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当归拈痛汤加减联合甲氨蝶呤治疗类风湿关节炎的随机对照研究

葛林 石志敏

中医药学报2017,Vol.45Issue(2):84-86,3.
中医药学报2017,Vol.45Issue(2):84-86,3.

当归拈痛汤加减联合甲氨蝶呤治疗类风湿关节炎的随机对照研究

Randomized Controlled Study of Danggui Niantong Decoction Combined with Methotrexate in the Treatment of Rheumatoid Arthritis

葛林 1石志敏1

作者信息

  • 1. 唐山市中医医院,河北唐山063000
  • 折叠

摘要

Abstract

Objective:To observe the effect of Danggui Niantong decoction combined with methotrexate in the treatment of rheumatoid arthritis (RA) and the influence on serum IL-1,IL-6,TNF-α.Methods:80 cases of patients with active rheumatoid arthritis were randomly divided into a treatment group and a control group.In the treatment group 40 cases were treated by Danggui Niantong decoction combined with methotrexate therapy,and in the control group 40 cases were treated by methotrexate for the treatment.After 3 months of the treatment,the clinical efficacy and the effect on IL-1,IL-6 and TNF-α in serum were observed.Results:After treatment,in the treatment group the total effective rate was 90.00%,and in the control group the total efficiency was 70.00%.In two groups before and after treatment the serums IL-1,IL-6,TNF-α were statistically significant (P < 0.05) After treatment in the treatment group the serums IL-1,IL-6,TNF-α were more significantly reduced,with a significant difference compared with those in the control group (P < 0.05).Conclusion:Danggui Niantong decoction combined with methotrexate can reduce serum IL-1,IL-6 and TNF-α levels of rheumatoid arthritis at active stage,and can significantly improve the clinical efficacy,which is worthy of further promotion.

关键词

当归拈痛汤/甲氨蝶呤/类风湿关节炎/活动期

Key words

Danggui Niantong decoction/Methotrexate/Rheumatoid arthritis/Activity

分类

医药卫生

引用本文复制引用

葛林,石志敏..当归拈痛汤加减联合甲氨蝶呤治疗类风湿关节炎的随机对照研究[J].中医药学报,2017,45(2):84-86,3.

基金项目

2015年度河北省中医药管理局科研计划课题(2015241) (2015241)

中医药学报

1002-2392

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