1. 上海中医药大学附属上海市中西医结合医院儿科,上海,200082
2. 第二军医大学附属长海医院儿科,上海,200433
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沈朝斌, 王华, 雷蕾, 等. 玉屏风颗粒对儿童缓解期哮喘免疫相关指标影响的临床研究[J]. 上海中医药杂志, 2017,51(7):40-43.
SHEN Chao-bin, WANG Hua, LEI Lei, et al. Effects of Yupingfeng Granule on immune related indexes in children with bronchial asthma in remission stage[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(7):40-43.
沈朝斌, 王华, 雷蕾, 等. 玉屏风颗粒对儿童缓解期哮喘免疫相关指标影响的临床研究[J]. 上海中医药杂志, 2017,51(7):40-43. DOI:
SHEN Chao-bin, WANG Hua, LEI Lei, et al. Effects of Yupingfeng Granule on immune related indexes in children with bronchial asthma in remission stage[J]. Shanghai Journal of Traditional Chinese Medicine, 2017,51(7):40-43. DOI:
目的:观察玉屏风颗粒对儿童缓解期哮喘免疫相关指标的影响。 方法:将200例缓解期哮喘的患儿随机分为治疗组和对照组,每组100例。对照组予孟鲁司特钠治疗,治疗组予孟鲁司特钠加玉屏风颗粒剂治疗。两组疗程均为2个月,观察随访6个月期间咳喘发作、发热及下呼吸道感染人次,比较外周血嗜酸性细胞绝对计数(EOS)、血清总免疫球蛋白E(IgE)及炎症细胞因子(IFN-γ、IL-13、IL-17、IL-9、IL-5)等的变化。 结果:①随访6个月期间组间比较,治疗组因发生反复咳喘、发热、下呼吸道感染而就诊的患儿人次显著少于对照组(P<0.05)。②组间治疗后EOS水平比较,治疗组较对照组显著下降(P<0.05)。③组间治疗后比较,治疗组总IgE阳性率明显低于对照组(P<0.05)。④组间治疗后比较,IL-13、IL-17、IL-9水平差异有统计学意义,治疗组均显著低于对照组(P<0.05)。 结论:玉屏风颗粒治疗儿童缓解期哮喘,可显著延长临床缓解期,减少咳喘复发与继发感染,其机制可能与抑制炎症细胞因子水平、调节T细胞亚群功能有关。
Objective:To observe the effects of Yupingfeng Granule on immune related indexes in children with bronchial asthma in remission stage. MethodsTwo hundred children patients with bronchial asthma in remission stage were randomly divided into the treatment group and control group,100 cases in each group. The control group was treated with montelukast sodium,and the treatment group was treated with Yupingfeng Granule and montelukast sodium,with a course of 2 months. The incidence of cough,fever and lower respiratory infection were observed during the follow-up period of 6 months. The changes of absolute counting of eosinophil (EOS) in peripheral blood,serum total immunoglobulin E (IgE) and inflammatory cytokines(IFN-γ,IL-13,IL-17,IL-9,IL-5)were compared. Results:①During the follow-up period of 6 months,the incidence of repeated cough,fever and lower respiratory infection in the treatment group were significantly less than those in the control group(P<0.05). ②After treatment,the EOS level of the treatment group was significantly lower than that of the control group(P<0.05). ③After treatment,the total IgE positive rate of the treatment group was significantly lower than that of the control group(P<0.05). ④There were statistically significant differences on the levels of IL-13,IL-17,IL-9 between the two groups after treatment,and the levels of the treatment group were significantly lower than those of the control group(P<0.05). Conclusion:Yupingfeng Granule can be used in the treatment of childhood asthma in remission stage,which significantly prolong the clinical remission period and reduce the cough recurrence and secondary infection. Its mechanism may be related to the inhibition of inflammatory cytokines and the function regulation of T cell subsets.
儿童哮喘缓解期玉屏风颗粒白三烯受体拮抗剂炎症细胞因子
childhood asthmaremission stageYupingfeng Granuleleukotriene receptor antagonistinflammatory cytokines
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