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纸质出版日期:2014
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肖丹, 谭亚夏, 陈翠, 等. 天龙复方制剂治疗甲型流感[J]. 中国实验方剂学杂志, 2014,20(4):171-174.
XIAO Dan, TAN Ya-xia, CHEN Cui, et al. Clinical Observation of Tianlong Compound on Influenza A[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(4): 171-174.
肖丹, 谭亚夏, 陈翠, 等. 天龙复方制剂治疗甲型流感[J]. 中国实验方剂学杂志, 2014,20(4):171-174. DOI: 10.11653/syfj2014040171.
XIAO Dan, TAN Ya-xia, CHEN Cui, et al. Clinical Observation of Tianlong Compound on Influenza A[J]. Chinese journal of experimental traditional medical formulae, 2014, 20(4): 171-174. DOI: 10.11653/syfj2014040171.
目的:观察天龙复方制剂治疗甲型流感的临床疗效。方法:采集流感样患者的鼻咽拭子标本,采用斑点免疫渗滤法快速检测出甲型流感病毒核蛋白抗原阳性者,再经实时定量PCR方法测定甲型流感病毒核酸,阳性者为甲型流感确诊患者。将确诊的58例甲型流感患者随机分为中药组(25例,给予天龙复方制剂);对照组(25例,给予乙酰氨基酚对症治疗);达菲组 ;疗程3 d,比较3组患者的发热持续时间、临床疗效及治疗前后的甲型流感病毒核酸扩增Ct值。结果:中药组的有效率明显高于对照组,差异具有统计学意义(P<0.05),中药组与达菲组比较无差异。中药组和达菲组的发热持续时间均比对照组减少,差异具有统计学意义(P<0.05),而中药组与达菲组比较无明显差异。中药组和达菲组治疗后的甲型流感病毒核酸扩增Ct值均较治疗前增高,差异均具有统计学意义(P<0.05),但两组之间比较,差异无统计学意义。结论:天龙复方制剂对甲型流感患者具有退热、减轻症状和减少流感病毒载量的作用。
Objective: To observe the effects of the Tianlong compound on patients with influenza A. Method: Nasopharyngeal swab specimens were collected from the individual who had developed influenza-like-symptoms
and Flu A NP antigen was rapidly tested using dot immunoenzyme filtration assay(DIEFA)
then the influenza virus A RNA of the positive samples were detected using quantitative real time reverse-transcription polymerase chain reaction (qRT-PCR).Positive samples were finally diagnosed with the influenza A. The diagnosed 58 cases with influenza A infection were randomly divided into traditional Chinese medicine(TCM) group(25 cases
taking Tianlong compound)
control group (25 cases
taking symptom relief medicine only)and tamiflu group(8 cases
taking tamiflu(phosphoric acid oseltamivir).The treatment durations in the three groups were three days
then the differences among the three groups on curative effects
the duration of fever and the Ct value of the influenza A virus RNA were analyzed before and after treatment. Result: The curative effect of each case in the TCM group was obviously higher than that in the control group
and the difference was significantly statistical(P<0.05)
but there was no difference between the TCM group and the tamiflu group.The duration of fever in the TCM group and the tamiflu group was shorter than that in the control group(P<0.05)
however
there was no significant difference between the TCM group and the tamiflu group.Compared with the prior treatment
the Ct value of the influenza A virus RNA was increased after treatment in the TCM group and the tamiflu group
the difference was both statistically significant(P<0.05)
but without significant difference between the two groups. Conclusion: The Tianlong compound was effective in shortening the duration of fever
relieving symptoms and reducing the number of the influenza virus.
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