|
|
Effect of Huamoyan Granules on serum inflammatory cytokines of gouty arthritis with accumulated dampness-heat |
ZHANG Yitong LIANG Hui XIE Jihui WEI Pengzhou LI Qian WANG Guanjun#br# |
Department of Orthopaedics, Shijiazhuang Hospital of Traditional Chinese Medicine, Hebei Province, Shijiazhuang 050051, China |
|
|
Abstract Objective To discuss the effect of Huamoyan Granules on serum inflammatory cytokines of gouty arthritis with accumulated dampness-heat. Methods From March 2017 to June 2018, 60 patients with acute gouty arthritis admitted to Shijiazhuang Hospital of Traditional Chinese Medicine were divided into treatment group and control group according to the random number table method, with 30 cases in each group. Ttreatment group was treated with Huamoyan Granules + Ibuprofen Sustained-Release Capsules, while control group was treated with Ibuprofen Sustained-Release Capsules. After 7 days of treatment, clinical effect and the levels of CRP, ESR, IL-1β, IL-6 and IL-8 before and after treatment were compared between two groups. Results Clinical effect of treatment group was better than that of control group, the difference was statistically significant (P < 0.05). CRP levels and ESR of two groups after treatment were lower than those before treatment, and treatment group was lower than control group (P < 0.05). Levels of IL-1β, IL-6 and IL-8 in two groups after treatment were lower than those before treatment, and those in treatment group were lower than those in control group (P < 0.05). Conclusion Huamoyan Granules + Ibuprofen Sustained-Release Capsules in the treatment of acute gouty arthritis with accumulated dampness-heat has good clinical effect. Mechanism may be related to the decrease of serum IL-1β, IL-6, IL-8 and other inflammatory factors.
|
|
|
|
|
[1] Ghosh P,Cho M,Rawat G,et al. Treatment of acute gouty arthritis in complex hospitalized patients with anakinra [J]. Arthr Care Res,2013,65(8):1381-1384.
[2] Neogi T,Jansen TL,Dalbeth N,et al. 2015 gout classification criteria:an American College of Rheumatology/European League against rheumatism collaborative initiative [J]. Ann Rheum Dis,2015,74(10):1789-1798.
[3] 国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:197.
[4] So A,Dumusc A,Nasi S. The role of IL-1 in gout:from bench to bedside [J]. Rheumatology,2018,57(suppl 1):i12-i19.
[5] Joosten LA,Crisan TO,Azam T,et al. Alpha-1-anti-trypsin-Fc fusion protein ameliorates gouty arthritis by reducing release and extracellular processing of IL-1beta and by the induction of endogenous IL-1Ra [J]. Ann Rheum Dis,2016,75(6):1219-1227.
[6] Cavalcanti NG,Marques CD,Linse LTU,et al. Cytokine profile in gout:inflammation driven by IL-6 and IL-18? [J]. Immunol Invest,2016,45(5):383-395.
[7] 丑小月,周忠光,费洪新,等.急性痛风性关节炎的发病机制研究[J].中国医学装备,2014,8(11):31-32.
[8] 陈百成,王飞,孙然,等.滑膜炎颗粒治疗急、慢性膝关节滑膜炎的临床疗效观察[J].中国骨与关节外科,2014,7(3):226-230.
[9] 孙丽华,张志伟,张华健,等.滑膜炎颗粒对Ⅱ型胶原关节炎模型的治疗作用研究[J].中国中医基础医学杂志,2014,20(6):740-745.
[10] 郑昱新,詹红生,莫文,等.滑膜炎颗粒治疗膝关节滑膜炎湿热阻络证的随机、双盲、安慰剂对照、多中心临床研究[J].中医正骨,2015,27(12):29-36.
[11] 董鸿智.滑膜炎颗粒结合针灸治疗退行性膝关节滑膜炎(湿热型)临床观察[J].基层医学论坛,2016,20(25):3531-3532.
[12] 李俊,李克鹏,曾昱菡.中药外敷联合滑膜炎颗粒对膝关节急性滑膜炎患者ESR、IL-1、TNF-α的影响[J].湖南中医药大学学报,2018,38(7):801-805.
[13] 张志伟,孙丽华,周艳华,等.滑膜炎颗粒抗炎作用的实验研究[J].国际中医中药杂志,2015,37(7):621-624.
[14] 周艳华,张华健,李胜,等.滑膜炎颗粒对2种品系小鼠镇痛作用研究[J].国际中医中药杂志,2014,36(11):1013-1016.
[15] Haarberg KM,Wymore Brand MJ,Overstreet AM,et al. Orally administered extract from Prunella vulgaris attenuates spontaneous colitis in mdr1a-/- mice [J]. World J Gastrointest Pharmacol Therapeut,2015,6(4):223-237.
[16] 解丹,黄成,林珍,等.夏枯草总三萜对LPS诱导的RAW264.7细胞分泌炎症因子的影响[J].安徽医科大学学报,2013,48(5):477-480.
[17] 朱明敏,李静,张欢欢,等.复方土茯苓颗粒对大鼠滑膜细胞炎症因子及mi-RNA的影响[J].广州中医药大学学报,2014,31(4):578-586.
[18] 许淳惟.薏苡仁酯抑制内皮细胞相关炎症因子之实验研究[D].广州:广州中医药大学,2011.
[19] 王蓉,马腾茂,刘飞,等.防己的药理作用及临床应用研究进展[J].中国中药杂志,2017,42(4):634-639.
[20] 蒋芳萍,傅旭春,白海波.豨莶草的小鼠急性毒性及抗小鼠急性痛风性关节炎作用[J].中国现代应用药学,2013, 30(12):1289-1291.
[21] 戴新新,宿树兰,郭盛,等.丹参酮类成分的生物活性与应用开发研究进展[J].中草药,2017,48(7):1442-1448.
[22] 白斌,李燕琴,李曙明,等.丹参对兔骨性关节炎关节软骨白介素-1β、白介素-6和胰岛素样生长因子-Ⅰ表达的影响[J].中国康复医学杂志,2015,30(10):990-994.
[23] 黄家林,张勇.黄芪多糖抗炎免疫作用机制研究进展[J].中西医结合心脑血管病杂志,2013,11(11):1374-1376.
[24] 单玮,阙华发.三妙丸类方及川牛膝对急性痛风性关节炎大鼠炎症反应的作用机制研究[J].世界中医药,2013, 8(2):189-193. |
|
|
|