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《雷公藤多甙片聯(lián)合益腎蠲痹丸治療類風濕關節(jié)炎的療效評價》由會員上傳分享,免費在線閱讀,更多相關內(nèi)容在學術論文-天天文庫。
1、提要目的:通過臨床觀察評價雷公藤多甙片聯(lián)合益腎蠲痹丸治療類風濕關節(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)藥大學附屬醫(yī)院風濕科門診及住院患者。將符合納入標準的80例患者隨機分為試驗組40例和對照組40例,試驗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,兩組治療時間均為24周,觀察兩組的關節(jié)壓痛個數(shù)、關節(jié)腫脹個數(shù)、晨僵時間、血沉(ESR)、C反應蛋白(CRP)等指標的變化,以及臨床療效比較。結(jié)果:試驗組能明顯改善患者癥狀,對臨床癥狀、實驗室檢查、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。關鍵詞關節(jié)炎,類風濕,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................................................