Effect of Modified Juanbitang on Inflammatory Factors and Serum MMP-3, OPG and RANKL in Synovial Fluid of Patients with Wind-cold-wetness Type Rheumatoid Arthritis
LI Jian, RONG Bing, JIA Jun, et al. Effect of Modified Juanbitang on Inflammatory Factors and Serum MMP-3, OPG and RANKL in Synovial Fluid of Patients with Wind-cold-wetness Type Rheumatoid Arthritis[J]. Chinese journal of experimental traditional medical formulae, 2017, 23(22): 165-170.
LI Jian, RONG Bing, JIA Jun, et al. Effect of Modified Juanbitang on Inflammatory Factors and Serum MMP-3, OPG and RANKL in Synovial Fluid of Patients with Wind-cold-wetness Type Rheumatoid Arthritis[J]. Chinese journal of experimental traditional medical formulae, 2017, 23(22): 165-170. DOI: 10.13422/j.cnki.syfjx.2017220165.
Objective: To explore the clinical effect of modified Juanbitang on patients with wind-cold-wetness type rheumatoid arthritis (RA) and its effect on inflammatory factors and quality of life. Method: The 134 cases with RA treated at our hospital from January 2015 to January 2017 were selected as research objectives
and randomly divided into two groups. The same nonpharmacological treatment was provided to both groups. The control group was additionally given meloxicam+methotrexate
and the observation group was treated with modified Juanbitang. Two groups' traditional Chinese medicine (TCM) syndrome
physical and chemical indicators before and after treatment
synovial fluid inflammatory factor level
quality of life
serum matrix metalloproteinase-3 (MMP-3)
bone protection element osteoprotegerin (OPG) and receptor activator for nuclear factor-κB ligand (RANKL) expression were recorded and compared. Adverse reactions were also observed. Result: After treatment for 12 weeks
the overall effective rate of TCM syndrome in observation group was 94.0%
which was significantly higher than 82.1% in control group. The observation group was superior to control group. The two group's erythrocyte sedimentation rate erythrocyte sedimentation rate (ESR)
serum C-reactive protein (CRP)
rheumatoid factor (RF) after treatment for 12 weeks were significant lower than those before treatment (P<0.05)
and those in observation group were decreased more significantly (P<0.05). Two groups' joint fluid tumor necrosis factor (TNF)-α
and interleukin interleukin-17 (IL-17) after treatment for 12 weeks were significant lower than those before treatment (P<0.05)
and those in observation group were decreased more significantly (P<0.05). Two groups' physical component summary (PCS) and mental component summary (MCS) after treatment for 12 weeks were significant higher than those before treatment (P<0.05)
and those in observation group were increased more significantly (P<0.05). Compared with before treatment
MMP-3 and RANKL levels of two groups reduced
while OPG increased after treatment (P<0.05). Compared with control group
RANKL level of treatment group was significantly decreased after treatment
with statistically significant differences (P<0.05). Conclusion: Modified Juanbitang can relieve or eliminate the symptoms and signs of patients with wind-cold-wetness type RA