复方甘草酸苷片联合醋酸泼尼松片治疗系统性红斑狼疮临床研究
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Clinical Study on Compound Glycyrrhizin Tablets Combined with Prednisone Acetate Tablets for Systemic Lupus Erythematosus
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    摘要:

    目的:观察复方甘草酸苷片联合醋酸泼尼松片治疗系统性红斑狼疮的临床效果。方法:纳入48例系统性红斑狼疮患者,根据治疗措施不同均分为对照组和观察组各24例。2组患者均采用醋酸泼尼松片治疗,病情严重者加用环磷酰胺注射液,观察组加用复方甘草酸苷片进行治疗,2组均治疗3个月。观察2组的临床治疗效果、不良反应发生情况,治疗前后检测CD4+CD25+调节性T细胞表达情况以及评定损伤指数。结果:治疗后,观察组总有效率高于对照组(P<0.05)。2组CD4+CD25+调节性T细胞表达水平均较治疗前升高,观察组CD4+CD25+调节性T细胞表达水平高于对照组,差异均有统计学意义(P<0.05)。2组损伤指数评分均较治疗前降低,观察组损伤指数评分低于对照组,差异均有统计学意义(P<0.05)。观察组不良反应发生率低于对照组(P<0.05)。结论:使用复方甘草酸苷片联合醋酸泼尼松片治疗系统性红斑狼疮,可以有效改善机体的免疫调节功能,纠正免疫失调状况,提高免疫耐受能力,减轻疾病本身对于机体组织器官的损伤程度,提高药物治疗安全性。

    Abstract:

    To observe the clinical effect of compound glycyrrhizin tablets combined with prednisone acetate tablets for systemic lupus erythematosus.Methods:A total of 48 cases of patients with systemic lupus erythematosus were divided into the control group and the observation group according to different treatment measures,24 cases in each group.Both groups were treated with prednisone acetate tablets;serious patients were additionally treated with cyclophosphamide injection;the observation group was additionally treated with compound glycyrrhizin tablets.Both groups were treated for three months.The clinical effect and the incidence of adverse reactions in the two groups were observed.Before and after treatment, the expressions of CD4+CD25+regulatory T cells were detected, and the damage indexes w ere evaluated.Results:After treatment,the total effective rate in the observation group was higher than that in the control group(P < 0.05).The levels of expression of CD4+CD25+regulatory T cells in the two groups were increased when compared with those before treatment,and the level in the observation group was higher than that in the control group,differences being significant(P <0.05).The scores of damage indexes in the two groups were decreased when compared with those before treatment,and the score in the observation group was lower than that in the control group,differences being significant(P<0.05).The incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion:The therapy of compound glycyrrhizin tablets combined with prednisone acetate tablets in treating systemic lupus erythematosus can effectively improve the immunoregulatory function and immune tolerance, correct the immune disorder, reduce the damage of the disease itself to tissues and organs,and enhance the medication safety.

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罗成城.复方甘草酸苷片联合醋酸泼尼松片治疗系统性红斑狼疮临床研究[J].新中医,2019,51(10):140-142

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  • 在线发布日期: 2019-10-11
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