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

《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................................................