Article Summary
杏贝止咳颗粒联合丙酸倍氯米松对支气管哮喘急性发作期患儿炎症-免疫调节作用研究
Study on the Inflammatory-Immune Regulatory Effects of Xingbei Zhike Granules Combine With Beclomethasone Dipropionate in Children With Acute Exacerbation of Bronchial Asthma
投稿时间:2025-01-15  修订日期:2025-01-15
DOI:
中文关键词: 支气管哮喘  丙酸倍氯米松  杏贝止咳颗粒  急性发作期  炎症  免疫
英文关键词: Bronchial asthma  Betamethasone Propionate  Xingbei Zhike Granules  Acute exacerbation  Inflammation  Immune
基金项目:山东省中医药科技项目(2020M109)
作者单位邮编
胡利娟* 青岛市中医医院/青岛大学附属青岛市海慈医院 266000
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中文摘要:
      目的:探讨杏贝止咳颗粒联合丙酸倍氯米松对支气管哮喘急性发作期患儿的炎症-免疫调节作用。方法:采用随机数字表法,将106例急性发作期支气管哮喘患儿分为对照组(n=53,吸入用丙酸倍氯米松雾化吸入治疗)、研究组(n=53,杏贝止咳颗粒联合吸入用丙酸倍氯米松雾化吸入治疗)。治疗2周,对比两组临床症状缓解时间、炎症因子[白细胞介素(IL)-6、肿瘤坏死因子-α(TNF-α)、IL-10]、免疫功能指标[免疫球蛋白(Ig)A、IgG、IgM、IgE和T淋巴细胞亚群],观察两组不良反应发生情况。结果:研究组的咳嗽、气急及哮鸣音等临床症状缓解时间短于对照组(P<0.05)。研究组治疗后CD3+、CD4+、IL-10、CD4+/CD8+ 高于对照组,IL-6、CD8+、TNF-α 低于对照组(P<0.05)。研究组治疗后IgA、IgG、IgM高于对照组,IgE低于对照组(P<0.05)。两组不良反应发生率组间对比无统计学差异(P>0.05)。结论:杏贝止咳颗粒联合丙酸倍氯米松治疗儿童支气管哮喘急性发作期,可缩短症状缓解时间,且用药安全性良好,与降低炎症因子水平、改善免疫功能有关。
英文摘要:
      Objective: To investigate the inflammatory-immune regulatory effects of Xingbei Zhike Granules combine with beclomethasone dipropionate on children with acute exacerbation of bronchial asthma. Method: Using random number table, 106 children with acute exacerbation of bronchial asthma were divided into control group (n=53, treated with inhaled beclomethasone dipropionate nebulization) and study group (n=53, treated with Xingbei Zhike Granules combined with inhaled beclomethasone dipropionate nebulization). 2 weeks after treatment, the clinical symptom relief time, inflammatory factors [interleukin (IL) -6, tumor necrosis factor-α (TNF-α), IL-10], and immune function indicators [immunoglobulin (Ig) A, IgG, IgM, IgE, and T lymphocyte subsets] between the two groups were compared, and the occurrence of adverse reactions between the two groups were observe. Result: The clinical symptoms relief time such as cough, shortness of breath and wheezing in the study group were shorter than those in the control group (P<0.05). CD3+, CD4+, IL-10 and CD4+/CD8+in the study group after treatment were higher than those in the control group, while IL-6, CD8+ and TNF-α were lower than those in the control group (P<0.05). IgA, IgG and IgM levels in the study group after treatment were higher than those in the control group, while IgE levels were lower than that in the control group (P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion: The combination of Xingbei Zhike Granules and beclomethasone dipropionate can shorten the symptom relief time in children with acute exacerbation of bronchial asthma, and has good medication safety, which is related to reducing the level of inflammatory factors and improving immune function.
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