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Yu J, Li L, Liu J, Chen Z. Influence of intervention treatment by "heat-clearing and diuresis-promoting" prescription on NALP3, an inflammatory factor in acute gouty arthritis. J Orthop Surg Res 2022; 17:162. [PMID: 35292055 PMCID: PMC8922783 DOI: 10.1186/s13018-022-03046-z] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/08/2021] [Accepted: 03/02/2022] [Indexed: 12/01/2022] Open
Abstract
Background To investigate the efficacy of Qingre Lishi Decoction(QLRD), in the treatment of acute gouty arthritis, and its influence on the expression levels of inflammatory factor nucleotide-binding oligomerization domain-like receptor(NALP 3) in patients. Methods A total of 78 patients with acute gouty arthritis admitted to our hospital were randomly divided into the control group and the observation group, with 39 cases in each group. The control group was given basic treatment and colchicine tablets, and the observation group was given “heat-clearing and diuresis-promoting” prescription for intervention treatment. The main symptom score, treatment effective rate and laboratory indexes of the two groups were compared 7 days after treatment. Results After treatment, the scores of joint redness, hot pain, joint flexion and extension disorder, oliguria and constipation were improved in both groups, and the improvement degree in observation group was higher than that in control group (P < 0.05); the clinical effective rate in the observation group (94.87%) was higher than that in the control group (76.92%). The serum uric acid (UA), erythrocyte sedimentation rate (ESR), interleukin-1β (IL-1β) and NALP3 showed a decreasing trend, and the decrease degree of each index in observation group was higher than that in control group (P < 0.05). Conclusion The “heat-clearing and diuresis-promoting” prescription for intervention treatment can effectively improve the clinical symptoms of patients with acute gouty arthritis and reduce the level of inflammatory factor NALP3, maintaining remarkable effect.
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Affiliation(s)
- Jun Yu
- Department of Pharmacy, Tianjin Beichen District Chinese Medicine Hospital, No. 436 Jingjin Road, Beichen District, Tianjin, 300400, China
| | - Lianrui Li
- Department of Pharmacy, Tianjin Beichen District Chinese Medicine Hospital, No. 436 Jingjin Road, Beichen District, Tianjin, 300400, China
| | - Jie Liu
- Department of Pharmacy, Tianjin Beichen District Chinese Medicine Hospital, No. 436 Jingjin Road, Beichen District, Tianjin, 300400, China
| | - Zhiyong Chen
- Department of Pharmacy, Tianjin Beichen District Chinese Medicine Hospital, No. 436 Jingjin Road, Beichen District, Tianjin, 300400, China.
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LI H, NIE D, WANG S, LI D, LIU C. Clinical value of turbidity-elimination gout soup combined with external application of traditional chinese medicine to improve the pain and the volume of tophi in patients with gout. FOOD SCIENCE AND TECHNOLOGY 2022. [DOI: 10.1590/fst.37420] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/21/2022]
Affiliation(s)
- Hongbo LI
- The Affiliated Hospital to Changchun University of Chinese Medicine, China
| | - Daqing NIE
- The Affiliated Hospital to Changchun University of Chinese Medicine, China
| | - Shaoqiong WANG
- The Affiliated Hospital to Changchun University of Chinese Medicine, China
| | - Da LI
- The Affiliated Hospital to Changchun University of Chinese Medicine, China
| | - Cheng LIU
- The Affiliated Hospital to Changchun University of Chinese Medicine, China
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Patasova K, Khawaja AP, Tamraz B, Williams KM, Mahroo OA, Freidin M, Solebo AL, Vehof J, Falchi M, Rahi JS, Hammond CJ, Hysi PG. Association Between Medication-Taking and Refractive Error in a Large General Population-Based Cohort. Invest Ophthalmol Vis Sci 2021; 62:15. [PMID: 33591358 PMCID: PMC7900881 DOI: 10.1167/iovs.62.2.15] [Citation(s) in RCA: 4] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022] Open
Abstract
