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[目的]观察清热强肾方联合西药治疗老年风湿病并发症疗效。[方法]使用随机平行对照方法,将96例门诊患者按病志号抽签法简单随机分为两组。对照组48例阿司匹林,100~300mg/次,3次/d;吲哚美辛,25~50mg/次,3次/d。治疗组48例清热强肾方(牛膝、白芍、荆芥、菝葜、薏苡仁、青风藤各16g,川芎、当归、丹参各22g,防已、黄柏、防风、夏枯草、麦冬各13g;热重加金银花、连翘各20g;关节肿甚痛甚加元胡20g,车前子、威灵仙各18g、泽泻16g),1剂/d,水煎200m L,早晚口服;西药治疗同对照组。连续治疗30d为1疗程。观测临床症状、类风湿因子、血沉、关节肿胀、不良反应。连续治疗3疗程,判定疗效。[结果]治疗组显效39例,有效6例,无效3例,总有效率93.75%。对照组显效19例,有效19例,无效10例,总有效率79.17%。治疗组疗效优于对照组(P<0.05)。[结论]清热强肾方联合西药治疗老年风湿病并发症疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of Qingre Qiangshen Recipe combined with Western medicine in the treatment of the complications of senile rheumatism. [Methods] Using randomized parallel control method, 96 outpatients were randomly divided into two groups according to the random number drawing method. Control group, 48 cases of aspirin, 100 ~ 300mg / times, 3 times / d; indomethacin, 25 ~ 50mg / times, 3 times / d. The treatment group, 48 cases of Qingre Qiangshen Fang (Achyranthes, Paeonia lactiflora, Nepeta, 菝 葜, Yiyiren, Qingfeng vine each 16g, Chuanxiong, Angelica, Salvia the 22g, anti, Cortex, windbreak, Prunella, Ophiopogon Each with 13g; heat plus honeysuckle, forsythia each 20g; joint swelling and pain even add Yuan 20g, Plantago, Clematis 18g, Alisma 16g), 1 / d, decoction 200m L, morning and evening oral Western medicine treatment with the control group. Continuous treatment of 30d for a course of treatment. Observation of clinical symptoms, rheumatoid factor, erythrocyte sedimentation rate, swollen joints, adverse reactions. Continuous treatment of 3 courses to determine the efficacy. [Result] In the treatment group, 39 cases were markedly effective, 6 cases were effective, 3 cases were ineffective, and the total effective rate was 93.75%. In the control group, 19 cases were markedly effective, 19 cases were effective, 10 cases were ineffective and the total effective rate was 79.17%. The treatment group was better than the control group (P <0.05). [Conclusion] Qingre Qiangshen Recipe combined with western medicine has satisfactory curative effect on the complication of senile rheumatism without serious adverse reactions and is worth popularizing.