大骨节Ⅰ号方治疗脾肾阳虚寒湿阻络型大骨节病的临床疗效观察*(1)
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[摘要] 目的 与布洛芬缓释胶囊对照,评价大骨节Ⅰ号方胶囊治疗大骨节病的疗效。方法 选择大骨节病患者210例随机分为治疗组105例、对照组105例,分别予口服大骨节Ⅰ号方胶囊、布洛芬缓释胶囊。各组服用3个月后观察疗效,同时观察停药半年、1年的疗效。结果 3个月后,两组的疗效差异无统计学意义(P>0.05),但治愈率、不良反应率差异有统计学意义(P<0.01或P<0.05);停药半年、1年的随访观察中两组临床疗效、治愈率差异有统计学意义(P<0.01或P<0.05)。结论 大骨节Ⅰ号方胶囊治疗大骨节病的治愈率、不良反应率及远期疗效优于布洛芬缓释胶囊。
[关键词] 大骨节病;大骨节Ⅰ号方;布洛芬缓释胶囊
[中图分类号] R286 [文献标识码] B [文章编号] 1673-9701(2011)24-108-03
Clinical Observation of Kashin-Beck Ⅰ Treating Spleen and Kidney Yang Alpine Obstruction Syndrome in Kashin-Beck Disease
ZHANG Hongshen1 LUO Caigui2 XU Xueliang1 HUANG Zongjuan1 LUO Jian2 QIAN Junhui2 YANG Aiguo1 XU Rao1 WAN Yiwen1 ZHAO Can1
1.Chengdu University of Traditional Chinese Medicine,Chengdu 610075,China;2.Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610072,China
[Abstract] Objective To evaluate the clinical efficacy of Kashin-Beck Ⅰ Capsule for Kashin-Beck disease. Methods We selected 210 cases of Kashin-Beck disease,and they were randomly divided into treatment group 105 patients which were given oral capsules of Kashin-Beck No. Ⅰ and control group 105 patients which were given cloth Ibuprofen sustained-release capsules. Two groups were taking medicine for more than 3 months to observe efficacy as well as its six months and one year follow-up observation of long-term efficacy of withdrawing. Results Three months after treatment,the efficacy of the two groups was no statistically significant (P>0.05),but the cure rate,rate of adverse reactions was significant(P<0.01 or P<0.05);the cure rate and total effective rate of six months and one year follow-up study of withdrawing of two groups was significant(P<0.01 or P<0.05). Conclusion The short-term cure rate,long-term efficacy and adverse reaction rates of Kashin-Beck Ⅰ capsules in Treating Kashin-Beck disease are better than ibuprofen capsules.
[Key words] Kashin-beck disease;Kashin-Beck Ⅰ;Ibuprofen capsules
大骨节病(kashin-beck disease,KBD)是一种病因不明的地方性、慢性、进行性、以四肢关节软骨和髓板软骨病变为主的骨关节病[1]。轻者关节增粗、疼痛,影响劳动能力;重者短肢畸形、丧失劳动能力,终生残疾。由于大骨节病病因不能确定,发病机制也尚未明确,目前为止还没具有针对性的特效药物以及治疗手段。在四川省阿坝州壤塘县等[2]大骨节病重病区,大骨节病患者因治疗用药不当等因素而导致病情加重非常普遍 ......
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