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[1]賀旭峰,何翔,田廣軍.丹參多酚酸鹽注射液靜脈滴注聯(lián)合甲氨蝶呤口服治療銀屑病關(guān)節(jié)炎[J].中醫(yī)正骨,2016,28(05):61-62.
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丹參多酚酸鹽注射液靜脈滴注聯(lián)合甲氨蝶呤口服治療銀屑病關(guān)節(jié)炎()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年05期
頁碼:
61-62
欄目:
臨床報(bào)道
出版日期:
2016-05-20

文章信息/Info

作者:
賀旭峰何翔田廣軍
上海中醫(yī)藥大學(xué)附屬曙光醫(yī)院,上海 201203
關(guān)鍵詞:
關(guān)節(jié)炎牛皮癬 銀屑病 堿性磷酸酶 丹參多酚酸鹽 甲氨蝶呤
摘要:
目的:觀察丹參多酚酸鹽注射液靜脈滴注聯(lián)合甲氨蝶呤口服治療銀屑病關(guān)節(jié)炎的臨床療效,探討其可能的作用機(jī)制。方法:2014年1月至2015年6月,采用丹參多酚酸鹽注射液靜脈滴注聯(lián)合甲氨蝶呤口服治療銀屑病關(guān)節(jié)炎患者12例,男6例、女6例。年齡35~62歲,中位數(shù)45歲。所有患者均符合Moll-Wright關(guān)節(jié)病型銀屑病診斷標(biāo)準(zhǔn),同時(shí)排除關(guān)節(jié)嚴(yán)重畸形喪失活動(dòng)能力者。病程4~30年,中位數(shù)14年。連續(xù)治療6周。觀察治療前后關(guān)節(jié)癥狀體征、皮損及血清堿性磷酸酶含量的變化情況。結(jié)果:按照《中藥新藥臨床研究指導(dǎo)原則》中的癥狀體征分級,治療前關(guān)節(jié)壓痛重1例、中9例、輕2例,治療6周后關(guān)節(jié)壓痛中2例、輕8例、無2例; 治療前關(guān)節(jié)腫脹重2例、中4例、輕6例,治療6周后關(guān)節(jié)壓痛中1例、輕6例、無5例; 治療前關(guān)節(jié)屈伸不利重1例、中7例、輕4例,治療6周后關(guān)節(jié)壓痛中3例、輕9例。治療6周后銀屑病皮損面積及嚴(yán)重性指數(shù)評分由治療前(11.25±1.60)分降至(4.50±1.38)分。治療前血清堿性磷酸酶含量(121.15±11.57)U·L-1,治療3周后升至(141.83±12.19)U·L-1,治療6周后降至(101.58±6.88)U·L-1。參照《中藥新藥臨床研究指導(dǎo)原則》中銀屑病關(guān)節(jié)炎的療效標(biāo)準(zhǔn)評價(jià)療效,顯效5例、有效6例、無效1例。結(jié)論:丹參多酚酸鹽注射液靜脈滴注聯(lián)合甲氨蝶呤口服治療銀屑病關(guān)節(jié)炎,能夠緩解關(guān)節(jié)疼痛、腫脹及屈伸不利,縮小皮損范圍,療效確切,其作用機(jī)制可能與血清堿性磷酸酶有關(guān)。

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更新日期/Last Update: 2016-10-30