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类风湿关节炎骨代谢变化及清热解毒方药的干预作用
引用本文:郭明阳,罗勇,刘德芳,张俊,郭玲林,贠明东,晏蛟.类风湿关节炎骨代谢变化及清热解毒方药的干预作用[J].中国中医药信息杂志,2011,18(12):14-16.
作者姓名:郭明阳  罗勇  刘德芳  张俊  郭玲林  贠明东  晏蛟
作者单位:中国人民解放军成都军区总医院,四川成都,610083
摘    要:目的观察活动性类风湿关节炎(RA)骨代谢变化特点及清热解毒方药的干预作用。方法将105例活动性RA患者随机分为治疗组(54例)和对照组(51例),另选50例年龄、性别相匹配的健康体检者作为健康组。对照组以甲氨蝶呤(MTX)为基本药物,治疗组在此基础上复给予清解热毒方药—速效热痹饮,2组均治疗3个月。观察患者治疗前后疼痛关节数及程度、肿胀关节数及程度、晨僵时间、休息痛和医生对目前病.情的评估,并检查红细胞沉降率(ESR)、C反应蛋白(CRP)、骨特异性碱性磷酸酶(BAP)和抗酒石酸酸性磷酸酶(TRACP5b)。结果RA患者治疗前BAP和TRACP5b均较健康组增高(P〈0.01),治疗后治疗组BAP和TRACP5b明显下降(P〈0.05),对照组虽也呈下降趋势,但无统计学意义(P〉0.05)。治疗后2组BAP和TRACP5b差异具有统计学意义(P〈0.05)。结论活动性RA骨形成和骨吸收均表现为亢进,但以骨吸收为主。清热解毒方药能降低BAP和TRACP5b等骨代谢指标,表现为对骨破坏的抑制作用。

关 键 词:类风湿关节炎  清热解毒  骨特异性碱性磷酸酶  抗酒石酸酸性磷酸酶

Bone Metabolism of Rheumatoid Arthritis and Intervention of Heat-clearing and Toxicity-reliving Drug
GUO Ming-yang , LUO Yong , LIU De-fang , ZHANG Jun , GUO Ling-lin , YUAN Ming-dong , YAN Jiao.Bone Metabolism of Rheumatoid Arthritis and Intervention of Heat-clearing and Toxicity-reliving Drug[J].Chinese Journal of Information on Traditional Chinese Medicine,2011,18(12):14-16.
Authors:GUO Ming-yang  LUO Yong  LIU De-fang  ZHANG Jun  GUO Ling-lin  YUAN Ming-dong  YAN Jiao
Institution:GUO Ming-yang,LUO Yong,LIU De-fang,ZHANG Jun,GUO Ling-lin,YUAN Ming-dong,YAN Jiao(Chengdu Military Hospital,Chengdu 610083,China)
Abstract:Objective To observe the characteristics of bone metabolism of activity rheumatoid arthritis(RA) and the intervention of heat-clearing and toxicity-reliving drug.Methods One hundred and five cases of activity RA was randomly divided into treatment group(n=54) and control group(n=51).In addition,50 healthy controls matched in age and sex were as healthy group.The control group used MTX as basic medicine,while the treatment group was given heat-clearing and toxicity-reliving herbs-quick acting potion for heat...
Keywords:rheumatoid arthritis  heat-clearing and toxicity-reliving  BAP  TRACP5b  
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