补脾益肾清热法治疗原发性干燥综合征的临床疗效观察  

Clinical Observation on Efficacy of the Therapy of Clearing Heat by Tonifying Spleen and Invigorating Kidney on Treating Primary Sjogren's Syndrome

作　　者：吴鋆[1] 李葆青[1] 汪用文 王爱强[1] 王瑾[1] 沙金玲 吴松青[1] 于浩生 

机构地区：[1]中国中医科学院望京医院,北京100102 [2]山东省诸城市人民医院,潍坊262200

出　　处：《世界中医药》2016年第2期244-246,249,共4页World Chinese Medicine

摘　　要：目的:评价补脾益肾清热法治疗原发性干燥综合征(Primary Sjogrens Syndrome,PSS)的临床疗效及安全性。方法:纳入PSS患者45例,予补脾益肾清热法治疗,疗程12周,于0周、12周观察中医证候积分、口干(VAS)评分、眼干(VAS)评分、ESR、CRP、RF、Ig G、Ig A、Ig M,安全性指标,并记录不良事件等,评价中医证候疗效。结果:与治疗前比较,治疗12周后患者中医证候积分、口干(VAS)评分、眼干(VAS)评分、ESR、CRP、Ig G显著降低,差异有统计学意义(P<0.01),RF、Ig A、Ig M差异无统计学意义(P>0.05),45例患者中,中医证候疗效显效19例,有效18例,无效8例,总有效率82.2%。结论:补脾益肾清热法能显著改善PSS患者的口干、眼干、中医证候积分及炎症指标,是治疗PSS安全有效的药物。Objective： To evaluate the efficacy and safety of the therapy of clearing heat by tonifying spleen and invigorating kidney on treating primary Sjogren’s Syndrome（ PSS）. Methods： A total of 45 patients with PSS participated in the study and received treatment based on the therapy of clearing heat by tonifying spleen and invigorating kidney for 12 weeks. TCM syndrome integrals,dry mouse（ VAS）,dry eyes（ VAS）,ESR,CRP,RF,Ig G,Ig A,Ig M and the safety indexes were evaluated in first week and 12 th week. The side effects were recorded and the effectiveness evaluated. Results： At 12 th weeks,the TCM syndrome integrals,dry mouth（ VAS）,dry eyes（ VAS）,ESR,CRP,Ig G were significantly reduced with statistical difference（ P 〈 0. 01）. There was no statistical difference in RF,Ig A,Ig M（ P 〉 0. 05）. In the 45 patients,there were 19 patients showed significant effectiveness,18 patients had effectiveness and 8 patients showed no effectiveness. The total effective rate was 82. 2%. Conclusion： Clearing heat by tonifying spleen and invigorating kidney has efficacy on treating PSS. The therapy could improve the condition of PSS patients with dry mouth,dry eyes,TCM syndrome integrals and inflammation index.

关 键 词：补脾益肾清热法 原发性干燥综合征 疗效 

分 类 号：R242[医药卫生—中医临床基础] R285[医药卫生—中医学]