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Of Bushen Huoxue party impact of knee osteoarthritis serum IL-1, TNF-α
Author: LvXiuZuo
Tutor: ZhuYueLan
School: Beijing University of Traditional Chinese Medicine
Course: Chinese medical science
Keywords: Interleukin- 1 (IL-1) Effects of bushenhuoxue Knee Osteoarthritis Tumor necrosis factor (TNF-α)
CLC: R285.5
Type: Master's thesis
Year: 2011
Downloads: 102
Quote: 0
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Abstract
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Osteoarthritis (OA) is a common in the elderly, multiple and more difficult to treat chronic osteoarthropathy, especially knee osteoarthritis (KOA) in elderly patients. KOA pathological features for the presence of a primary or secondary degeneration of articular cartilage accompanied by subchondral bone hyperplasia. The major clinical manifestations of knee osteoarthritis knee pain, swelling, and limitation of activity. Its etiology and pathogenesis is not yet fully elucidated, the current Western medicine to treat the disease generally take symptomatic treatment of pain and other feasible arthroplasty in a few cases, the general effect, while the Chinese governance from Bi theory \used in conjunction, can often achieve more satisfactory results. Objective: To use Bushen Huoxue Recipe treatment of osteoarthritis of the knee; through observation before and after treatment of TCM clinical symptoms in patients, and serum interleukin 1 (IL-1), tumor necrosis factor (TNF-α) content changes to determine the efficacy of Bushen Huoxue Recipe explore the pathogenesis of knee osteoarthritis. Methods: The subjects selected a total of 70 cases Oriental Hospital rheumatology outpatient and ward cases, comply with knee osteoarthritis Western diagnostic criteria and TCM dialectical standard taken randomly assigned to the treatment group and the control group, 35 cases in each group. The the mentor experience side - kidney and activating blood prescription medicine decoction oral treatment group received one day, in two suits; Jiangsu Kang edge medicine control group was given in rabbits treated with oral, 3 times a day, each time 5 ; observation period of 4 weeks. TCM symptoms of knee osteoarthritis assessment form \. Results: In clinical indicators, the treatment group's control significant rate of 67.00%, with a total effective rate of 100%; significant rate of 63.33% of the control of the control group, the total effective rate of 93.33%. Respectively, comparing treatment before and after the total integral, the treatment group and the control group were very significant difference (P lt; 0.01); treatment after the treatment group and the control group total score relatively no significant difference (P gt; 0.05): before and after treatment symptoms of pain, swelling, and functional limitation integral comparing the treatment group and the control group, respectively, have a significant sex difference (P lt; 0.0) 5); integral comparison of the swelling treatment group and the control group after treatment, a significant difference ( P lt; 0.05), after treatment pain, limited function integrals, no significant differences (P gt; 0.05) in laboratory parameters, the treatment group and the control group in the treatment serum levels of IL-1, TNF-α content were compared, have a very significant difference (P lt; 0.01); treatment after the treatment group and the control group, the serum of IL-1 content in comparison there is a significant difference (P gt; 0.05), serum levels of TNF-α content of relatively non-significant differences (P gt; 0.05). Conclusion: TCM symptoms and signs of knee osteoarthritis patients after treatment by the kidney and activating blood side has been significantly improved, which can be drawn from the Kidney Blood incidence of knee osteoarthritis pathogenesis; 2 , hyperplasia of Bushen Huoxue party and anti-bone capsule may be the treatment of knee osteoarthritis, and can reduce knee osteoarthritis patients serum of IL-1, TNF-α content, its mechanism of action may affect the cytokine metabolism further proof of IL-1, TNF-α, and the occurrence of knee osteoarthritis is closely related. 3 Bushen Huoxue Recipe ease of knee osteoarthritis patients with swollen joints and reduce the role of serum IL-1 content than rabbits treated.
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