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闵氏秘制金黄膏治疗风寒湿痹型膝骨关节炎临床研究 被引量:1
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作者 蒋铭 熊晓扬 +4 位作者 张强 徐锋 刘亮 吴晓峰 钱平康 《光明中医》 2021年第2期219-221,共3页
目的探讨闵氏秘制金黄膏治疗风寒湿痹型膝骨关节(Oseto Arthritis of Knee,KOA)炎的疗效和安全性。方法将符合要求的90例风寒湿痹型膝骨关节炎患者随机分为3组,每组30例,分别采用闵氏秘制金黄膏外敷8 h,隔日1贴;闵氏秘制金黄膏外敷24 h... 目的探讨闵氏秘制金黄膏治疗风寒湿痹型膝骨关节(Oseto Arthritis of Knee,KOA)炎的疗效和安全性。方法将符合要求的90例风寒湿痹型膝骨关节炎患者随机分为3组,每组30例,分别采用闵氏秘制金黄膏外敷8 h,隔日1贴;闵氏秘制金黄膏外敷24 h,隔日1贴;复方南星止痛膏8 h,隔日1贴,治疗疗程均为2周。记录并比较3组11点数字评分法(Numeric rating scale11,NRS-11),西大略湖和麦克马斯特骨关节炎指数(Western Ontario and McMaster University,WOMAC),并观察并发症发生情况。结果闵氏秘制金黄膏短时间组与长时间组分别与对照组比较,关节疼痛NRS评分差异有统计学意义,存在分组效应;闵氏金黄膏长时间组治疗前后不同时点间关节疼痛差异有统计学意义,即存在时间效应。闵氏秘制金黄膏短时间组与长时间组分别与对照组比较,治疗前后WOMAC量表评分及膝骨关节炎指征差异有统计学意义,存在分组效应。安全性评价90例患者中有16例出现不良反应,其中瘙痒及红疹共8例、烧灼感3例、蚁行感3例、红肿2例次。其中短时间组共出现3例,长时间组共出现8例,对照组共出现5例。结论对风寒湿痹型膝骨关节炎患者予以闵氏秘制金黄膏能减轻膝部疼痛,改善生活,每日8 h,隔日1贴,2周为一个疗程,在不降低治疗效果的基础上,有助于减少长时间外敷引起的不良反应,临床使用安全。 展开更多
关键词 闵氏秘制金黄膏 风寒湿痹证 膝骨关节炎
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Zhuifeng tougu capsules (追风透骨胶囊) improve rheumatoid arthritis symptoms in rats by regulating the toll-like receptor 2/4-nuclear factor kappa-B signaling pathway 被引量:2
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作者 GONG Hui KUANG Gaoyan +4 位作者 WU Yongrong LU Fangguo DENG Yihui HE Yanlin WANG Hengxin 《Journal of Traditional Chinese Medicine》 SCIE CSCD 2021年第3期447-454,共8页
OBJECTIVE: To investigate the efficacy of Zhuifeng tougu capsules(追风透骨胶囊, ZFTG) in the treatment of rheumatoid arthritis(RA) in rats and study its mechanism, focusing on the toll-like receptor 2/4-nuclear factor... OBJECTIVE: To investigate the efficacy of Zhuifeng tougu capsules(追风透骨胶囊, ZFTG) in the treatment of rheumatoid arthritis(RA) in rats and study its mechanism, focusing on the toll-like receptor 2/4-nuclear factor kappa-B(TLR2/4-NF-κB) signaling pathway.METHODS: TypeⅡ collagen and an artificial climate box were used to construct the rat model of collagen-induced arthritis with wind-cold-dampness arthralgia syndrome. The rats were divided randomly into a control group, wind-cold-dampness syndrome model group, and high-, medium-,and low-dose ZFTG groups. The methotrexate(MTX) control group was treated with the corresponding drug intervention for 28 d. The joint temperature, pain threshold, joint swelling degree, and arthritis index(AI) score were measured. The production of C-reactive protein(CRP), erythrocyte sedimentation rate(ESR), and rheumatoid factors(RFs) in the blood was detected by enzyme-linked immunosorbent assay. The protein expression of TLR2, TLR4, and NF-κB in synovial tissues was detected by Western blotting, and the m RNA expression of TLR2, TLR4, and NF-κB was detected by real-time polymerase chain reaction.RESULTS: Compared with the model group, the joint temperature in each treatment group, the MTX control group, and MTX group recovered, the degree of foot swelling, pain threshold, AI score decreased, serum CRP, ESR, RF level and the levels of TLR2, TLR4, and NF-κB in synovial tissue were decreased(P < 0.05). Among them, the curative effect in the medium-dose and MTX groups was more evident(P < 0.01).CONCLUSION: ZFTG has a significant effect on RA in rats, and its mechanism may involve regulating CRP levels, the ESR, and RFs via the TLR2/4-NF-κB signaling pathway. 展开更多
关键词 ARTHRITIS RHEUMATOID wind-cold-dampness syndrome toll-like receptors NF-kappa B Zhuifeng tougu capsule
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