雷公藤多甙片聯(lián)合益腎蠲痹丸治療類風(fēng)濕關(guān)節(jié)炎的療效評價(jià)

《雷公藤多甙片聯(lián)合益腎蠲痹丸治療類風(fēng)濕關(guān)節(jié)炎的療效評價(jià)》由會員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫。

1、提要目的：通過臨床觀察評價(jià)雷公藤多甙片聯(lián)合益腎蠲痹丸治療類風(fēng)濕關(guān)節(jié)炎腎虛血瘀證的臨床療效。方法：選擇2010年4月～2011年4月就診于山東中醫(yī)藥大學(xué)附屬醫(yī)院風(fēng)濕科門診及住院患者。將符合納入標(biāo)準(zhǔn)的80例患者隨機(jī)分為試驗(yàn)組40例和對照組40例，試驗(yàn)組服用雷公藤多甙片和益腎蠲痹丸，對照組服用甲氨喋呤和柳氮磺吡啶片，兩組治療時(shí)間均為24周，觀察兩組的關(guān)節(jié)壓痛個(gè)數(shù)、關(guān)節(jié)腫脹個(gè)數(shù)、晨僵時(shí)間、血沉（ESR）、C反應(yīng)蛋白（CRP）等指標(biāo)的變化，以及臨床療效比較。結(jié)果：試驗(yàn)組能明顯改善患者癥狀，對臨床癥狀、實(shí)驗(yàn)室檢查、中醫(yī)

2、證候的改善明顯優(yōu)于對照組。結(jié)論：雷公藤多甙片聯(lián)合益腎蠲痹丸能明顯改善患者病情，治療效果優(yōu)于甲氨喋呤與柳氮磺吡啶片。關(guān)鍵詞關(guān)節(jié)炎，類風(fēng)濕，雷公藤多甙片，益腎蠲痹丸，臨床療效。TripterygiumwilfordiimuchglucosidepiecesandbenefitingkidneyJuanbipillcertifiedsharetreatmentevaluationofclinicalcurativeeffectofrheumatoidarthritisSpeciality：InternalMedi

3、cineofT.C.MRheumaticDiseasAuthor：SunQianTutor：Professor.SunSuPingAbstractObjective:ToobservetheclinicalevaluationtripterygiumwilfordiimuchglucosidepiecesandbenefitingkidneyJuanbipillcertifiedsharetreatmentrheumatoidarthritiskidneybloodstasissyndromeofclini

4、calcurativeeffect.Method:ChooseinApril2010toApril2011clinicinShandonguniversityofTraditionalChineseMedicinehospitalRheumatismDepartmentoutpatientandinpatient.Willmeetthecriteria80caseswererandomlydividedintothetestgroup(40cases)andcontrolgroup(40cases),pat

5、ientstripterygiumwilfordiiofmoreglucosideandbenefitingkidneyJuanbipill,thecontrolgrouptakingmethotrexateandliunitrogenofsulfonylureapyridine,twogroupsoftreatmenttimefor24weeksareobserved,thetwogroupsofjointtendernessnumber,jointswellingnumber,timeofmorning

6、stiffness,ESR,CRP,andotherindicators,andthechangeofthecurativeeffectoftraditionalChinesemedicineandmodernmedicinesyndrome,thecurativeeffectofcomparison.Results:Patientscansignificantlyimprovepatientsintestgroupwithsymptoms,theclinicalsymptoms,laboratory,th

7、eimprovementofTraditionalChineseMedicalsyndromewasbetterthancontrol.Conclusion:tripterygiumwilfordiimuchglucosidepiecesandbenefitingkidneyJuanbipillcertifiedsharecansignificantlyimprovepatientswithdisease,thetreatmenteffectisbetterthanmethotrexateandwillow

8、sulfonylureapyridinepieceofnitrogen.Keywordsarthritis,rheumatoid,tripterygiumwilfordiimuchglucosidepiece,benefitingkidneyJuanbipills,clinicalcurativeeffect.目錄引言................................................