温阳补肾法对高原类风湿关节炎患者血清25羟维生素D3水平的影响
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2015年青海省卫生计生指导性课题(41)


Effects of Wenyang Bushen Method on the Levels of Serum 25 Hydroxyvitamin D3 in Patients with Plateau Rheumatoid Arthritis
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    摘要:

    目的:观察温阳补肾法对高原类风湿关节炎患者血清25羟维生素D3水平的影响。方法:选取2015年7月至2017年8月青海省中医院收治的高原类风湿关节炎患者132例作为研究对象,随机分为对照组和观察组,每组66例。对照组应用常规西医治疗,观察组在对照组治疗基础上应用温阳补肾法治疗,2组均连续治疗3个月。比较2组治疗后临床疗效,统计2组治疗前后主要临床症状与体征、健康状况评定量表(HAQ)评分和DAS28评分,检测2组治疗前后实验室检查指标、血清25羟维生素D3以及血液流变学指标水平。结果:治疗后,观察组临床治疗总有效率显著高于对照组(P<005);2组关节肿胀指数、关节疼痛指数、关节压痛指数、晨僵时间、关节功能分级和20 m步行时间均较治疗前显著降低(P<005),且观察组均显著低于对照组(P<005);2组HAQ评分、DAS28评分、类风湿因子(RF)、C反应蛋白(CRP)和红细胞沉降率(ESR)水平均较治疗前显著降低(P<005),且观察组均显著低于对照组(P<005);2组血清25羟维生素D3水平均较治疗前显著升高(P<005),且观察组显著高于对照组(P<005);2组红细胞电泳指数、红细胞压积、血浆黏度、全血低切黏度、全血高切黏度水平均较治疗前显著降低(P<005),且观察组均显著低于对照组(P<005)。结论:温阳补肾法治疗高原类风湿关节炎,疗效满意,同时能明显增加血清25羟维生素D3水平。

    Abstract:

    To observe the effects of Wenyang Bushen method on the levels of serum 25 hydroxyvitamin D3 in patients with plateau rheumatoid arthritis(RA).Methods:A total of 132 patients with plateau rheumatoid arthritis in Qinghai Hospital of Traditional Chinese Medicine from July 2015 to August 2017 were randomly divided into 2 groups66 cases in the control group were treated with conventional western medicine,and 66 cases in the study group were treated with Wenyang Bushen method on the basis of the control group.The 2 groups were treated continuously for 3 months.The clinical efficacy of the 2 groups after treatment was compared.Main clinical symptoms and signs,the health assessment questionnaire(HAQ)score and the DAS28 score in the 2 groups before and after the treatment were measured.The levels of laboratory indexes,serum 25 hydroxyvitamin D3 and hemorheological indexes in the 2 groups before and after treatment were detected.Results:After treatment,the total effective rate of clinical treatment in the observation group was significantly higher than that in the control group(P<005).Joint swelling index,joint pain index,joint tenderness index,morning stiffness time,joint functional classification and 20 m walking time in the 2 groups were significantly lower than those before treatment(P<005),and the observation group were significantly lower than those in the control group(P<005).The HAQ score,DAS28 score,rheumatoid factor(RF),C reactive protein(CRP)and erythrocyte sedimentation rate(ESR)levels in the 2 groups were significantly lower than those before treatment(P<005),and the observation group were significantly lower than those in the control group(P<005).The level of serum 25 hydroxyvitamin D3 in the 2 groups was significantly higher than that before the treatment(P<005),and the observation group was significantly higher than the control group(P<005).The levels of erythrocyte electrophoresis index,hematocrit,plasma viscosity,whole blood low shear viscosity,and whole blood high shear viscosity in the 2 groups were significantly lower than those before treatment(P<005),and the observation group were significantly lower than those in the control group(P<005).Conclusion:The therapeutic effect of Wenyang Bushen method on plateau rheumatoid arthritis is satisfactory,and it can significantly increase the level of serum 25 hydroxyvitamin D3.

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宋维海,李琴,王福祖,陶文学,关却才让.温阳补肾法对高原类风湿关节炎患者血清25羟维生素D3水平的影响[J].世界中医药,2019,(06).

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  • 收稿日期:2018-01-23
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  • 在线发布日期: 2019-07-08
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