六味地黄汤加味治疗强直性脊柱炎的临床研究

目的观察六味地黄汤加味治疗肝肾不足、湿热痹阻型强直性脊柱炎(AS)的疗效和安全性。方法本研究采用临床随机对照试验方法。将64例符合标准的患者随机分成两组。治疗组:32例,口服六味地黄汤加味;对照组:32例,口服甲氨喋呤+柳氮磺吡啶,两组疗程均为3个月。结果经治疗,两组晨僵持续时间、Schober实验、胸廓扩张度、血沉(ESR)及C反应蛋白(CRP)等指标较治疗前均显著降低(P<0.05),并且治疗组改善程度明显大于对照组(P<0.05);治疗组不良反应发生率明显少于对照组(P<0.05)。结论六味地黄汤加味是治疗肝肾不足、湿热痹阻型强直性脊柱炎安全而有效的方法。

Clinical Study of Liuwei Dihuang Tang for the Treatment of Ankylosing Spondylitis

Objective To observe the efficacy and safety of liuwei dihuang tang for the treatment of ankylosing spondylitis with syndrome of deficiency of the liver and kidney and internal retention of damp-heat.Methods According to randomized controlled trial,64 patients with ankylosing spondylitis were randomly divided into two groups: the experimental group (32 cases) was orally administrated with liuwei dihuang tang;the control group (32 cases) with MTX + SASP,the therapeutic course for both groups was 3 months.Results After treatment,there was significant improvement in indexes (including duration of morning stiffness,schober test,chest expansion,erythrocyte sedimentation rate (ESR),C reaction protein (CRP)) in both groups as compared with baseline (P <0.05),and the above indexes improved better in experiment group than those in the control group (P <0.05);the side-effect rate was significantly lower in experiment group than that in control group (P <0.05).Conclusion Liuwei dihuang tang is a safe and effective method for ankylosing spondylitis.