银屑胶囊联合盐酸奥洛他定治疗寻常型银屑病疗效观察及对血清IL-17、IL-22、TNF-α的影响
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R758.63

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Curative Effect of Yinxie Capsules Combined with Olopatadine Hydrochloride on Psoriasis Vulgaris and Its Effect on Serum IL-17,IL-22 and TNF-α
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    摘要:

    目的:观察银屑胶囊联合盐酸奥洛他定治疗寻常型银屑病(PsV) 的临床疗效及其对血清炎症因子水平的影响。方法:将86 例PsV 患者按随机数字表法分为对照组和治疗组各43 例。对照组采用阿维A 胶囊、尿素乳膏等常规治疗,治疗组在对照组的基础上加用银屑胶囊联合盐酸奥洛他定治疗。2 组均治疗8 周,评价2 组临床疗效,比较2 组银屑病皮损面积和严重程度指数(PASI) 评分、随访3 个月复发情况,检测2 组治疗前后血清白细胞介素-17 (IL-17)、白细胞介素-22 (IL-22)、肿瘤坏死因子-α (TNF-α)、白细胞介素-6(IL-6) 表达水平及外周血T 淋巴细胞亚群[CD3+、CD8+、CD4+/CD8+]表达水平。结果:治疗组总有效率为93.02%,对照组为76.74%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组PASI 评分均较治疗前降低,且治疗组PASI 评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组血清IL-17、IL-22、TNF-α、IL-6 水平均较治疗前降低,且治疗组上述各项指标均低于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组CD3+、CD4+/CD8+水平均较治疗前升高(P<0.05),CD8+均较治疗前水平降低(P<0.05);且治疗组CD3+、CD4+/CD8+、CD8+水平改善较对照组更显著(P<0.05)。随访3 个月,治疗组复发率为30.23%(13/43),对照组为60.47%(26/43),2 组比较,差异有统计学意义(P<0.05)。结论:银屑胶囊联合盐酸奥洛他定治疗PsV 的疗效肯定,可以减轻临床症状,调节血清IL-17、IL-22、TNF-α、IL-6 及外周血T淋巴细胞亚群表达水平,降低复发率。

    Abstract:

    Abstract:Objective:To observe the curative effect of the therapy of Yinxie capsules combined with orlopatadine hydrochloride on psoriasis vulgaris(PsV) and its effect on the levels of serum inflammatory factors. Methods: A total of 86 patients with PsV were randomly divided into the control group and the treatment group according to the random number table method,with 43 cases in each group. The control group was treated with routine treatment,such as acitretin capsules and urea cream,and the treatment group was additionally treated with Yinxie capsules combined with olopatadine hydrochloride based on the treatment of the control group. The two groups were treated for eight weeks. After treatment,the clinical effects were evaluated, the scores of Psoriasis Area and Severity Index(PASI) in the two groups were compared,and the recurrence was followed up for three months. Before and after treatment,the levels of serum interleukin- 17(IL- 17),interleukin- 22(IL- 22),tumor necrosis factor- α(TNF- α) and interleukin- 6 (IL-6),and the levels of T lymphocyte groups in peripheral blood,including CD3+,CD8+ and CD4+/CD8+, were detected. Results:The total effective rate was 93.02% in the treatment group and was 76.74% in the control group, the difference being significant(P<0.05). After treatment, the PASI scores in the two groups were decreased when compared with those before treatment,and the PASI score in the treatment group was lower than that in the control group,differences being significant(P<0.05). After treatment,the levels of serum IL-17,IL-22,TNF-α and IL-6 in the two groups were decreased when compared with those before treatment,and the above levels in the treatment group were lower than those in the control group,differences being significant(P<0.05). After treatment,the levels of CD3 + and CD4 +/CD8 + in both groups were increased when compared with those before treatment(P<0.05),and the levels of CD8+ were decreased(P<0.05);the improvement of the levels of CD3+,CD4+/CD8+ and CD8+ in the treatment group was better than that in the control group(P<0.05). After three months of follow- up,the recurrence rate was 30.23% (13/43) in the treatment group and was 60.47% (26/43) in the control group, the difference being significant(P<0.05). Conclusion: The therapy of Yinxie capsules combined with orlopatadine hydrochloride has a positive curative effect on PsV,which can alleviate the symptoms,regulate the levels of serum IL-17,IL-22,TNF-α and IL-6 and T lymphocytes groups in peripheral blood,and reduce the recurrence rate.

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胡小芳,李慧芳,张朝晖.银屑胶囊联合盐酸奥洛他定治疗寻常型银屑病疗效观察及对血清IL-17、IL-22、TNF-α的影响[J].新中医,2022,54(14):111-115

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  • 在线发布日期: 2022-07-21
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