瘀血痹片联合抗骨质疏松症药物对膝骨关节炎的临床疗效及膝关节功能评分的影响研究
Influence study of Yuxuebi tablets plus anti-osteoporosis drugs on the knee joint function scores of knee osteoarthritis patients
  
DOI:10.3969/j.issn.1006-7108.2021.06.019
中文关键词:  关节功能  抗骨质疏松症药物  膝骨关节炎  瘀血痹片
英文关键词:knee joint function  anti-osteoporosis drugs  knee osteoarthritis  Yuxuebi tablets
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作者单位
程晏 石文俊* 张磊 章筛林 商培洋 上海市普陀区中心医院骨科上海 200062 
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中文摘要:
      目的 研究瘀血痹片联合抗骨质疏松症药物运用于膝骨关节炎中的疗效及对患者膝关节功能评分的影响。方法 选择上海市普陀区中心医院2019年3月-2020年2月纳入的90例膝骨关节炎患者作为研究对象,依照随机双盲法分成研究组和对照组,每组45例。研究组给予瘀血痹片+抗骨质疏松症药物,对照组给予抗骨质疏松症药物,用药后对所有实验对象进行总有效率评价。在用药前后测定两组的白介素-8(IL-8)、C反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)水平,并执行视觉模拟(VAS)、膝关节功能(Lysholm)、生活质量(QOL)评分调查,比较两组用药结果。结果 研究组的总有效率为91.11 %,明显高于对照组的80.00 %(P<0.05),但研究组的不良反应发生率(6.67 %)与对照组(8.89 %)比较差异,无统计学意义(P>0.05)。用药前两组指标比较差异,无统计学意义(P>0.05),用药后研究组的IL-8、CRP、TNF-α水平均低于对照组(P<0.05)。用药前两组评分比较无差异统计学意义(P>0.05),用药后研究组的VAS、Lysholm评分均优于对照组(P<0.05)。用药前两组QOL评分比较差异无统计学意义(P>0.05),用药后研究组的食欲、精神、睡眠、日常生活评分均高出对照组(P<0.05)。结论 瘀血痹片联合抗骨质疏松症药物运用于膝骨关节炎中的疗效较为突出,并且未增加不良反应的发生率,同时能快速改善患者关节功能,减轻疼痛,促进炎症消退,提高生活质量。
英文摘要:
      Objective To study the impact of Yuxuebi tablets plus anti-osteoporosis drugs on the knee joint function scores of knee osteoarthritis patients. Methods 90 knee osteoarthritis patients treated from March 2019 to February 2020 in our hospital were selected and divided into study group (45 cases) and control group (45 cases) according to the random double-blind method. The study group took Yuxuebi tablets and anti-osteoporosis drugs; the control group just took anti-osteoporosis drugs. Total effective rate, IL-8 (interleukin-8), CRP (C-reactive protein), TNF-α (tumor necrosis factor-α) as well as VAS (visual analogue scale), Lysholm scores, QOL (quality of life) scores were measured. Results Total effective rate in the study group (91.11%) was significantly higher than that in the control group (80.00%) (P<0.05); adverse event rate in the study group (6.67%) and control group (8.89%) showed no statistically significant difference (P>0.05); before medication, the serum inflammatory factors between groups showed no statistically significant difference (P>0.05); after medication, IL-8, CRP and TNF-α levels in the study group were lower than those in the control group (P<0.05); before medication, clinical assessment scores between groups showed no statistically significant difference (P>0.05); after medication, VAS and Lysholm scores in the study group were better than those in the control group (P<0.05); before medication, QOL scores between groups showed no statistically significant difference (P>0.05); after medication, the scores of appetite, spirit, sleep and daily life in the study group were higher than those in the control group (P<0.05). Conclusion Yuxuebi tablets combined with anti-osteoporosis drugs produce no effects on adverse reactions, improve the knee joint function, relieve the pain and inflammation response, and increase the quality of life.
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