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养阴益气活血方治疗原发性干燥综合征患者的临床效果

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目的 探究养阴益气活血方治疗原发性干燥综合征患者的临床效果。方法 选取2021年5月至2022年5月收治的100例原发性干燥综合征患者为研究对象,依据不同治疗方式将其分为对照组和观察组,各50例。对照组给予硫酸羟氯喹片治疗,观察组在对照组基础上联合养阴益气活血方治疗。比较两组的治疗效果。结果 治疗后,观察组的焦虑自评量表(SAS)、抑郁自评量表(SDS)评分均低于对照组(P<0。05)。治疗后,观察组的社会关系、躯体、环境、心理维度评分均明显高于对照组(P<0。05)。治疗后,观察组的匹兹堡睡眠质量指数量表(PSQI)评分低于对照组(P<0。05)。治疗后,观察组的降钙素原(PCT)、超敏C反应蛋白(hs-CRP)、白细胞介素-18(IL-18)及白细胞介素-6(IL-6)水平均低于对照组(P<0。05)。治疗后,观察组的欧洲抗风湿联盟干燥综合征疾病活动度指数(ESSDAI)评分低于对照组(P<0。05)。观察组的治疗总有效率高于对照组(P<0。05)。结论 养阴益气活血方治疗原发性干燥综合征的效果显著,可改善患者的心理状态、生活质量、睡眠质量、血清炎症因子水平及疾病活动度。
Clinical effect of Yangyin Yiqi Huoxue decoction in the treatment of patients with primary Sjogren's syndrome
Objective To explore the clinical effect of Yangyin Yiqi Huoxue decoction in the treatment of patients with primary Sjogren's syndrome.Methods A total of 100 patients with primary Sjogren's syndrome admitted from May 2021 to May 2022 were selected as the research objects.According to different treatment methods,the patients were divided into control group and observation group,with 50 cases in each group.The control group was treated with hydroxychloroquine sulfate tablets,and the observation group was treated with Yangyin Yiqi Huoxue decoction on the basis of the control group.The therapeutic effects of the two groups were compared.Results After treatment,the Self-Rating Anxiety Scale(SAS)and Self-Rating Depression Scale(SDS)scores of the observation group were lower than those of the control group(P<0.05).After treatment,the scores of social relations,physical,environmental and psychological dimensions in the observation group were significantly higher than those in the control group(P<0.05).After treatment,the Pittsburgh Sleep Quality Index(PSQI)score of the observation group was lower than that of the control group(P<0.05).After treatment,the levels of procalcitonin(PCT),hypersensitive C-reactive protein(hs-CRP),interleukin-18(IL-18)and interleukin-6(IL-6)in the observation group were lower than those in the control group(P<0.05).After treatment,the EULAR Sjgren's Syndrome Disease Activity Index(ESSDAI)score of the observation group was lower than that of the control group(P<0.05).The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).Conclusion Yangyin Yiqi Huoxue decoction has a significant effect in the treatment of primary Sjogren's syndrome,which can improve the psychological state,quality of life,sleep quality,serum inflammatory factors levels and disease activity of patients.

primary Sjogren's syndromeYangyin Yiqi Huoxue decoctionhydroxychloroquine sulfate tablet

贺雪、景丽娟、陈晴晴、吴菲雅

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上海中医药大学附属普陀医院/上海市普陀区中心医院风湿免疫科,上海,200062

上海市养志康复医院/上海市阳光康复中心/同济大学附属养志康复医院综合内科,上海,201619

原发性干燥综合征 养阴益气活血方 硫酸羟氯喹片

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(19)