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5% 藏药胸腺凝胶与双氯芬酸治疗膝骨关节炎的疗效对比研究

Comparative study of the effect of Thymus daenensis gel 5% and diclofenac in patients with knee osteoarthritis.

作者信息

Dehghan Morteza, Asgharian Shirin, Khalesi Elena, Ahmadi Ali, Lorigooini Zahra

机构信息

Clinical Research Development Unit, kashani Hospital, Shahrekord University of Medical Sciences, Shahrekord, Iran.

Medical Plants Research Center, Basic Health Sciences Institute, Shahrekord University of Medical Sciences, Shahrekord, Iran.

出版信息

Biomedicine (Taipei). 2019 Jun;9(2):9. doi: 10.1051/bmdcn/2019090209. Epub 2019 May 24.

Abstract

BACKGROUND

Osteoarthritis is a syndrome characterized by joint pain and reduced performance and efficien- cy in patient. Thymus daenensis has been used since old times for the treatment of bone and joint deformities and pain in traditional medicine.

PURPOSE

This study was conducted to examine traditional usages and pharmacological features of T. daen- ensis with respect to the effect of the plant in patients with osteoarthritis.

METHODS

120 patients with osteoarthritis were divided into 3 groups. Patients in each group were treated by 5% Thymus daenensis gel, 1% diclofenac gel, or placebo for 6 weeks, along with oral celecoxib capsules. Patients were assessed in different intervals, based on the VAS score for assessment of pain in the joint and different dimensions of WOMAC questionnaire.

RESULTS

Pain level (P < 0.005), stiffness during the day (P < 0.05), morning stiffness (P < 0.05) and physi- cal performance (P < 0.05) were significantly different among the groups.

CONCLUSIONS

Thymus daenensis gel improves the symptoms in patients equal and without significant difference than diclofenac group. It can be argued that its use can produce a satisfactory effect on patients with osteoarthritis due to its low cost, easy access, the plant's natively occurring in Iran.

摘要

背景

骨关节炎是一种以关节疼痛、患者功能和效率降低为特征的综合征。在传统医学中,百里香自古以来就被用于治疗骨骼和关节畸形及疼痛。

目的

本研究旨在探讨百里香在骨关节炎患者中的传统用途和药理特性及其对患者的影响。

方法

将120例骨关节炎患者分为3组。每组患者分别用5%百里香凝胶、1%双氯芬酸凝胶或安慰剂治疗6周,并口服塞来昔布胶囊。根据关节疼痛视觉模拟评分(VAS)和西安大略和麦克马斯特大学骨关节炎指数(WOMAC)问卷的不同维度,在不同时间间隔对患者进行评估。

结果

各组间疼痛程度(P<0.005)、日间僵硬程度(P<0.05)、晨僵(P<0.05)和身体功能(P<0.05)存在显著差异。

结论

百里香凝胶改善患者症状的效果与双氯芬酸组相当且无显著差异。由于其成本低、易于获取且原产于伊朗,因此可以认为其使用能对骨关节炎患者产生满意的效果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/25a1/6533939/2b5fe5091a72/bmdcn-9-9-fig1.jpg

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