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河北省中医院,石家庄 050031
贾琳,博士,副主任医师,副教授,从事中西医结合治疗呼吸系统疾病的研究,E-mail:17661650@qq.com
*武蕾,主任医师,教授,从事中西医结合治疗支气管哮喘的研究,E-mail:5634200@qq.com
纸质出版日期:2019-02-20,
网络出版日期:2018-10-17,
收稿日期:2018-07-17,
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贾琳, 武蕾, 李博林, 等. 加味消风散治疗支气管哮喘风哮证的疗效观察及对炎症因子的影响[J]. 中国实验方剂学杂志, 2019,25(4):70-74.
Lin JIA, Lei WU, Bo-lin LI, et al. Clinical Efficacy of Modified Xiaofengsan and Its Effect on Cytokines in Persistent Asthma Patients with Wind-asthma Pattern[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2019,25(4):70-74.
贾琳, 武蕾, 李博林, 等. 加味消风散治疗支气管哮喘风哮证的疗效观察及对炎症因子的影响[J]. 中国实验方剂学杂志, 2019,25(4):70-74. DOI: 10.13422/j.cnki.syfjx.20190119.
Lin JIA, Lei WU, Bo-lin LI, et al. Clinical Efficacy of Modified Xiaofengsan and Its Effect on Cytokines in Persistent Asthma Patients with Wind-asthma Pattern[J]. Chinese Journal of Experimental Traditional Medical Formulae, 2019,25(4):70-74. DOI: 10.13422/j.cnki.syfjx.20190119.
目的:
2
观测加味消风散治疗慢性持续期支气管哮喘风哮证的临床疗效及对炎症因子的影响。
方法:
2
将120例符合纳入标准的慢性持续期哮喘患者随机分为对照组和治疗组,各60例。对照组60例,单用布地奈德福莫特罗粉吸入剂(160 μg/4.5 μg),2吸/次,
bid
。治疗组予加味消风散,日1剂,并联合布地奈德福莫特罗粉吸入剂(160 μg/4.5 μg)治疗。两组疗程均为1个月。观察两组患者临床疗效,治疗前后及治疗结束3个月后哮喘控制测试(asthma control test,ACT)评分表的得分情况以及治疗前后半年内哮喘平均急性发作次数,测定两组患者治疗前后第1秒用力呼气量占预计值百分比(percentage of forced expiratory volume in first second and its predicted value,FEV
1
%),PEF变异率(variety ratio of peak expiratory flow,PEF),外周血嗜酸性粒细胞(eosinophilic granulocyte,EOS)计数和血清白细胞介素-4(interleukin-4,IL-4),白细胞介素-6(interleukin-6,IL-6),白细胞介素-13(interleukin-13,IL-13)水平。并对两组患者进行安全性评价。
结果:
2
治疗组总有效率高于对照组(
P
<
0.05);治疗后及治疗结束3个月后ACT评分比较,治疗组高于对照组(
P
<
0.05);治疗后治疗组FEV
1
%高于对照组(
P
<
0.05);治疗后治疗组急性发作次数,PEF变异率,外周血EOS计数和血清IL-4,IL-6,IL-13水平低于对照组(
P
<
0.05)。
结论:
2
加味消风散联合布地奈德福莫特罗粉吸入剂治疗支气管哮喘风哮证可有效缓解症状,提高临床疗效,改善肺功能,降低血清炎症因子水平,改善气道慢性炎症状态。
Objective:
2
To observe the clinical efficacy of modified Xiaofengsan and its effect on cytokines in persistent asthma patients with wind-asthma pattern.
Method:
2
The 120 eligible patients with chronic and persistent asthma were randomly divided into control group (60 cases) and treatment group (60 cases). Patients in control group received the budesonide/formoterol (160 μg/4.5 μg
2 inhales/time
bid
). Patients in treatment group additionally received the modified Xiaofengsan combined with budesonide/formoterol (160 μg/4.5 μg). The treatment course was 1 month in both groups. The clinical efficacy of the two groups was observed. Before and 3 months after treatment
asthma control test (ACT) and the average times of acute exacerbation in 6 months before and after treatment between two groups were observed; percentage of forced expiratory volume in first second and its predicted value (FEV
1
%)
variety ratio of Peak expiratory flow (PEF)
eosinophilic granulocyte (EOS) count in peripheral blood and the levels of interleukin-4(IL-4)
interleukin-6(IL-6) and interleukin-13(IL-13) in serum were measured before and after treatment respectively. In addition
the safety of the two groups was evaluated.
