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中药熏蒸联合推拿手法对膝关节类风湿关节炎的疗效分析
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作者 王志朝 王宝红 《大医生》 2021年第6期88-90,共3页
目的探究中药熏蒸联合推拿手法对膝关节类风湿关节炎的疗效。方法选取2019年6月至2020年9月庆阳市第二人民医院收治的94例膝关节类风湿关节炎患者为研究对象,依据随机数字表法分为对照组和观察组,各47例。对照组采用基础药物治疗联合中... 目的探究中药熏蒸联合推拿手法对膝关节类风湿关节炎的疗效。方法选取2019年6月至2020年9月庆阳市第二人民医院收治的94例膝关节类风湿关节炎患者为研究对象,依据随机数字表法分为对照组和观察组,各47例。对照组采用基础药物治疗联合中药熏蒸方式,观察组在对照组基础上采用中药熏蒸联合推拿手法治疗。比较两组患者治疗效果、疼痛视觉模拟(VAS)评分和膝关节功能评分。结果两组患者治疗2周后、2个月后和4个月后疼痛视觉模拟评分和膝关节功能评分均低于治疗前,且在各时间段观察组两项评分均低于对照组,差异有统计学意义(P<0.05)。观察组患者治疗总有效率高于对照组,差异有统计学意义(P<0.05)。结论采用中药熏蒸联合推拿手法治疗膝关节类风湿关节炎能够有效促进患者膝关节功能恢复,降低疼痛程度,且具有较高的治疗效果。 展开更多
关键词 类风湿关节炎 中药熏蒸 推拿手法 炎性滑膜
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类风湿性关节炎膝关节病变的X线影像学研究 被引量:12
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作者 胡敬宏 刘秀华 顾雯烨 《上海医药》 CAS 2017年第22期18-20,共3页
目的 :分析类风湿性关节炎(RA)膝关节病变的X线影像学特征,以提高诊断正确率。方法 :收集2015年2月至2017年2月收治的RA患者52例和骨关节炎患者45例,进行X线摄片,分析两组膝关节病变的影像学特征。结果 :RA组中,关节间隙呈均匀性狭窄47... 目的 :分析类风湿性关节炎(RA)膝关节病变的X线影像学特征,以提高诊断正确率。方法 :收集2015年2月至2017年2月收治的RA患者52例和骨关节炎患者45例,进行X线摄片,分析两组膝关节病变的影像学特征。结果 :RA组中,关节间隙呈均匀性狭窄47例(90.4%),髌上囊肿胀41例(78.8%),关节面毛糙、关节面不同程度侵蚀破坏22例,关节周缘轻度骨质增生43例,明显重度增生、骨赘形成5例,未见明显骨质增生4例,52例均有不同程度骨质疏松。OA组中,关节间隙呈均匀性狭窄5例(11.1%),髌上囊肿胀16例(35.6%),关节面下小囊性改变7例,45例有不同程度骨质增生、骨赘形成改变。两组关节间隙均匀狭窄及髌上囊肿胀改变发生率差异有统计学意义(P<0.05)。结论 :RA膝关节病变的X线影像学表现具有一定特征性,尤其是关节间隙均匀性狭窄、髌上囊肿胀及关节面侵蚀的改变在鉴别RA和OA的诊断中有重要价值。 展开更多
关键词 类风湿性关节炎 骨关节炎 膝关节 X线
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A novel tumor-suppressor candidate gene-ndr2 is differentially expressed between osteoarthritis synovium cells and rheumatoid arthritis synovium fibroblasts
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作者 邓艳春 王吉村 +1 位作者 刘新平 药立波 《Journal of Medical Colleges of PLA(China)》 CAS 2004年第6期342-345,共4页
Objective: To test whether the novel tumor-suppressor candidate gene-ndr2 is also differentially expressed between osteoarthritis synovium cells (OASC) and rheumatoid arthritis synovium fibroblasts (RASF), and whether... Objective: To test whether the novel tumor-suppressor candidate gene-ndr2 is also differentially expressed between osteoarthritis synovium cells (OASC) and rheumatoid arthritis synovium fibroblasts (RASF), and whether ndr2 can suppress the growth of RASF in vitro. Methods: Dot blotting, cell culture and gene transfection, cell cycle analysis techniques were applied to investigate the effect of ndr2 on the cell phenotype and cell cycles. Results: ndr2 is expressed in OASC but absent in RASF. Transient transfection of ndr2 into RASF can suppress the growth of RASF from phenotype observation. Cell cycle analysis showed that apoptotic peaks can be detected in RASF cells transfected with ndr2 gene. Conclusion: Novel tumor suppressor candidate ndr2 is not only differentially expressed between OASC and RASF but also can induce the apoptosis of RASF in vitro. 展开更多
