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藏药“大骨节Ⅰ号”治疗大骨节病的临床观察

Clinical efficacy observation of Tibet medicine DaGuJie Ⅰ formalution on Kashin-Beck disease

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【作者】 刘丽军张晓慧康龙丽马利锋崔海燕胡抗陈锋扎西桑珠龚宏强郭敏李小龙陈文玲贺学杨凤英

【Author】 LIU Li-jun~1,ZHANG Xiao-hui~1,KANG Long-li~1,MA Li-feng~1,CUI Hai-yan~1, HU Kang~1,CHEN Feng~1,ZAXI Sang-zhu~2,GONG Hong-qiang~2,GUO Min~2,LI Xiao-long~1, CHEN Wen-ling~1,HE Xue~1,YANG Feng-ying~3 (1.Key Laboratory of High Altitude Environment and Genes Related to Diseases of Tibet Autonomous Region;Laboratory of Life Science Base;School of Medicine,Tibet Nationality University, Xianyang Shaanxi 712082,China;2.Tibet Institute of Endemic Disease Control,Lassa 850000; 3.Lassa City Health Bureau of Tibet Autonomous Region,Lassa 850000,China)

【机构】 西藏民族学院医学院高原环境与疾病相关基因研究重点实验室生命科学基础实验室西藏地方病防治研究所西藏拉萨市卫生局

【摘要】 目的观察大骨节Ⅰ号方丸剂治疗大骨节病的临床疗效。方法选择大骨节病患者187例,随机分为3组:治疗组70例、对照组A 67例、对照组B 50例,分别给予口服大骨节Ⅰ号方丸剂、布洛芬缓释胶囊、维生素C片。以上各组均连续服药3个月后观察疗效,并随访观察半年。以国家"大骨节病治疗效果判定标准(Ws/T79-1996)"和国际通用的"视觉疼痛判定标准(VAS)"来观察治疗效果。结果 3个月疗程结束后,治疗组、对照组A的临床疗效分别为91.43%和89.55%,差异无统计学意义(P>0.05),患者症状和体征改善,关节功能改善。对照组B的疗效仅为22%,和治疗组相比,差异有统计学意义,(P<0.05)。停药半年的随访观察中,治疗组、对照组A比较的临床疗效差异不显著(P>0.05);但治疗组、对照组A与对照组B比较,差异有统计学意义(P<0.05);结论大骨节Ⅰ号方丸剂治疗大骨节病的效果显著,未出现不良反应。

【Abstract】 Objective To evaluate the clinical efficacy of Tibet medicine namely DaGuJie I Formulation on Kashin-Beck disease.Methods 187 cases of Kashin-Beck disease were randomly divided into the treatment group,with patients treated by DaGuJie I Formulation,the control group A,with 67 patients treated by Ibuprofen capsules and control group B with 50 patients treated by vitamin C.Its efficacy was observed by continuously taking the med- icine 3 months,and six months follow-up observation for the long-term effect.The clinical efficacy was assessed ac- cording to "Kashin-Beck disease Treatment Criteria of China"(Ws/T79-1996)and international accepted Pain Visual Criteria(VAS).Result After three months treatment,the clinical effect of treatment group,control group A and control group B was 91.43%,89.55%and 22%respectively.There was no statistical significance(P>0.05) be- tween treatment group and control group A;but it showed statistical significance(P<0.05) between treatment group and control group B or control group A and control B.The clinical efficacy of treatment group and the control group A showed statistical significance compared with control group B after six months follow-up observation(P< 0.05).Conclusion DaGuJie I Formulation significantly improved the clinical symptom of patients with Kashin- Beck disease,without toxic side effects.

【基金】 科技部科技支撑计划项目(No.2007BA125B05);教育部重点项目(No.208138);国家民委项目(No.08 XZ 02)
  • 【文献出处】 国外医学(医学地理分册) ,Foreign Medical Sciences(Section of Medgeography) , 编辑部邮箱 ,2011年04期
  • 【分类号】R684.1
  • 【下载频次】29
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