Purpose Refractive errors, particularly myopia, are common and a leading cause of blindness. This study aimed to explore associations between medications and refractive error in an aging adult cohort and to determine whether childhood-onset refractive errors predict future medication use to provide novel insights into disease mechanisms. Methods The study compared the spherical equivalent values measured in 102,318 UK Biobank participants taking the 960 most commonly used medications. The strengths of associations were evaluated against the self-reported age of spectacle wear. The causality of refractive error changes was inferred using sensitivity and Mendelian randomization analyses. Results Anti-glaucoma drugs were associated with 1 to 2 diopters greater myopic refraction, particularly in subjects who started wearing correction in the first two decades of life, potentially due to the association of higher intraocular pressure since early years with both myopia and, later in life, glaucoma. All classes of pain-control medications, including paracetamol, opiates, non-steroidal antiinflammatory drugs, and gabapentinoids, were associated with greater hyperopia (+0.68–1.15 diopters), after correction for deprivation, education, and polypharmacy and sensitivity analyses for common diagnoses. Oral hypoglycemics (metformin, gliburonide) were associated with myopia, as was allopurinol, and participants using bronchodilators (ipratropium and salbutamol) were more hyperopic. Conclusions This study finds for the first time, to our knowledge, that medication use is associated with refractive error in adults. The novel finding that analgesics are associated with hyperopic refraction, and the possibility that multisite chronic pain predisposes to hyperopia, deserves further research. Some drugs, such as antihyperglycemic or bronchodilators, may directly alter refractive error. Intraocular pressure appears causative for myopia.
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Affiliation(s)
- Karina Patasova
- Section of Ophthalmology, School of Life Course Sciences, King's College London, United Kingdom.,Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King's College London, United Kingdom
| | - Anthony P Khawaja
- NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and the UCL Institute of Ophthalmology, London, United Kingdom
| | - Bani Tamraz
- Department of Clinical Pharmacy, University of California San Francisco, San Francisco, California, United States
| | - Katie M Williams
- Section of Ophthalmology, School of Life Course Sciences, King's College London, United Kingdom.,Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King's College London, United Kingdom.,NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and the UCL Institute of Ophthalmology, London, United Kingdom.,Department of Ophthalmology, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.,Institute of Ophthalmology, University College London, London, United Kingdom
| | - Omar A Mahroo
- Section of Ophthalmology, School of Life Course Sciences, King's College London, United Kingdom.,Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King's College London, United Kingdom.,NIHR Biomedical Research Centre, Moorfields Eye Hospital NHS Foundation Trust and the UCL Institute of Ophthalmology, London, United Kingdom.,Department of Ophthalmology, St Thomas' Hospital, Guy's and St Thomas' NHS Foundation Trust, London, United Kingdom.,Institute of Ophthalmology, University College London, London, United Kingdom
| | - Maxim Freidin
- Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King's College London, United Kingdom
| | - Ameenat L Solebo
- UCL Great Ormond Street Hospital Institute of Child Health, London, United Kingdom
| | - Jelle Vehof
- Section of Ophthalmology, School of Life Course Sciences, King's College London, United Kingdom.,Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King's College London, United Kingdom.,University of Groningen, University Medical Center Groningen, Groningen, The Netherlands
| | - Mario Falchi
- Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King's College London, United Kingdom
| | - Jugnoo S Rahi
- Institute of Ophthalmology, University College London, London, United Kingdom.,Ulverscroft Vision Research Group, University College London, London, United Kingdom
| | - Chris J Hammond
- Section of Ophthalmology, School of Life Course Sciences, King's College London, United Kingdom.,Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King's College London, United Kingdom
| | - Pirro G Hysi
- Section of Ophthalmology, School of Life Course Sciences, King's College London, United Kingdom.,Department of Twin Research and Genetic Epidemiology, School of Life Course Sciences, King's College London, United Kingdom.,UCL Great Ormond Street Hospital Institute of Child Health, London, United Kingdom
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