Result:
2
The total effective rate of the treatment group was higher than that of the control group (
P
<
0.05). The levels of ACT value and FEV
1
% in treatment group were higher(
P
<
0.05)
while the average times of acute exacerbation
PEF variety ratio
EOS count in peripheral blood
L-4
IL-6 and IL-13 in serum were lower(
P
<
0.05) than those in control group after treatment. There was no significant difference in incidence of the adverse reactions.
Conclusion:
2
Modified Xiaofengsan combined with budesonide/formoterol could relieve symptoms of asthma
improve pulmonary function and lower the levels of IL-4
IL-6 and IL-13 in serum.
支气管哮喘风哮证白细胞介素-4白细胞介素-6白细胞介素-13
bronchial asthmawind-asthma patterninterleukin-4(IL-4)interleukin-6(IL-6)interleukin-13(IL-13)
Lang D M.Severe asthma:epidemiology,burden of illness,and heterogeneity[J].Allergy Asthma Proces, 2015, 36(6):418-424.
中华医学会呼吸病学分会哮喘学组,中华医学会全科医学分会.中国支气管哮喘防治指南(基层版)[J].中华结核和呼吸杂志,2013,36(5):331-336.
中华人民共和国卫生部.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:61.
国家中医药管理局.中医病证诊断疗效标准[M].南京:南京大学出版社,1994:6.
Garcia-Marcos L,Castro-Rodriguez J A,Weinmayr G, et al.Influence of mediterranean diet on asthma in children:a systematic review and Meta-analysis[J].Pediatr Allergy Immunol,2013,24(4):330-338.
To Y, Dohi M, Tanaka R, et al. Early in interleukin-4-dependent response can induce airway hyperreactivity before development of airway inflammation in a mouse model of asthma[J].Lab Invest, 2001, 81(10):1385-1396.
Lloyd C M, Hessel E M. Functions of T cells in asthma:more than just T(H)2 cells[J].Nat Rev Immunol, 2010, 10(12):838-848.
Sanderson C J.Interleukin-5,eosinophils and disease[J].Blood,1992,79(12):3101-3109.
Heijink I H,Vellenga E, Borger P,et al.Interleukin-6 promotes the production of interleukin-4 and interleukin-5 by interleukin-2-dependent and-independent mechanisms in freshly isolated human T cells[J].Immunology, 2002,107(3):316-324.
David M, Walter J J,Mcintire G B,et al.Critical role for IL-13 in the development of allergen-induced airway hyperreactivity[J].J Immunol,2001,167(8):4668-4675.
杨玉萍,晁恩祥.国医大师晁恩祥教授从风论治呼吸疾病理论[J].中华中医药杂志,2014,29(12):3702-3704.
王晓玲.蝎僵龙解痉平喘汤治疗支气管哮喘34例疗效观察[J].河北中医,2005,27(11):830-831.
朱良春.虫类药的应用[M].北京:人民卫生出版社,2011:83-84.
黄伯舜.虫类中药临床应用心得[J].中国中药杂志,2005,30(17):1369-1371.
喻静.僵蚕的临床应用及现代药理研究[J].中国中医药咨讯,2010,2(7):185-186.
赵清,霍利琴,贾天柱.不同炮制方法对僵蚕体外抗氧化活性及其对酪氨酸酶抑制能力的影响[J].中国实验方剂学杂志,2014,20(3):17-23.
徐树楠,张美玉,王永梅,等.蝉蜕镇咳、祛痰、平喘作用的药理研究[J].中国药理学通报,2007,23(12):1678-1679.
李璐,王永香,王秀海,等.地龙及其复方治疗糖尿病肾病的机制研究进展[J].中国实验方剂学杂志,2017,23(7):227-234.
傅炜昕,董占双,李铁英,等.免疫活性地龙肽的制备及其对小鼠NK细胞活性的影响[J].中国医科大学学报,2007,36(6):650-652.
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