金银花药浴联合利巴韦林治疗手足口病临床研究
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R725.1

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Clinical Study on Medicated Bath with Flos Lonicerae Japonicae Combined with Ribavirin for Hand-Foot-Mouth Disease
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    摘要:

    目的:观察金银花药浴联合利巴韦林治疗手足口病(HFMD)的临床疗效。方法:选取88 例HFMD 患儿,按照随机数字表法分为对照组与治疗组各44 例。对照组给予利巴韦林治疗,治疗组在对照组的基础上给予金银花药浴治疗。2 组均治疗7 d,比较2 组总体临床疗效、临床症状消失时间,以及2 组治疗前后血清γ-干扰素(IFN-γ)、肿瘤坏死因子(TNF-α)、白细胞介素-6(IL-6)、白细胞介素-10(IL-10)、辅助T 细胞CD4+、细胞毒T 细胞CD8+、CD4+/CD8+比值、免疫球蛋白M(IgM)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG)指标变化。结果:治疗后,治疗组总有效率为93.18%,对照组为72.73%,2 组比较,差异有统计学意义(P<0.05)。治疗后,治疗组退热时间、手足皮疹消失时间、口腔溃疡愈合时间均短于对照组,差异有统计学意义(P<0.05)。治疗后,2 组IFN-γ、TNF-α、IL-6、IL-10、CD8+水平均较治疗前降低(P<0.05),且治疗组IFN-γ、TNF-α、IL-6、IL-10、CD8+水平均低于对照组(P<0.05);2 组CD4+、CD4+/CD8+、IgM、IgA、IgG 水平均较治疗前升高(P<0.05),且治疗组CD4+、CD4+/CD8+、IgM、IgA、IgG 水平均高于对照组(P<0.05)。结论:金银花药浴联合利巴韦林治疗HFMD 疗效肯定,能显著降低炎症因子水平,改善机体免疫功能,疗效优于单纯利巴韦林治疗。

    Abstract:

    Abstract: Objective: To observe the clinical effect of medicated bath with Flos Lonicerae Japonicae combined with ribavirin for hand- foot- mouth disease (HFMD). Methods:A total of 88 cases of HFMD children were selected and divided into the control group and the treatment group according to the random number table method,44 cases in each group. The control group was treated with ribavirin, and the treatment group was additionally treated with medicated bath with Flos Lonicerae Japonicae based on the treatment of the control group. Both groups were treated for seven days. The total clinical effect and the disappearance time of clinical symptoms were compared between the two groups. Changes in interferon- γ (IFN- γ),tumor necrosis factor- α(TNF- α),interleukin- 6(IL- 6),interleukin- 10 (IL- 10),helper T cell CD4 +,cytotoxic T lymphocyte CD8 +,the ratio of CD4 + to CD8 +,immunoglobulin M (IgM),immunoglobulin A (IgA),and immunoglobulin G (IgG) before and after treatment were compared between the two groups. Results:After treatment,the total effective rate was 93.18% in the treatment group, and 72.73% in the control group, the difference being significant(P<0.05). After treatment,the fever subsidence time,the disappearance time of hand- foot rash,the healing time of mouth ulcer in the treatment group were shorter than those in the control group, the difference being significant(P<0.05). After treatment, levels of IFN- γ,TNF- α,IL- 6,IL- 10,and CD8 + in the two groups were decreased when compared with those before treatment(P<0.05),and the five levels above in the treatment group were lower than those in the control group(P<0.05). After treatment,levels of CD4+,CD4+/CD8+,IgM,IgA,and IgG in the two groups were increased when compared with those before treatment(P<0.05),and the five levels above in the treatment group were higher than those in the control group (P<0.05). Conclusion: The therapy of medicated bath with Flos Lonicerae Japonicae combined with ribavirin has defined curative effect in the treatment of HFMD, which can significantly reduce levels of inflammatory factors, and improve immune function. Its curative effect is better than that of simple ribavirin.

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陈新秋,李美娇.金银花药浴联合利巴韦林治疗手足口病临床研究[J].新中医,2021,53(12):129-132

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  • 在线发布日期: 2021-06-23
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