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独活寄生汤治疗骨性关节炎的效果观察及药理机制分析

孙洁,汪霞,姚秋红   

  1. 北京丰盛中医骨伤专科医院,北京中医药大学东直门医院,北京中医药大学东直门医院
  • 收稿日期:2018-08-14 修回日期:2018-08-14 出版日期:2018-10-25 发布日期:2018-10-25

A Study on Clinical Observation of Angelicae Pubescentis and Loranhti Decoction in the Treatment of Osteoarthritis

  1. Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics,Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics,Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orth
  • Received:2018-08-14 Revised:2018-08-14 Online:2018-10-25 Published:2018-10-25

摘要: 目的:评价独活寄生汤治疗骨性关节炎的效果观察及药理机制。方法:选取我院在2016年12月至2018年1月期间收治的骨性关节炎患者86例作为研究对象,随机分为两组,其中对照组43例,采用塞来昔布胶囊治疗,口服,每次200 mg,每天1次;观察组43例,采用独活寄生汤治疗,每次取药汁300 mL,分早晚2次服用,每次150 mL;两组患者连续治疗1个月,比较两组患者治疗效果及中医症候评分变化情况。结果:观察组总有效率为93.02%,高于对照组的总有效率72.09%,差异具有统计学意义(P<0.05);观察组治疗后中医症候评分明显低于对照组,差异具有统计学意义(P<0.05) 结论:独活寄生汤治疗骨性关节炎效果显著,患者关节功能恢复良好,值得临床推广使用。

Abstract: A Study on Clinical Observation of Angelicae Pubescentis and loranhti Decoction in the Treatment of Osteoarthritis and its Pharmacological Mechanism#$NLSun Hao, Beijing Fengsheng Special Hospital of Traditional Medical Traumatology and Orthopaedics (Beijing, 100031)#$NLWang Xia, Yao Qiuhong, Dongzhimen Hospital Beijing University of Chinese Medicine, (Beijing, 100031)#$NL: Objective: To evaluate the clinical effect of angelicae pubescentis and loranhti decoction in the treatment of osteoarthritis and its pharmacological mechanism. Methods: 86 patients with the osteoarthritis treated in this hospital from December 2016 to January 2018 were selected as the subjects and they were randomly divided into two groups using the double blind method. 43 patients in the control group were given the oral administration of celecoxib capsule, 200mg at a time and once a day; 43 patients in the observation group were given the treatment of angelicae pubescentis and loranhti decoction, 300ml of medicine soup twice a day in the morning and in the evening and 150ml at a time. Patients in two groups were given the continuous treatment for 1 month. The clinical effect and the change in TCM syndrome score of patients in two groups were compared. Results: The total effective rate of the observation group was 93.02%, which was higher than 72.09% of the control one, with the significant difference (P<0.05); the TCM syndrome score of the observation group after the treatment was significantly lower than the one of the control group, with the significant difference (P<0.05). Conclusion: Angelicae pubescentis and loranhti Decoction has the significant clinical effect in the treatment of osteoarthritis and patients’ joint function can be recovered well, which is worthy of clinical promotion and application.#$NLKeywords: Angelicae Pubescentis and loranhti Decoction; Osteoarthritis; Pharmacological Mechanism; Celecoxib