蒿秦化斑方联合雷公藤多苷对皮炎湿疹患者免疫功能的影响
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R758.23

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Effect of Haoqin Huaban Tang Combined with Tripterygium Glycosides on Immune Function of Patients with Eczematous Dermatitis
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    摘要:

    目的:观察蒿秦化斑方联合雷公藤多苷对皮炎湿疹患者免疫功能的影响。方法:选取168 例皮炎湿疹患者作为研究对象,按随机数字表法分为治疗组及对照组各84 例,对照组使用雷公藤多苷治疗,治疗组使用蒿秦化斑方联合雷公藤多苷治疗。比较2 组临床疗效,比较2 组治疗前后白细胞介素-4(IL-4)、白细胞介素-10(IL-10)、γ 干扰素(IFN-γ) 及T 细胞亚群TH1、TH2、TH1/TH2 的变化,比较2 组治疗前后皮肤屏障功能及中医证候积分的变化。结果:治疗后,2 组IL-4、IL-10、IFN-γ 水平均较治疗前下降,治疗组IL-4、IL-10、IFN-γ 水平均低于对照组,差异均有统计学意义(P<0.05)。治疗后,TH1、TH2 水平均较治疗前下降,TH1/TH2 水平均较治疗前上升,差异均有统计学意义(P<0.05);治疗组TH1、TH2 水平均低于对照组,TH1/TH2 水平高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组经表皮水份流失水平均较治疗前下降,角质层含水量、皮脂含量均较治疗前上升,差异均有统计学意义(P<0.05);治疗组经表皮水份流失水平低于对照组,角质层含水量、皮脂含量均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组中医证候积分均较治疗前下降,治疗组中医证候积分低于对照组,差异均有统计学意义(P<0.05)。治疗组临床疗效总有效率为97.62%,对照组临床疗效总有效率为89.29%,2 组比较,差异有统计学意义(P<0.05)。结论:蒿秦化斑方联合雷公藤多苷治疗皮炎湿疹疗效较好,可缓解患者临床症状,改善炎症因子水平及免疫功能,提高患者皮肤屏障功能。

    Abstract:

    Objective: To observe the effect of the therapy of Haoqin Huaban tang combined with tripterygium glycosides on immune function of patients with eczematous dermatitis. Methods: A total of 168 patients with eczematous dermatitis were selected as research objects,and divided into the treatment group and the control group according to the random number table method,with 84 cases in each group. The control group was treated with tripterygium glycosides, and the treatment group was treated with Haoqin Huaban tang combined with tripterygium glycosides. The clinical effects in the two groups were compared,and the changes of levels of interleukin-4(IL-4),interleukin-10(IL-10),interferon-γ(IFN-γ), T cell subsets(TH1, TH2, TH1/TH2), skin barrier function and Chinese medicine syndrome scores were compared between the two groups before and after treatment. Results: After treatment, the levels of IL-4,IL-10 and IFN-γ in both groups were decreased when compared with those before treatment,and the levels of IL- 4,IL- 10 and IFN- γ in the treatment group were lower than those in the control group, differences being significant(P<0.05). After treatment,the levels of TH1 and TH2 were decreased,and the levels of TH1/TH2 were increased,differences being significant(P<0.05);the levels of TH1 and TH2 in the treatment group were lower than those in the control group, and the level of TH1/TH2 was higher, differences being significant(P<0.05). After treatment, the levels of epidermal water loss in both groups were decreased when compared with those before treatment,and the contents of cuticle water and cortex were increased,differences being significant(P<0.05);the level of epidermal water loss in the treatment group was lower than that in the control group,and the contents of cuticle water and cortex were higher, differences being significant(P<0.05). After treatment, the Chinese medicine syndrome scores in both groups were decreased when compared with those before treatment,and the Chinese medicine syndrome score in the treatment group was lower than that in the control group, differences being significant(P< 0.05). The total effective rate of clinical effect was 97.62% in the treatment group and 89.29% in the control group, the difference being significant(P<0.05). Conclusion: The therapy of Haoqin Huaban tang combined with tripterygium glycosides has a good therapeutic effect on the treatment of eczematous dermatitis,which can relieve clinical symptoms,improve the levels of inflammatory factors and immune function,and enhance the skin barrier function of patients.

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杨小静,梁爱芳,张艳丽,郑曙光,宋飞娟.蒿秦化斑方联合雷公藤多苷对皮炎湿疹患者免疫功能的影响[J].新中医,2022,54(13):120-125

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  • 在线发布日期: 2022-07-07
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