1. 上海中医药大学附属岳阳中西医结合医院血液科,上海,200437
2. 上海市宝山区中西医结合医院中医科,上海,201999
3. 上海交通大学附属瑞金医院中医科,上海,200025
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许毅, 龙思敏, 李艳, 等. 芪卿消癜汤对过敏性紫癜患者免疫球蛋白和补体水平影响的临床研究[J]. 上海中医药杂志, 2016,50(7):56-58.
XU Yi, LONG Si-min, LI Yan, et al. Clinical research on the effects of “Qiqing Xiaodian Decoction” on the level of immunoglobulin and complement in allergic purpura patients[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(7):56-58.
许毅, 龙思敏, 李艳, 等. 芪卿消癜汤对过敏性紫癜患者免疫球蛋白和补体水平影响的临床研究[J]. 上海中医药杂志, 2016,50(7):56-58. DOI:
XU Yi, LONG Si-min, LI Yan, et al. Clinical research on the effects of “Qiqing Xiaodian Decoction” on the level of immunoglobulin and complement in allergic purpura patients[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(7):56-58. DOI:
目的:观察芪卿消癜汤治疗过敏性紫癜的临床疗效及其对免疫球蛋白和补体水平的影响。 方法:将60例过敏性紫癜患者随机分为治疗组和对照组,每组30例。治疗组采用中药芪卿消癜汤治疗,对照组采用常规西药(抗组胺药和糖皮质激素等)治疗。两组疗程均为8周,观察临床疗效以及免疫球蛋白(IgA、IgE 、IgM、IgG)、补体(C3、C4)等相关免疫指标的变化情况。 结果:①治疗组、对照组总有效率分别为96.7%、93.3%;组间临床疗效比较,差异无统计学意义(P>0.05)。②治疗前后组内比较,两组IgA、IgE、IgG、IgM水平均明显下降(P<0.05);组间治疗后比较,IgA、IgE、IgG、IgM水平差异均有统计学意义(P<0.05)。③治疗前后组内比较,两组C3水平均明显上升(P<0.05),C4差异均无统计学意义(P>0.05);组间治疗后比较,C3、C4水平差异均无统计学意义(P>0.05)。 结论:①过敏性紫癜急性发作时可能引起免疫球蛋白IgA、IgE、IgM、IgG的升高和补体C3的降低;②益气祛风法为主的芪卿消癜汤治疗过敏性紫癜的临床疗效良好,其作用机制可能与调节体液免疫、提高机体非特异性防御反应、减轻血管变态反应、降低毛细血管脆性有关。
Objective:To observe the clinical effects of “Qiqing Xiaodian Decoction” on allergic purpura and the level of immunoglobulin and complement. Method 60 patients with allergic purpura were randomly divided into treatment group and control group,30 patients in each group. Patients in treatment group were treated with Qi-qing-xiao-dian decoction, while patients in control group were treated with conventional western medicine(antihistamines and glucocorticoid),with a course of 8 weeks. The clinical efficacy and the change of indicators related to immunity such as immunoglobulin (IgA, IgE, IgM, IgG) and complement (c3, c4) were observed. Results: ①The total effective rate were 96.7% in the treatment group and 93.3% in the control group respectively. There was no statistical significance between groups (P>0.05). ②The level of IgA,IgE,IgG and IgM within each group before and after treatment significantly decreased (P<0.05);after treatment, the differences of the level of these indicators between two group were statistical significant(P<0.05). ③Compared within each group before and after treatment, the level of c3 increased significantly in both groups(P<0.05), while the difference of the level of c4 was not statistical significant (P>0.05). After treatment, there were no statistical significance between groups on the level of c3 and c4 (P>0.05). Conclusion:①When allergic purpura attacks acutely, the level of immunoglobulin (IgA, IgE, IgM, IgG) increase and the level of complement c3 decrease. ②“Qiqing Xiaodian Decoction” showed good clinical effects on allergic purpura with the therapy of supplement Qi and dispeling wind. The mechanism was related to regulating humoral immunity, enhancing the nonspecific immune reaction of the body, alleviating the allergic reaction of vessels and capillary fragility.
过敏性紫癜益气祛风法芪卿消癜汤免疫球蛋白补体
allergic purpuratherapy of supplement Qi with dispeling wind“Qiqing Xiaodian Decoction”immunoglobulincomplement
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