1. 上海中医药大学附属龙华医院风湿科,上海,200032
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曲环汝, 奚善君, 曹左媛, 等. 益气解毒祛瘀方联合沙利度胺治疗白塞病临床观察[J]. 上海中医药杂志, 2016,50(5):48-50.
QU Huan-ru, XI Shan-jun, CAO Zuo-yuan, et al. Clinical observation of “Yiqi Jiedu Quyu Decoction” and thalidomide in treating Behcet’s disease[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(5):48-50.
目的:观察益气解毒祛瘀方联合沙利度胺治疗白塞病的临床疗效及安全性。 方法:将40例气虚瘀毒证白塞病患者随机分为对照组(20例)、治疗组(20例),对照组采用沙利度胺(50 mg/d)治疗,治疗组在对照组治疗基础上同时内服中药益气解毒祛瘀方。疗程均为3个月,观察两组治疗前后临床表现、口腔溃疡发作频次、口腔溃疡间歇时间、血沉(ESR)、C-反应蛋白(CRP)及治疗中不良反应情况。 结果:治疗组总有效率为95.00%,对照组为85.00%,两组临床疗效比较差异有统计学意义(P<0.05);两组治疗前后口腔溃疡发作情况、炎性指标ESR、CRP水平均有明显改善(P<0.05),治疗后治疗组口腔溃疡间歇时间明显长于对照组(P<0.05),ESR低于对照组(P<0.05);治疗组不良反应发生率为5%,明显低于对照组35%(P<0.05)。 结论:益气解毒祛瘀方联合沙利度胺治疗白塞病有较好临床疗效,可明显降低血沉及延长口腔溃疡间歇时间,且安全性好。
Objective:To observe the clinical efficacy and safety of “Yiqi Jiedu Quyu Decoction” and thalidomide in the treatment of Behcet’s disease. MethodsForty cases of Behcet’s disease of qi-deficiency and blood-toxin were randomized into two groups:control group in which 20 cases were treated with thalidomide at the dose of 50mg/d, and treatment group in which 20 cases were treated with “Yiqi Jiedu Quyu Decoction” and thalidomide, with a course of three months. The clinical efficacy, attack frequency of oral ulcers, remission period and oral ulcers, ESR, C-reactive protein and side effects were observed. Results:The total effective rate in the treatment group(95.00%) was higher than that in the control group(85.00%), with a significant difference between them(P<0.05). After treatment, the the oral ulcers, ESR and C-reactive protein were improved in both groups(P<0.05), with longer remission period and lower ESR in the treatment group than in the control group(P<0.05); the incidence of side effect in the treatment group(5%) was lower than that in the control group(25%)(P<0.05). Conclusion:“Yiqi Jiedu Quyu Decoction”with thalidomide is quite effective and safe for Behcet’s disease in lowering ESR and prolonging remission period of oral ulcers.
益气解毒祛瘀方白塞病狐惑病中西医结合疗法
“Yiqi Jiedu Quyu Decoction”Behcet’s diseaseHuhuo disorderintegrative Chinese & western medicine
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