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中国临床药理学与治疗学 ›› 2005, Vol. 10 ›› Issue (4): 475-478.

• 研究原著 • 上一篇    下一篇

秦皮总香豆素对原发性急性痛风性关节炎止痛效应的探索性临床试验

罗玫, 刘芳, 邹建东, 余江毅, 黄莉吉, 叶丽芳, 熊宁宁   

  1. 南京中医药大学附属医院内分泌科, 临床药理科, 南京 210029, 江苏
  • 收稿日期:2004-10-20 修回日期:2005-02-03 出版日期:2005-04-26 发布日期:2020-11-19
  • 通讯作者: 熊宁宁,男, 教授, 主任医师, 博士生导师, 主要从事临床药理研究。Tel:025-86506055-510 E-mail:jsszyyjd@jlonline.com
  • 作者简介:罗玫, 女, 博士研究生, 主治医师, 主要从事内分泌疾病的临床研究。
  • 基金资助:
    科技部“临床试验关键技术及平台研究”课题资助(NO2004AA2Z3766)

Explorative clinical trial on effect of relieving pain in treatment of patients with primary acute gouty arthritis by cortex fraxini total coumarin

LUO Mei, LIU Fang, ZOU Jian-dong, YU Jiang-yi, HUANG Li-ji, YE Li-fang, XIONG Ning-ning   

  1. Department of Endocrinology and Clinical Pharmacology, Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, Nanjing210029, Jiangsu, China
  • Received:2004-10-20 Revised:2005-02-03 Online:2005-04-26 Published:2020-11-19

摘要: 目的: 评价秦皮总香豆素制剂对急性痛风性关节炎湿热阻络证的止痛效应。方法: 采用随机、双盲、安慰剂平行组对照、剂量-反应研究设计和优效性检验。观察急性痛风性关节炎湿热阻络证共 109例, 其中低剂量组 36 例, 高剂量组 36 例, 对照组 37例。结果: 秦皮总香豆素治疗 5 d 后, 患者对关节疼痛记分改善程度的评价, 以及医生对关节压痛程度改善的评价均优于安慰剂, 呈现一定的剂量-效应关系;但关节疼痛消失率及关节压痛消失率与安慰剂组的差别没有统计学意义。结论: 秦皮总香豆素对急性痛风性关节炎有一定的止痛效应。

关键词: 秦皮总香豆素, 原发性急性痛风性关节炎, 湿热阻络证, 止痛, 探索性临床试验

Abstract: AIM: To evaluate the effect of cortex fraxini total coumarin on relieving pain in treatment of pa-tients with primary acute gouty arthritis which belongs to the sign of dampness obstructing connecting vessel of TCM. METHODS: Cortex fraxini total coumarin was in-volved in a randomized, double-blind, placebo parallel control, dosage-reaction design and superiority test. The total case number of observed primary acute gouty arthritis with the sign of dampness obstructing connecting vessel was 109, which included 36 cases of low-dosage group, 36 cases of high-dosage group, and 37 cases of control group.RESULTS: After 5 day-treatment of cortex fraxini total coumarin, both the evaluation of patients on the im-provement of joint pain grades and the appraisement of physicians on relieving joint tenderness were superior to those in the placebo group, and they were in a dosage-re-latedmanner.But the disappearance rate of joint pain and joint tenderness had no difference between two groups. CONCLUSION: Cortex fraxini total coumarin has some-what pain relieving effect on acute gouty arthritis.

Key words: cortex fraxini total coumarin, primary a-cute gouty arthritis, sign of dampness obstructing connect-ing vessel, relieve pain, explorative clinical trial

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