世界复合医学2024,Vol.10Issue(4) :83-86.DOI:10.11966/j.issn.2095-994X.2024.10.04.21

白芍总苷与甲氨蝶呤联合应用对幼年特发性关节炎的治疗效果及安全性评估

Evaluation of the Therapeutic Effect and Safety of Total Glucosides of Paeonia Combined with Methotrexate on Juvenile Idiopathic Arthritis

杭守伟 徐达良 沈杨 何孝亮 陈登环 高雨彤 王欣荣 李娜 陈定赟
世界复合医学2024,Vol.10Issue(4) :83-86.DOI:10.11966/j.issn.2095-994X.2024.10.04.21

白芍总苷与甲氨蝶呤联合应用对幼年特发性关节炎的治疗效果及安全性评估

Evaluation of the Therapeutic Effect and Safety of Total Glucosides of Paeonia Combined with Methotrexate on Juvenile Idiopathic Arthritis

杭守伟 1徐达良 1沈杨 1何孝亮 1陈登环 1高雨彤 1王欣荣 1李娜 1陈定赟1
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作者信息

  • 1. 安徽省儿童医院儿童风湿科,安徽 合肥 230041
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摘要

目的 评估白芍总苷与甲氨蝶呤联合应用治疗幼年特发性关节炎(juvenile idiopathic ar-thritis,JIA)的疗效及安全性.方法 回顾性选取2021年10月—2023年12月在安徽省儿童医院就诊的88例JIA患儿的临床资料,以不同治疗方式分为两组,每组44例.对照组采用甲氨蝶呤治疗,联合组采用白芍总苷与甲氨蝶呤联合治疗.对比两组的治疗效果.结果 治疗后,联合组治疗总有效率(95.45%)高于对照组(79.54%),差异有统计学意义(χ2=5.091,P<0.05).治疗后,联合组炎症因子水平低于对照组,差异有统计学意义(P均<0.05).联合组不良反应发生率低于对照组,差异有统计学意义(P<0.05).结论 白芍总苷与甲氨蝶呤联合应用治疗JIA显示出优越的疗效和较好的安全性,能更有效地降低炎症因子水平,减少不良反应的发生.

Abstract

Objective To evaluate the efficacy and safety of total glucosides of paeonia combined with methotrexate in the treatment of juvenile idiopathic arthritis(JIA).Methods Clinical data of 88 children with JIA treated in Anhui Children's Hospital from October 2021 to December 2023 were retrospectively selected and divided into two groups with 44 cases in each group according to different treatment methods.The control group was treated with methotrexate,and the combination group was treated with total glucosides of Paeonia and methotrexate.The therapeutic effect of the two groups was compared.Results After treatment,the total effective rate of the combined group(95.45%)was higher than that of the control group(79.54%),and the difference was statistically significant(χ2=5.091,P<0.05).After treatment,the level of inflammatory factors in combination group were lower than that in control group,and the differences were statistically significant(all P<0.05).The incidence of adverse reactions in combination group was lower than that in control group,and the difference was statistically significant(P<0.05).Conclusion The combined therapy of total glucosides of Paeonia and metho-trexate has shown superior efficacy and safety in the treatment of JIA.can more effectively reduce the level of in-flammatory factors and reduce the occurrence of adverse reactions.

关键词

幼年特发性关节炎/白芍总苷/甲氨蝶呤/治疗效果/安全性评估

Key words

Juvenile idiopathic arthritis/Total glucosides of Paeonia/Methotrexate/Therapeutic effect/Safety assessment

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基金项目

安徽省卫生健康科研项目(AHWJ2023A20329)

出版年

2024
世界复合医学

世界复合医学

ISSN:
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