B-Luron补充剂在膝关节骨关节病中的复杂应用:一项前瞻性随机研究

V. Ulyanov, N. Romakina, T. Y. Kalyuta, Angelina A. Yurkovets, A. Fedonnikov
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摘要

介绍。成年人群中的膝关节骨关节病(KO)通常导致永久性残疾,生活质量急剧下降,并长期使用镇痛药。同时,根据俄罗斯风湿病协会关于骨关节病治疗的临床指南,透明质酸药物被列入KO的推荐清单,它们在疾病的I-II期特别有效。评估膳食补充剂B-Luron对KO患者治疗12周后的疗效。材料和方法。共随访I-II期变形性骨关节病(DOA)患者70例,自2021年12月14日至2022年1月31日连续纳入研究,平均90天(3个月)。结果和讨论。B-Luron治疗I-II期DOA的有效性得到了证明:与初始状态相比,膝关节疼痛程度有统计学意义的显著降低,关节功能有改善。客观资料分析显示,12周内关节炎症的超声参数和MRI特征呈阳性趋势,镇痛需求减少。在一项前瞻性随机临床试验中,70例膝关节DOA患者作为非甾体抗炎药联合治疗的一部分(使用12周),B-Luron显示其对I-II期疾病的有效性;关节炎症的超声参数和MRI征象呈阳性趋势,使用非甾体抗炎药的需求也有所减少。
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Complex Use of B-Luron Supplement in Knee Osteoarthrosis: a Prospective Randomized Study
INTRODUCTION. Knee osteoarthrosis (KO) among the adult population often leads to permanent disability, a sharp decrease in the quality of life, and chronic use of analgesics. At the same time, according to the clinical guidelines of the Russian Rheumatology Association for osteoarthrosis treatment, hyaluronic acid medications are included in the list recommended for KO, and they are particularly effective at stages I-II of the disease. AIM. Evaluation of the efficiency of the dietary supplement B-Luron for KO patients within 12 weeks therapy. MATERIAL AND METHODS. A total of 70 patients with stage I-II deforming osteoarthrosis (DOA) were followed up, consecutively included in the study from December 14, 2021 to January 31, 2022, for an average of 90 days (3 months). RESULTS AND DISCUSSION. The efficiency of B-Luron for I-II DOA stages was shown: a statistically significant decrease in the level of pain in knee joints, an improvement in the function of the joint were found compared to the initial state. The analysis of objective data showed a positive trend in ultrasound parameters and MRI features of joint inflammation and a decrease in the need for analgesics within 12 weeks. CONCLUSION. In a prospective randomized clinical trial with 70 knee DOA patients as a part of the combination therapy (12 weeks use) with non-steroidal anti-inflammatory drugs, B-Luron showed its efficiency for stages I-II of the disease; there was a positive trend in ultrasound parameters and MRI signs of inflammation in the joints as well as a decrease in the need for non-steroidal anti-inflammatory drug use.
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