首页|补肾活血汤治疗膝骨关节炎(肾虚血瘀证)的临床研究

补肾活血汤治疗膝骨关节炎(肾虚血瘀证)的临床研究

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目的::观察补肾活血汤治疗膝关节骨性关节炎(肾虚血瘀证)的临床疗效和安全性。方法:将膝骨关节炎患者80例随机分为补肾活血汤组(观察组)40例与硫酸氨基葡萄糖组(对照组)进行比较研究。观察患者治疗前后临床症状的改善、W0MAC和中医肾虚血瘀证候评分及关节液中炎症因子水平的变化。结果:(1)观察组临床疗效优于对照组(P<0.05);(2)两组治疗后疼痛、功能、总W0MAC等积分均较治疗前降低(P<0.05),且观察组改善优于对照组(P<0.05);(3)两组治疗后肾虚、血瘀、舌脉、总评分均较治疗前降低(P<0.05),且观察组改善优于对照组(P<0.05)。(4)两组治疗后肿瘤坏死因子-α(TNF- a)、白细胞介素-1β(IL-1β)、白细胞介素-8(IL-8)含量均较治疗前降低(P<0.05);白细胞介素-10(IL-10)均较治疗前升高(P<0.05),两组比较差异无统计学意义(P>0.05)。(5)在治疗过程中,观察组无严重不良反应发生。结论:补肾活血汤治疗膝骨关节炎安全、有效。
Abstrac:Objective; The clinical efficacy.and safty Of BuShen HuoXue Soup in the treatment of knee osteoarthritis (syndrome of kidney essence defi-ciency) was observed.Methods:80 patients with knee osteoarthritis were randomly divided into 40cases of BuShen HuoXue Soup group (observation group) and 40 cases of glucosamine sulfate (control group). The changes before and after treatment in patients with clinical symptoms, W0MAC and TCM Syndrome Kidney Blood score,Tumor necrosis factor- a,interleukin- 1β,interleukin- 8,interleukin- 10 level were.observed.Results:(1) the clinical curative ef ect of the observation group was better than the control group (P<0.05).(2) The ?score of pain,function,W0MAC,etc.have been decreased than before?(P<0.05),?the im-provement in observation group was better than control (P<0.05).(3) The kidney deficiency,?blood stasis,?tongue and pulse,?total?scores have been decreased than before? (P<0.05), the improvement in observation group was better than control (P<0.05). (4) Tumor necrosis factor- a (TNF- a),interleukin- 1β(IL- 1β),interleukin- 8(IL- 8)in two groups decreased after treatment (P<0.05),interleukin- 10(IL- 10)content of two groups increased (P<0.05),but no statistical differences(P>0.05).(5) No serious adverse reactions were observed in the observation group during treatment. Conclusion:BuShen HuoXue Soup is safe and effective in treating knee osteoarthritis.

knee osteoarthritisKidney deficiency and blood stasisBuShen HuoXue SoupTNF- aIL- 1βIL- 8IL- 10

罗振华、郭彦涛、杨少锋、邓博、聂颖

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湖南中医药大学第一附属医院 410208

膝骨关节炎 肾虚血瘀 补肾活血汤 肿瘤坏死因子-α 白细胞介素-1β 白细胞介素-8 白细胞介素-10

2015

延边医学

延边医学

ISSN:
年,卷(期):2015.(13)
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