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雷公藤缓释片治疗类风湿关节炎的临床与实验研究

[Clinical and experimental study on sustained release tablet of Tripterygium wilfordii in treating rheumatoid arthritis].

作者信息

Li R L, Liu P L, Wu X C

机构信息

Honghu Institute of Rheumatic Disease, Hubei.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 1996 Jan;16(1):10-3.

PMID:8732122
Abstract

Adopt to the prospective, multi-center, random, single-blind, equal rank-control methods, 226 patients of rheumatoid arthritis diagnosed according to the ARA criteria, were divided into 2 groups. One hundred and fourteen patients of test group were treated with sustained release tablets of Tripterygium wilfordii (TW-SR) orally, 2 tablets, twice a day for 4 weeks, 112 patients of control group received tablets of Tripterygium wilfordii (TW) orally, 2 tablets 3 times per day for 4 weeks. Results showed that the total effective rate of the two groups were 92.11% and 90.65%, respectively (P > 0.05). The adverse reaction rate of TW-SR group was 20.18%, which was lowered than that of TW group (70.54%, P < 0.01). Results of pre-clinical pharmacologic experimental study showed that the TW-SR has obvious anti-inflammatory, analgesia and immunosuppress'ive action as the TW has, while its toxicity was less than the latter significantly.

摘要

采用前瞻性、多中心、随机、单盲、平行对照方法,将226例符合美国风湿病学会(ARA)标准诊断的类风湿关节炎患者分为2组。试验组114例口服雷公藤缓释片,每次2片,每日2次,疗程4周;对照组112例口服雷公藤片,每次2片,每日3次,疗程4周。结果显示,两组总有效率分别为92.11%和90.65%(P>0.05)。雷公藤缓释片组不良反应发生率为20.18%,低于雷公藤片组(70.54%,P<0.01)。临床前药理实验研究结果表明,雷公藤缓释片与雷公藤片一样具有明显的抗炎、镇痛及免疫抑制作用,但其毒性明显小于雷公藤片。

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