关键词 ndr2 rheumatoid arthritis synovium flbroblasts differential expression gene
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关节镜下治疗原发性冻结肩的疗效及并发症风险分析
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作者 吴常杰 李英祥 +3 位作者 闫帮楷 赵新动 李之红 冯小兵 《医学信息》 2021年第22期1-3,共3页
目的评估关节镜下治疗原发性冻结肩的疗效,并分析相关的并发症风险。方法纳入2018年3月-2020年3月新疆生产建设兵团第六师奇台医院首诊的原发性冻结肩患者69例,采用随机数字表法分为对照组34例和手术组35例。对照组采用关节腔内注射糖... 目的评估关节镜下治疗原发性冻结肩的疗效,并分析相关的并发症风险。方法纳入2018年3月-2020年3月新疆生产建设兵团第六师奇台医院首诊的原发性冻结肩患者69例,采用随机数字表法分为对照组34例和手术组35例。对照组采用关节腔内注射糖皮质激素,手术组采用关节镜下切除肩关节腔内增生的炎性滑膜,松解肩袖间隙及相关韧带,两组术后均进行功能锻炼,并随访术前、术后1周、术后1、3、6个月、1年肩关节Neer评分,分析术后并发症发生的影响因素。结果手术组和对照组术后1周、1、3、6个月、1年Neer评分逐渐升高,差异有统计学意义(P<0.05);手术组和对照组术前Neer评分比较,差异无统计学意义(P>0.05);手术组术后1周、1、3、6个月、1年Neer评分均高于对照组,差异有统计学意义(P<0.05);手术组并发症发生率为17.14%,发生并发症患者年龄大于未发生并发症患者,病程长于未发生并发症患者,差异有统计学意义(P<0.05);两者性别、BMI、文化程度、吸烟史、患病部位比较,差异无统计学意义(P>0.05);多元线性回归分析显示,年龄是影响关节镜下治疗原发性冻结肩术后并发症的独立危险因素(P<0.05)。结论关节镜较传统方法治疗原发性冻结肩的疗效确切,但年龄较大患者更容易发生术后并发症,对于该高危人群应给予更多的关注。 展开更多
关键词 冻结肩 关节镜 糖皮质激素 炎性滑膜
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Influence of moxibustion at “Shènshù” (肾俞 BL 23) and “Zúsānlǐ ” (足三里 ST 36) on Ras-MAPK signal pathways in synovial tissues of rats with experimental rheumatoid arthritis 被引量:20
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作者 姚剑 胡玲 +4 位作者 宋小鸽 郑保主 周峰 张成 CHEN Zheng-qiu 《World Journal of Acupuncture-Moxibustion》 2013年第2期29-33,共5页
Objective To observe influence of moxibustion at "Shenshu" (肾俞BL 23) and "Zusanli" (足三里 ST 36) on proteins expression of Ras, ERKI/2, and Raf in synovial tissues in rats with rheumatoid arthritis (RA) t... Objective To observe influence of moxibustion at "Shenshu" (肾俞BL 23) and "Zusanli" (足三里 ST 36) on proteins expression of Ras, ERKI/2, and Raf in synovial tissues in rats with rheumatoid arthritis (RA) to elucidate molecular mechanisms of moxibustion on treating RA. Methods Thirty Wistar rats were randomly divided into a normal control group (Group Cont), a model group (Group Mod) and a moxibustion group (Group Mox) with 10 rats in each group. The model was established by using both environmental factors such as wind, cold and damp and a biological factor (Freund's complete adjuvant). Suspended moxibustion was applied at bilateral BL 23 and ST 36 for 20 min, applied once daily for 15 days, starting from the 3rd day after modeling. Volumes of metaleg digiti pedis on the right side were measured before, after and 15 days after modeling. Protein expressions of Ras, ERK 1/2, p-ERKI/2 and Raf in synovium tissues were detected by western blot. Results After modeling, volumes of metaleg digiti pedis on the right side were significantly enlarged, compared with those of rats in Group Cont (P〈0.01). After treatment by moxibustion for 15 days, the metatarsale