7108.2020.06.017
中文关键词:  丹郁骨康丸  硫酸氨基葡萄糖  膝骨关节炎  炎症因子
英文关键词:Danyugukang pill  glucosamine sulfate  knee osteoarthritis  inflammatory factor
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作者单位
李子恢 舒化兴 新疆阿勒泰地区人民医院 
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中文摘要:
      目的 探索丹郁骨康丸对膝骨关节炎(osteoarthritis,OA)患者生活质量和炎症因子的影响。方法 共有140例患有轻至中度(Kellgren-Lawrence II级和III级)膝关节OA患者参加该项随机临床对照试验,随机分为治疗组和对照组,每组70例。所有受试者均接受硫酸氨基葡萄糖胶囊治疗,治疗组添加丹郁骨康丸治疗。比较治疗前后两组患者临床疗效和VAS、Lequesne和Lysholm评分改善情况,同时检测治疗前后两组患者的基质金属蛋白酶-1(MMP-1)、肿瘤坏死因子-α(TNF-α)、血清Ⅱ型胶原C-端肽(CTX-Ⅱ)及Ⅰ型胶原 C-末端肽(CTX-Ⅰ)水平,并记录两组不良反应发生情况。结果 治疗3个月后,两组患者的VAS、Lequesne及Lysholm评分较治疗前显著改善(P<0.05),而治疗组较对照组改善更为明显(P<0.05);治疗3个月后,两组患者的TNF-α、CTX-Ⅱ、CTX-Ⅰ和MMP-1水平较治疗前显著降低(P<0.05),而治疗组较对照组降低更为明显(P<0.05);治疗组治疗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,差异不具有统计学意义(P>0.05)。结论 丹郁骨康丸使用3个月可有效减轻疼痛和相关症状,改善关节液相关炎症指标并改善OA患者的膝关节功能。
英文摘要:
      Objective To explore the effect of Danyugukang pill on the quality of life and inflammatory factors in patients with knee osteoarthritis (OA). Methods A total of 140 patients with mild to moderate (Kellgren-Lawrence II and III) knee OA participated in this randomized, controlled clinical trial and were randomized into two groups, control group and control group, with 70 patients in each group. All subjects received glucosamine sulfate capsules. Patients in the treatment group received Danyugukang pills in addition. The clinical curative effect, VAS, Lequesne and Lysholm scores, the levels of matrix metalloproteinase-1 (MMP-1), tumor necrosis factor—α (TNF-α), collagen C-terminal peptide (CTX-II ), and type I collagen C-terminal peptide (CTX-I) in the two groups were compared before and after treatment. The adverse reactions in the two groups were recorded. Results After 3 months of treatment, VAS, Lequesne, and Lysholm scores in both groups improved significantly (P<0.05), and they improved more significantly in the treatment group than in the control group (P<0.05). After 3 months of treatment, the levels of TNF-α, CTX-II, CTX-I, and MMP-1 in the two groups were significantly lower than those before treatment (P<0.05), and those in the treatment group were significantly lower than those in the control group (P<0.05). The effective rate in the treatment group was significantly higher than that in the control group (P<0.05). There was no significant difference in adverse drug reactions between the two groups (P>0.05). Conclusion Danyugukang pill effectively relieves pain and related symptoms, improves the inflammation index of joint fluid, and improves knee function in OA patients within 3 months.
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