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自拟痛风康复方联合糖皮质激素对痛风急性发作期患者疗效及关节功能的影响探讨

The Discussion on the Effect of Self-proposed Gout Rehabilitation Formula Combined with Glucocorticoid on the Efficacy and Joint Function of Patients with Gout in Acute Exacerbation Stage
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摘要 目的研究自拟痛风康复方联合糖皮质激素对痛风急性发作期患者疗效及关节功能的影响。方法择选2020年4月至2023年4月本院痛风急性发作期患者,共80例,按照统计学随机法将其分为对照组、实验组,各40例,对照组应用糖皮质激素治疗,实验组除此外加用自拟痛风康复方治疗。对比两组疗效,观察两组治疗前、后西医症状积分、中医症候评分、关节功能评分、关节疼痛评分以及白介素-8(IL-8)、白介素-12(IL-12)水平。结果治疗后,实验组治疗总有效率比对照组高(P<0.05),西医症状积分、中医症候评分、关节功能评分、关节疼痛评分以及IL-8、IL-12水平均比对照组低(P<0.05)。结论自拟痛风康复方联合糖皮质激素利于增强痛风急性发作期患者疗效,改善疾病症状及关节功能,减轻关节疼痛,并抑制炎症因子水平。 Objective To study effects of self-prepared gout rehabilitation formula combined with glucocorticoid on the therapeutic effect and joint function of patients with acute exacerbation of gout.Methods From April,2020 to April,2023,a total of 80 patients with acute gout attack were selected and divided into the control group and experimental group,each with 40 cases according to the statistical randomization method.The control group was treated with glucocorticoid,while the experimental group was treated with the self-proposed gout rehabilitation formula.We compared the efficacy of the two groups.We also observed several related indexes,including the western medicine symptom score,Chinese medicine symptom score,joint function score,joint pain score and interleukin-8(IL-8),as well as interleukin-12(IL-12)levels before and after treatment.Results After the treatment,the total effective rate of treatment in the experimental group was higher than that in the control group(P<0.05),while the western medicine symptom score,Chinese medicine symptom score,joint function score,joint pain score,as well as IL-8 and IL-12 levels were all lower than those in the control group(P<0.05).Conclusion Self-formulated gout rehabilitation formula combined with glucocorticoids can be beneficial to enhance the efficacy of patients with acute gout attack,improve disease symptoms and joint function,reduce joint pain,and inhibit levels of inflammatory factors.
作者 王璐瑶 王贵红 陆带果 李雪玲 李然 WANG Luyao;WANG Guihong;LU Daiguo;LI Xueling;LI Ran(Anqing Municipal Hospital,Anqing 246003,China)
机构地区 安庆市立医院
出处 《标记免疫分析与临床》 CAS 2024年第4期638-641,780,共5页 Labeled Immunoassays and Clinical Medicine
基金 2020年度安徽医科大学校科研基金项目-痛风与冠状动脉钙化程度的研究(编号:2020xkj069) 2022年度安徽高校自然科学研究项目-活化过氧化物酶增殖物激活受体γ调控Toll样受体与炎症小体通路抑制痛风急性发作分子机制(编号:2022AH040324)。
关键词 自拟痛风康复方 糖皮质激素 痛风急性发作期 关节功能 疗效 Self-designed gout rehabilitation formula Glucocorticoids Acute gout attack Joint function Efficacy
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