girth of metaleg digiti pedis on the right side in Group Mox was significantly reduced, compared with that in Group Mod (P〈0.01). Protein expressions of Ras, Raf, ERK1/2 and p-ERK1/2 in Group Mod were significantly increased, compared with those in Group Cont (P〈0.01) and Group Mox (P〈0.01). Protein expressions of Ras, Raf, ERK1/2 and p-ERK1/2 in Group Mox were significantly lowered, compared with those in Group Mod (all P〈0.01). Conclusions Moxibustion can suppress excessive protein expressions of Ras, Raf and ERK1/2 in synovium tissues of rats with experimental RA to inhibit abnormal activation of Ras-MAPK signal Pathway, which may be one of the molecular mechanisms of moxibustion in alleviating synovitis. 展开更多
关键词 rheumatoid arthritis SYNOVITIS MOXIBUSTION signal pathway
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The effects of sodium hyaluronate on mRNA expressions of matrix metalloproteinase-1,-3 and tissue inhibitor of metalloproteinase-1 in cartilage and synovium of traumatic osteoarthritis model 被引量:3
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作者 邱波 刘世清 +1 位作者 彭昊 王海斌 《Chinese Journal of Traumatology》 CAS 2005年第1期8-12,共5页
Objective: To observe the influence of intra-articular injection of sodium hyaluronate (HA) on the mRNA expressions of matrix metalloproteinase-1,-3 (MMP-1,-3) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in c... Objective: To observe the influence of intra-articular injection of sodium hyaluronate (HA) on the mRNA expressions of matrix metalloproteinase-1,-3 (MMP-1,-3) and tissue inhibitor of metalloproteinase-1 (TIMP-1) in cartilage and synovium of traumatic osteoarthritis (OA).Methods: Sixteen white rabbits underwent unilateral anterior cruciate ligament transection (ACLT) were divided into 2 groups randomly 5 weeks after transection. The experimental group rabbits received 0.3 ml of 1% HA by intra-articular injection once a week. Animals in the control group were treated under the same conditions using physiological saline. Ten weeks following surgery, cartilage and synovium were harvested. The mRNA expressions of MMP-1, MMP-3 and TIMP-1 were analyzed using reverse transcription-polymerase chain reaction (RT-PCR).Results: In synovium, the mRNA expression of MMP-3 was suppressed in the HA injection group. HA treatment had no effect on the MMP-3 expression in cartilage. No significant difference of MMP-1 and TIMP-1 expressions in cartilage and synovium was found between the HA injection group and the control group.Conclusions: One of the mechanisms of the therapeutic effect of HA may be the inhibition of expression of MMP-3 in synovium during early stage of traumatic OA. 展开更多
关键词 OSTEOARTHRITIS Matrix metalloproteinase METALLOPROTEINASES Sodium hyaluronate
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