首页|清热祛风汤联合依那西普和来氟米特治疗类风湿性关节炎患者的效果观察

清热祛风汤联合依那西普和来氟米特治疗类风湿性关节炎患者的效果观察

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目的:探讨清热祛风汤联合依那西普和来氟米特治疗类风湿性关节炎患者的临床价值。方法:选取烟台市莱阳中心医院 2021年 4月—2024年 3月收治的 80例类风湿性关节炎患者为研究对象,按照随机数字表法将其分为对照组和研究组,各 40例。对照组采用依那西普和来氟米特治疗,研究组在对照组基础上采用清热祛风汤治疗,两组均持续治疗12周。比较两组临床体征的量化结果、疾病活动相关指标、骨代谢指标、临床治疗效果及不良反应发生情况。结果:治疗后,研究组关节肿胀、关节压痛与疼痛视觉模拟评分均低于对照组,晨僵时间短于对照组,差异均有统计学意义(P<0。05)。治疗后,研究组红细胞沉降率、C反应蛋白、类风湿因子水平均低于对照组,骨碱性磷酸酶、骨钙素水平均高于对照组,差异均有统计学意义(P<0。05)。研究组治疗总有效率 92。50%高于对照组的 72。50%,差异有统计学意义(P<0。05)。两组治疗期间不良反应发生率分别为 15。00%、10。00%,差异无统计学意义(P>0。05)。结论:清热祛风汤联合依那西普和来氟米特治疗类风湿性关节炎患者,可改善患者的临床体征与治疗效果,且有利于调节类风湿因子、骨代谢等相关指标的表达水平,安全性较好。
Effect of Qingre Qufeng Decoction Combined with Etanercept and Leflunomide on Patients with Rheumatoid Arthritis
Objective:To investigate the clinical value of Qingre Qufeng Decoction combined with Etanercept and Leflunomide in the treatment of patients with rheumatoid arthritis.Methods:A total of 80 patients with rheumatoid arthritis admitted to Laiyang Central Hospital from April 2021 to March 2024 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 40 cases in each group.The control group was treated with Etanercept and Leflunomide,and the study group was treated with Qingre Qufeng Decoction on the basis of the control group.Both groups were treated for 12 weeks.The quantitative results of clinical signs,disease activity related indexes,bone metabolism indexes,clinical therapeutic effects and adverse reactions were compared between the two groups.Results:After treatment,the scores of joint swelling,joint tenderness and visual simulation of pain in the study group were lower than those in the control group,and the morning stiffness time was shorter than that in the control group,with statistical significance(P<0.05).After treatment,the erythrocyte sedimentation rate,C-reactive protein and rheumatoid factor levels of the study group were lower than those of the control group,and the bone alkaline phosphatase and osteocalcin levels were higher than those of the control group,with statistical significance(P<0.05).The total effective rate of the study group was 92.50%,higher than 72.50%of the control group,the difference was statistically significant(P<0.05).There was no significant difference in the incident of adverse reactions between the two groups was 15.00%,10.00%,respectively(P>0.05).Conclusion:Qingre Qufeng Decoction combined with Etanercept and Leflunomide in the treatment of rheumatoid arthritis patients can improve the clinical signs and therapeutic effects of patients,and is beneficial to regulate the expression levels of rheumatoid factors,bone metabolism and other related indicators,with good safety.

Rheumatoid arthritisQingre Qufeng DecoctionIntegration of traditional Chinese and western medicineClinical signsDisease activity

王莉莉、刘海军、刁永红、张新慧

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山东省烟台市莱阳中心医院风湿免疫科,山东 烟台 264000

山东省烟台市莱阳中心医院中医科,山东 烟台 264000

类风湿性关节炎 清热祛风汤 中西医结合 临床体征 疾病活动度

2024

中国伤残医学
中国康复医学会,黑龙江省截瘫研究所

中国伤残医学

影响因子:0.451
ISSN:1673-6567
年,卷(期):2024.32(19)