首页|白芍总苷联合甲氨蝶呤治疗幼年型特发性关节炎的效果

白芍总苷联合甲氨蝶呤治疗幼年型特发性关节炎的效果

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目的:探究白芍总苷联合甲氨蝶呤治疗幼年型特发性关节炎(JIA)的效果.方法:回顾性收集 2021 年 4 月—2023 年 4 月在福建省福州儿童医院治疗的 80 例JIA患儿的临床资料,根据治疗方案法将其分为参照组(予甲氨蝶呤治疗)及研究组(予以甲氨蝶呤+白芍总苷治疗),各 40 例.对比两组临床疗效、临床症状(关节压痛评分、关节肿胀评分、晨僵时间)、Th1、Th2 细胞、Th1/Th2、肿瘤坏死因子-α(TNF-α)、红细胞沉降率(ESR)、类风湿因子(RF)、不良反应.结果:研究组总有效率高于参照组,差异有统计学意义(P<0.05).治疗后,研究组关节压痛评分、关节肿胀评分均低于参照组,晨僵时间短于参照组,差异均有统计学意义(P<0.05).治疗后,研究组Th1 细胞、Th1/Th2 均较参照组低,Th2 细胞较参照组高,差异均有统计学意义(P<0.05).治疗后,研究组TNF-α、ESR、RF均低于参照组,差异均有统计学意义(P<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:JIA患儿接受白芍总苷联合甲氨蝶呤治疗,可改善临床症状、Th1、Th2 细胞漂移,减轻炎症反应,安全性较高.
Effect of Total Glucosides of White Paeony Combined with Methotrexate in the Treatment of Juvenile Idiopathic Arthritis
Objective:To explore the effect of Total Glucosides of White Paeony combined with Methotrexate in the treatment of juvenile idiopathic arthritis(JIA).Method:Clinical data of 80 children with JIA treated in Fuzhou Children's Hospital of Fujian Province from April 2021 to April 2023 were retrospectively collected,and they were divided into the reference group(treated with Methotrexate)and the study group(treated with Methotrexate + Total Glucosides of White Paeony)according to treatment regimen,with 40 cases each group.The clinical efficacy,clinical symptoms(number of joint tenderness,number of joint swelling,morning stiffness time),Th1,Th2 cell,Th1/Th2,tumor necrosis fact-α(TNF-α),erythrocyte sedimentation rate(ESR),rheumatoid factor(RF)and adverse reactions were compared between the two groups.Result:The total effective rate of the study group was higher than that of the reference group,the difference was statistically significant(P<0.05).After treatment,the scores of joint tenderness and joint swelling in the study group were higher than those in the reference group,and the morning stiffness time was longer than that in the reference group,the differences were statistically significant(P<0.05).After treatment,Th1 cell and Th1/Th2 in the study group were lower than those in the reference group,and Th2 cell was higher than that in the reference group,the differences were statistically significant(P<0.05).After treatment,TNF-α,ESR and RF in the study group were lower than those in the reference group,the differences were statistically significant(P<0.05).There was no significant difference in the incidence of adverse reaction between the two groups(P>0.05).Conclusion:Children with JIA receive Total Glucosides of White Paeony combined with Methotrexate can improve clinical symptoms,Th1,Th2 cell drift,reduce inflammatory reaction,and has high safety.

Total Glucosides of White PaeonyMethotrexateJuvenile idiopathic arthritis

朱绍会、叶芬、高冬燕、闫威

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福建省福州儿童医院风湿免疫科 福建 福州 350100

白芍总苷 甲氨蝶呤 幼年型特发性关节炎

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(10)
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