热痹丸治疗风湿性关节炎86例

目的观察热痹丸对风湿性关节炎患者的临床疗效。方法选择118例风湿性关节炎患者，中医辩证均为热痹；随机分为治疗组86例，对照组32例，两组患者均采用常规的口服抗风湿病药物治疗，其中治疗组加用热痹丸，经中医辩证后，加减药量（一般3．0～6．0g），Bid，连用6周。结果治疗组（热痹丸组）临床总有效率为97．7％，ASO总有效率为98．8％，对照组分别为71．9％和62．5％，两组比较差异有显著性（P〈0．05）。结论热痹丸具有清热、凉血、消炎，消除中部关节红肿热痛等临床症状、阳性体征和降低ESR、ASO作用。

热痹丸治疗风湿性关节炎86例

目的观察热痹丸对风湿性关节炎患者的临床疗效及其对血沉（ESR）和抗O（ASO）水平的影响。方法选择118例风湿性关节炎患者,中医辩证均为热痹。随机分为两组（治疗组86例,对照组32例）,两组患者均采用常规的口服抗风湿病药物治疗,其中治疗组加用热痹丸,经中医辩证后,加减药量（一般3.0-6.0g）日两次,连用6周。结果治疗组总有效率为97.7%,ASO总有效率为98.8%,对照组分别为71.9%和62.5%,两组比较差异有显著性（P〈0.05）,治疗组比对照组降低ESR更明显。结论热痹丸具有清热、凉血、消炎,消除中部关节红肿热痛等临床症状、阳性体征和降低ESR、ASO作用。

Development of ulcerative colitis during the course of rheumatoid arthritis: Association with selective IgA deficiency

A 56-year-old woman with a 29-year history of rheumatoid arthritis （RA） was admitted to the hospital, complaining of high fever, abdominal pain and severe bloody diarrhea. Colonoscopy revealed friable and edematous mucosa with spontaneous bleeding, diffuse erosions and ulcers extending from the rectum to the distal transverse colon. Histopathological findings of rectal biopsies were compatible with ulcerative colitis （UC）. Being diagnosed as having severe active leftside UC, she was successfully treated with intravenous methylprednisolone followed by prednisolone and leukocytapheresis. Laboratory tests revealed low serum and saliva IgA levels, which might play a role in the development of UC. To our knowledge, this is the first case of UC occurring during the course of RA, accompanied by selective IgA deficiency.

Primary Clinical Evaluation of the Joint Replacement for the Treatment of the First Metatarsophalangeal Arthritis

Objective To retrospectively assess the primary clinical results of a cohort of the first metatarsophalangeal joint replacement with double-stemmed hinge silicone implant. Methods A total of 12 patients (15 feet) received the joint replacement with double-stemmed hinge silicone implant. There were 2 males and l0 females with a mean age of 61.4 (range, 56-75) years old. Of them, 9 cases (11 feet) were hallux valgus with osteoarthritis; 1 case (2 feet) was rheumatic arthritis; 2 cases (2 feet) were traumatic arthritis. The sub)ective and objective results were evaluated during follow-up. Results All of the patients were followed up regularly with an average of 24.7 months, ranging from 12 to 38 months. Ten patients were completely satisfied with the operation; I patient showed partial saris- faction, and 1 patient was not satisfied because of the first matatarsophalangeal joint pain due to severe hy- perosteogeny surrounding the cut bone surface 3 years after the operation. Osteolysis around the implant occurred in 2 cases without clinical symptoms, and no special treatment was given. Conclusion The joint replacement is a preferable method in alleviating pain and improving walking function with proper indication.

Effect of Sanhuangwuji powder,anti-rheumatic drugs,and ginger-partitioned acupoint stimulation on the treatment of rheumatoid arthritis with peptic ulcer:a randomized controlled study

OBjECTIVE:To observe the efficacy and safety of oral Sanhuangwuji powder,anti-rheumatic drugs(ARDs),and ginger-partitioned acupoint stimulation at Zusanli(ST 36) on the treatment of rheumatoid arthritis(RA) complicated by peptic ulcer.METHODS:This prospective randomized controlled study included 180 eligible inpatients and outpatients randomly assigned to an ARD treatment(n = 60),ginger-partitioned stimulation(n =60),or combination treatment(n = 60).Patients assigned to the ARD group were given oral celecoxib,methotrexate,and esomeprazole.Patients assigned to theginger-partitioned stimulation group were given ginger-partitioned acupoint stimulation at Zusanli(ST 36) in addition to the ARDs.Patients in the combination treatment group were given oral Sanhuangwuji powder,ginger-partitioned acupoint stimulation at Zusanli(ST 36),and ARDs.All patients were followed up for 2 months to evaluate clinical effects and safety.The study was registered in the World Health Organization database at the General Hospital of Chengdu Military Area Command Chinese People's Liberation Army(ChiCTR-TCC12002824).RESULTS:The combination treatment group had significantly greater improvements in RA symptoms,laboratory outcomes,and gastrointestinal symptom scores,compared with the other groups(P < 0.05).The peptic ulcer healing rate in the combination treatment group was significantly greater than that in the ARD treatment group(x^2 = 16.875,P < 0.05) and the ginger-partitioned stimulation group(x^2 = 6.171,P<0.05).CONCLUSION:Combination treatment with ginger-partitioned acupoint stimulation at Zusanli(ST36),oral Sanhuangwuji powder,and ARDs had a better clinical effect for RA with complicated peptic ulcer,compared with ARD treatmentalone or in combination with ginger-partitioned acupoint stimulation.

Titanium dioxide-tetra sulphonatophenyl porphyrin nanocomposites for target cellular bio-imaging and treatment of rheumatoid arthritis

Photodynamic therapy （PDT） is one of the latest biomedical technologies used for treatment of various neoplastic and non-neoplastic diseases. However, there still exist some well-known problems regarding its efficacy, e.g. effective concentra- tion of the drug at the desired sites, the irradiation light dosimetry and biocompatibility of the photosensitizer. The introduction of nanotechnology and nanomaterial like biocompatible nano-titania （i.e., nano-TiO2） may facilitate to solve some of these problems. In this study we have explored the possibility of combining tetra sulphonatophenyl porphyrin （TSPP） with nano-titania （PT） for efficient PDT with least adverse effects. The spectroscopic properties of these nano-cornposites were characterized by using fluorescence and UV-Vis absorption spectroscopic study. The singlet oxygen quantum yield was deter- mined by using 2,5-diphenyl-3,4-benzofuran （DPBF）, while the effect of nano TiO2 with TSPP on the synovial fibroblast cells from human （HSC） and rat models （RSC） were investigated by confocal laser microscopy and 3-（4,5-dimethylthiazol-2-yl）- 2,5-diphenyltetrazolium bromide （MTT） assay. Our results suggest that nano TiO2 with TSPP can be readily utilized for effec- tive PDT treatment of Rheumatoid Arthritis （RA）.