滋阴利咽汤联合布地奈德雾化吸入对肾阴虚型慢性咽炎疗效及炎症反应、免疫功能的影响
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R766.14

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Effect of Ziyin Liyan Tang Combined with Budesonide Aerosol Inhalation on Curative Effects, Inflammatory Responses and Immune Function with Chronic Pharyngitis of Kidney Yin Deficiency Type
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    摘要:

    目的:观察滋阴利咽汤联合布地奈德雾化吸入对肾阴虚型慢性咽炎患者疗效、炎症反应、免疫功能的影响。方法:选取90 例慢性咽炎患者,按治疗方式不同分为对照组及观察组各45 例,对照组给予雾化吸入布地奈德吸入粉雾剂,观察组在对照组基础上口服滋阴利咽汤。观察2 组临床疗效及症状消失时间,比较2 组治疗前后中医证候评分、血清炎性因子[肿瘤坏死因子-α(TNF-α)、超敏C-反应蛋白(hs-CRP)、白细胞介素-6(IL-6)]、T 淋巴细胞亚群的变化。结果:治疗后,观察组临床疗效总有效率为91.1%,对照组总有效率为77.8%,2 组比较,差异有统计学意义(P<0.05)。治疗后,观察组咽喉干痒消失时间、黏膜充血消失时间、声音嘶哑消失时间、咽喉疼痛消失时间均短于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组中医证候各项评分均较治疗前下降,观察组中医证候各项评分均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组血清hs-CRP、IL-6、TNF-α 水平均较治疗前下降(P<0.05),观察组上述3 项水平均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组CD3+、CD4+、CD4+/CD8+指标值均较治疗前上升,CD8+指标值均较治疗前下降,2 组CD3+、CD4+及观察组CD8+、CD4+/CD8+指标值与治疗前比较,差异均有统计学意义(P<0.05);治疗后,观察组CD3+、CD4+、CD4+/CD8+指标值均高于对照组,CD8+指标值低于对照组,差异均有统计学意义(P<0.05)。结论:滋阴利咽汤联合布地奈德雾化吸入对慢性咽炎(肾阴虚型) 患者疗效显著,可缓解慢性咽炎临床症状,降低炎症程度,提高机体免疫功能。

    Abstract:

    Abstract:Objective:To observe the effect of Ziyin Liyan tang combined with budesonide aerosol inhalation on curative effects, inflammatory responses and immune function in patients with chronic pharyngitis of kidney yin deficiency type. Methods:A total of 90 patients with chronic pharyngitis were selected and divided into the control group and the observation group according to different treatment methods, with 45 cases in each group. The control group was given budesonide inhalation powder,and the observation group was additionally given Ziyin Liyan tang based on the treatment of the control group. The clinical effects and symptom disappearance time in the two groups were observed. Before and after treatment, the changes of Chinese medicine syndrome score,serum inflammatory factors,including tumor necrosis factor-α(TNF-α), hypersensitive C-reactive protein(hs-CRP) and interleukin-6(IL-6),and T lymphocyte subsets were compared between the two groups. Results:After treatment,the total effective rate was 91.1% in the observation group,and 77.8% in the control group,the difference being significant(P<0.05). After treatment,the disappearance time of dry and itchy throat,mucosal congestion, hoarseness and throat pain in the observation group was shorter than that in the control group, differences being significant(P<0.05). After treatment,the Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment, and the Chinese medicine syndrome scores in the observation group were lower than those in the control group,differences being significant(P<0.05). After treatment,the serum levels of hs-CRP,IL-6 and TNF- α in the two groups were decreased when compared with those before treatment(P<0.05),and the above three levels in the observation group were lower than those in the control group, differences being significant(P<0.05). After treatment,the values of CD3+,CD4+ and CD4+/CD8+ in the two groups were increased when compared with those before treatment,and the CD8 + values were decreased. The values of CD3 + and CD4 + in the two groups and values of CD8 + and CD4 +/CD8 + in the observation group were compared with those before treatment, differences being significant(P<0.05). After treatment,the values of CD3 +,CD4 + and CD4 +/CD8 + in the observation group were higher than those in the control group,and the CD8 + value was lower,differences being significant(P<0.05). Conclusion:The therapy of Ziyin Liyan tang combined with budesonide aerosol inhalation has a significant curative effect on patients with chronic pharyngitis of kidney yin deficiency type,which can alleviate the clinical symptoms,reduce the level of inflammatory factors and improve the immune function.

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田永远,郭成,付晴.滋阴利咽汤联合布地奈德雾化吸入对肾阴虚型慢性咽炎疗效及炎症反应、免疫功能的影响[J].新中医,2022,54(11):166-170

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  • 在线发布日期: 2022-06-10
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