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桂枝芍药知母汤联合甲氨蝶呤片对类风湿关节炎患者免疫功能的影响
作者姓名:周海珍  彭喜娜  王娟
作者单位:镇平县人民医院中医科;南阳市中医院肿瘤科;南阳市中医院老年病科
摘    要:目的 探讨桂枝芍药知母汤联合甲氨蝶呤片对类风湿关节炎(RA)患者免疫功能的影响.方法 选取2019年1月至2021年2月收治的100例RA患者作为研究对象,随机将其分为对照组和观察组,各50例.对照组采取常规治疗、口服甲氨蝶呤片,观察组在对照组基础上给予桂枝芍药知母汤.比较两组患者的临床效果.结果 观察组的治疗总有效率...

关 键 词:桂枝芍药知母汤  甲氨蝶呤片  类风湿关节炎

Effect of Guizhi Shaoyao Zhimu decoction combined with methotrexate tablets on immune function in patients with rheumatoid arthritis
Authors:ZHOU Haizhen  PENG Xina  WANG Juan
Institution:(Traditional Chinese Medicine Department,Zhenping People's Hospital,Nanyang 474250;Oncology Department,Nanyang TCM Hospital,Nanyang 473000;Geriatrics Department,Nanyang TCM Hospital,Nanyang 473000,China)
Abstract:Objective To investigate the effect of Guizhi Shaoyao Zhimu decoction combined with methotrexate tablets on immune function in patients with rheumatoid arthritis(RA).Methods A total of 100 patients with RA treated from January 2019 to February 2021 were selected as the research objects.The patients were randomly divided into control group and observation group,with 50 cases in each group.The control group received routine treatment and oral methotrexate tablets,and the observation group was given Guizhi Shaoyao Zhimu decoction on the basis of the control group.The clinical effect of the two groups was compared.Results The total effective rate of treatment in the observation group was higher than that in the control group(P<0.05).After treatment,the VAS,FMA and AIMS2-SF scores in the two groups improved,and those in the observation group were better than the control group(P<0.05).After treatment,the TCM syndrome scores in the two groups decreased,and those in the observation group were lower than the control group(P<0.05).After treatment,the levels of CRP,RF,anti-CCP antibodies,IL-1β,IL-17,TNF-αin the two groups decreased,and those in the observation group were lower than the control group(P<0.05).Conclusion The Guizhi Shaoyao Zhimu decoction combined with methotrexate tablets in the treatment of RA patients has a significant clinical effect,and it can improve the immune function of patients.
Keywords:Guizhi Shaoyao Zhimu decoction  methotrexate tablets  rheumatoid arthritis
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