西医治疗基础上加用中药补肾治疗类风湿性关节炎继发骨质疏松的效果  

Effect of Supplementing Kidney with Chinese Medicine on Rheumatoid Arthritis Secondary Osteoporosis on the Basis of Western Medicine

作　　者：刘春兰 王京学 LIU Chunlan;WANG Jingxue(Department of Pharmacy,Zibo Hospital of Traditional Chinese Medicine,Zibo 255000,Shandong,China)

机构地区：[1]淄博市中医医院药学部,山东淄博255000

出　　处：《世界复合医学》2024年第4期66-69,共4页World Journal of Complex Medicine

摘　　要：目的 探讨类风湿性关节炎继发骨质疏松患者在西医治疗基础上给予中药补肾治疗的临床效果。方法 选取2021年2月—2023年7月淄博市中医医院收治的58例类风湿性关节炎继发骨质疏松患者为研究对象,依据投掷硬币法分为两组,每组29例。对照组采用碳酸钙D3片以及鲑鱼降钙素注射液治疗;研究组在对照组基础上,加用中药补肾治疗。比较两组患者的治疗总有效率、症状以及体征改善情况、红细胞沉降率、血钙以及骨密度。结果 研究组治疗总有效率(96.55%)高于对照组(72.41%),差异有统计学意义(χ^(2)=4.735,P<0.05)。研究组关节压痛指数、晨僵时间、关节功能指数、关节肿胀指数、红细胞沉降率、血钙以及骨密度均优于对照组,差异有统计学意义(P均<0.05)。结论类风湿性关节炎继发骨质疏松患者在西医治疗基础上给予中药补肾治疗,可提升疗效,改善症状及体征。Objective To investigate the clinical effect of supplementing kidney with traditional Chinese medicine on rheumatoid arthritis patients with secondary osteoporosis on the basis of Western medicine.Methods A total of 58 patients with secondary osteoporosis caused by rheumatoid arthritis admitted to Zibo Hospital of Traditional Chinese Medicine from February 2021 to July 2023 were selected as the research objects.They were divided into two groups using the coin toss method,with 29 cases in each group.The control group was treated with D3 calcium carbonate tablets and salmon calcitonin injection.On the basis of the control group,the study group adopted traditional Chinese medicine supplementing kidney treatment.The total effective rate of treatment,improvement of symptoms and signs,erythrocyte sedimentation rate,blood calcium and bone mineral density between two groups were compared.Results The total effective rate of treatment in the study group(96.55%) was higher than that in the control group(72.41%),and the difference was statistically significant(χ^(2)=4.735,P<0.05).The joint tenderness index,morning stiffness time,joint function index,joint swelling index,erythrocyte sedimentation rate,blood calcium,and bone density in the study group were all better than those in the control group,and the differences were statistically significant(all P<0.05).Conclusion Patients with secondary osteoporosis caused by rheumatoid arthritis can receive traditional Chinese medicine supplementing kidney treatment on the basis of Western medicine treatment,which can improve the therapeutic effect,improve symptoms and signs.

关 键 词：西医治疗 中药补肾治疗 类风湿性关节炎 骨质疏松 疗效 

分 类 号：R9[医药卫生—药学]