[1]苏小军△ 王海东 田雪梅.五劳七损方对强直性脊柱炎患者Dickkopf-1蛋白水平的影响[J].中国中医骨伤科杂志,2016,24(03):26-28.
 SU Xiaojun WANG Haidong TIAN Xuemei.Effect of Wulao Qisun Formula on the Level of Dickkopf-1 of Ankylosing Spondylitis[J].Chinese Journal of Traditional Medical Traumatology & Orthopedics,2016,24(03):26-28.
点击复制

五劳七损方对强直性脊柱炎患者Dickkopf-1蛋白水平的影响
分享到:

《中国中医骨伤科杂志》[ISSN:1005-0205/CN:42-1340/R]

卷:
第24卷
期数:
2016年03期
页码:
26-28
栏目:
临床研究
出版日期:
2016-03-03

文章信息/Info

Title:
Effect of Wulao Qisun Formula on the Level of Dickkopf-1 of Ankylosing Spondylitis
文章编号:
1005-0205(2016)03-0026-03
作者:
苏小军1△ 王海东1 田雪梅1
1.甘肃省中医院(兰州,730050)
△.通信作者 E-mail:929782833@qq.com
Author(s):
SU Xiaojun1 WANG Haidong1 TIAN Xuemei1
1.Gansu Hospital of Traditional Chinese Medicine, Lanzhou 730050, China.
关键词:
强直性脊柱炎 五劳七损方 Dickkopf-1蛋白
Keywords:
ankylosing spondylitis Wulao Qisun formula dickkopf-1
分类号:
R593.23
文献标志码:
A
摘要:
目的:探索五劳七损方治疗强直性脊柱炎(AS)的有效性、安全性及可能的作用机理。方法:本研究应用ELISA的实验方法检测45 例AS 患者(AS组)治疗前后及50名健康人(健康组)血清Dickkopf-1(DKK-1)蛋白水平,并检测AS组治疗前后血沉(ESR)、C 反应蛋白(CRP)含量及相关临床疗效评价指标。治疗过程中观察不良反应。结果:治疗前AS 组血清DKK-1 水平明显低于健康组(P<0.05),经五劳七损方治疗后血清DKK-1水平较治疗前明显升高(P<0.05),且与对照组比较差异无统计学意义(P<0.05)。治疗后ESR和CRP较治疗前均明显降低(P<0.05 或P<0.01); 相关临床疗效评价指标均较治疗前均明显改善(P<0.05)。患者治疗过程中未见明显不良反应。结论:五劳七损方改善AS 患者临床症状、体征疗效显著,其作用机制可能是通过升高血清DKK-1水平实现的。
Abstract:
Objective:To observe the effect of Wulao Qisun formula on the level of Dickkopf-1(DKK1)in patients with ankylosing spondylitis(AS). Methods:The level of DKK1 was detected before and after treatment in 45 cases of AS(AS group)and 50 healthy people(control group)by enzyme-linked immunosorbent assay method. The levels of erythrocyte sedimentation rate(ESR), C-reactive protein(CRP), and evaluation index of clinical efficacy were detected in AS group. The adverse reactions were observed in the treatment. Results:Before treatment, the level of DKK-1 in the AS group was significantly lower than that of healthy group(P<0.05). After treatment, the level of DKK-1 was significantly increased in the AS group(P<0.05)and there was no significant difference between two groups(P<0.05). The levels of ESR and CRP, and the evaluation index of clinical efficacy were significantly improved after treatment(P<0.05). There was no obvious adverse reaction occurring during the treatment. Conclusion:Wulao Qisun formula is effective and safe for treating AS, and its mechanism may be achieved by increasing the level of serum DKK-1.

参考文献/References:

[1] 唐福林.风湿免疫科医师效率手册[M].北京:中国协和医科大学出版社,2010:183.
[2] Machado P,Landewe R,Braun J,et al.Both structural damage and inflammation of the spine contribute to impairment of spinal mobility in patients with ankylosing spondylitis[J].Ann Rheum Dis,2010,69(8):1465-1470.
[3] Heiland GR,Appel H,Poddubnyy D,et al.High level of functional dickkopf-1 predicts protection from syndesmophyte formation in patients with ankylosing spondylitis[J].Ann Rheum Dis,2012,71(4):572-574.
[4] Uderhardt S,Diarra D,Katzenbeisser J,et al.Blockade of Dickkopf(DKK)-1 induces fusion of sacroiliac joints[J].Ann Rheum Dis,2010,69(3):592-597.
[5] Schett G,Zwerina J,David JP.The role of Wnt proteins in arthritis[J].Nat Clin Pract Rheumatol,2008,4(9):473-480.
[6] Luyten FP,Tylzanowski P,Lories RJ.Wnt signaling and osteoarthritis[J].Bone,2009,44(4):522-527.
[7] 苏小军,王海东,田雪梅.五劳七损方治疗强直性脊柱炎50例临床研究[J].新中医,2013,45(11):52-54.
[8] 国家食品药品监督管理局.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:115-118.
[9] Van der Linden S,Valkenburg HA,Cats A.Evaluation of diagnostic criteria for ankylosing spondylitis:a proposal for modification of the Nev York criteria[J].Arithritis Rheum,2009,27:361-368.
[10] Schett G,Zwerina J,David JP.The role of Wnt proteins in arthritis[J].Nat Clin Pract Rheumatol,2008,4(9):473-480.
[11] de Grandmont P,Feine JS,Tache R,et al.Within-subject comparisons of implant-supported mandibular prostheses:psychometric evaluation[J].J Dent Res,1994,73(5):1096-1104.
[12] 苏小军,王海东.张士卿教授治疗强直性脊柱炎经验[J].新中医,2014,46(9):22-23.
[13] 彭建英,阎小萍.补肾强督方治疗强直性脊柱炎50例临床研究[J].北京中医药大学学报(中医临床版),2011,18(16):17-19.
[14] Glass DA 2nd,Karsenty G.In vivo analysis of Wnt signaling in bone[J].Endocrinology,2007,148(6):2630-2634.
[15] 单振兴,韩金祥,崔亚洲.强直性脊柱炎患者血清中DKK-1的表达及其意义[J].医学检验与临床,2011,22(11):1-4.
[16] 孔维萍,周童亮,王晓曈.补肾强督方对强直性脊柱炎患者Dickkopf-1蛋白水平的影响[J].中医杂志,2014,55(20):1750-1753.

备注/Memo

备注/Memo:
基金项目:甘肃省兰州市科技惠民计划项目(1209FCMA029)
更新日期/Last Update: 2016-03-15