Clinical analysis of total glucosides of paeony combined with methotrexate in treatment of Sjogren syndrome
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摘要: 目的 探究帕夫林胶囊联合甲氨蝶呤治疗干燥综合征的临床效果,为日后临床工作提供有效的依据。 方法 本研究选取2012年1月—2014年8月收治的56例干燥综合征患者作为研究对象,按数字随机法将其分为2组,对照组患者使用甲氨蝶呤进行治疗;观察组在甲氨蝶呤治疗基础上加服帕夫林胶囊进行治疗;2组都进行为期半年的治疗。对Schirmer试验、唾液流率、血清γ-球蛋白指标等相关治疗的改善情况与不良反应的发生情况进行密切的观察。 结果 2组患者在经过治疗后,类风湿因子、血沉、C反应蛋白、唾液流率、Schirmer试验以及血清γ-球蛋白指标都存在明显的改善,患者在治疗前与治疗后的对比差异具有统计学意义(P<0.05);而且,观察组患者治疗后C反应蛋白等指标的变化情况明显优于对照组,2组对比差异有统计学意义(P<0.05)。观察组患者的总有效率为85.71%,明显优于对照组的57.14%(P<0.05)。观察组中有1例患者出现轻度的腹泻,对照组中有1例患者轻度皮疹,均为轻度未治疗,2组在不良反应发生率方面差异无统计学意义(P>0.05)。 结论 帕夫林胶囊联合甲氨蝶呤对干燥综合征的治疗效果显著,安全性较高,不良反应发生率较低。Abstract: Objective To explore the clinical effect of TGP(total glucosides of paeony) combined with methotrexate in the treatment of Sjogren’s syndrome and provide the effective basis for the future clinical work. Methods Total 56 cases of Sjogren syndrome in our hospital from January 2012 to August 2014 were recruited and they divided into two groups.The control group received methotrexate,while the observation group received TGP combined with methotrexate.The treatment course was 6 months.The Schirmer’s test result,salivary flow rate,serum gamma globulin and adverse events were observed. Results The indexes of rheumatoid factor(RF),erythrocyte sedimentation rate(ESR),C-reactive protein,salivary flow rate,Schirmer’s test result and serum gamma-globulin in both groups were all improved after the treatment,and the difference before and after the treatment were statistical significance in both groups(P<0.05).The changes of C-reactive protein and other indicators in the observation group was significantly better than those in the control group,the difference was statistical significance(P<0.05).The total curative effect was 85.71% in the observation group,which was better than 57.14% in the control group.The mild diarrhea occurred in one patient of the observation group,and mild rash phenomenon in one patient of the control group.There had no significant difference between occurrence rates of the adverse event of both groups(P>0.05). Conclusion TGP capsule combined with methotrexate in the treatment of Sjogren syndrome has significant curative effect,which has higher safety and lower incidence of adverse reactions.
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Key words:
- TGP(total glucosides of paeony) /
- Sjogren syndrome /
- Clinical analysis
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