龙胆泻肝汤加减对带状疱疹的临床疗效观察及对免疫功能的影响
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

内蒙古卫生厅医疗卫生科研计划项目(编号:2010203)


Clinical Curative Effect Observation of Modified Longdan Xiegan Decoction on the Treatment of Herpes Zoster and Immune Function
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:分析龙胆泻肝汤加减对带状疱疹的临床疗效观察及对免疫功能的影响。方法:将本院60例带状疱疹患者根据数字随机法分为对照组和观察组,各30例。对照组口服巴喷丁胶囊+阿昔洛韦,观察组在对照组治疗方案基础上加用龙胆泻肝汤,于治疗后第1周、第4周进行简易McGill疼痛评分、Oswestry功能障碍指数、汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)量表评分的变化,以及治疗前及治疗4周后Th17细胞浓度变化。结果:1)治疗前2组McGill疼痛评分比较无统计学意义(P>0.05),经过治疗后2组患者的McGill疼痛评分均有所下降,但是观察组下降的趋势更明显;2)治疗前2组Oswestry功能障碍指数比较差异无统计学意义(P>0.05),经过治疗后2组患者的Oswestry功能障碍指数均有所下降,但是观察组下降的趋势更明显。3)2组治疗前HAMA、HAMD负面情绪积分比较,差异均无统计学意义(P>0.05),治疗后2组HAMA和HAMD负面情绪积分与治疗前差异有统计学意义(P<0.05),其中观察组HAMA和HAMD负面情绪积分降低趋势更明显(P<0.05);4)2组治疗前Th17表达差异无统计学意义(P>0.05);治疗1个月后,观察组的Th17细胞表达明显低于对照组。结论:龙胆泻肝汤加减能有效治疗带状疱疹,其机制可能与改善患者Th17细胞相关。

    Abstract:

    To analyze the clinical curative effect observation of Modified Longdan Xiegan decoction in the treatment of herpes zoster and its effects on the immune function.Methods:Sixty cases of patients with herpes zoster in our hospital were randomly divided into the control group and the observation group according to Random Number Table, 30 cases in each group. The control group had oral Gabapentin capsule, the observation group had Longdan Xiegan decoction on the basis of treatment of the control group. Changes of simplified McGill pain scores, Oswestry disability index, Hamilton anxiety scale (HAMA) scores, Hamilton depression scale (HAMD) scale score were observed at 1st week and 4th week after treatment. Th17 cell concentration changes before and 4 weeks after the treatment were also meatured.Results: 1) The McGill pain scores were with no statistical differences between the two groups before the treatment (P>0.05), after the treatment. McGill pain scores decreased in the two groups of patients, but the downward trend of the observation group was more obvious; 2) the comparison of the Oswestry disability index were with no statistical differences between the two groups before treatment (P>0.05), after treatment, Oswestry disability index declined in the two groups of patients, the downward trend of observation group was more obvious. 3) HAMA and HAMD negative emotions integral comparison of the two groups were with no statistically significant differences before treatment (P>0.05), HAMA and HAMD negative emotions integral of the two groups were statistical differences before treatment compared to after treatment (P<0.05), the observation group decreased more significantly of HAMA and HAMD negative emotions integral (P<0.05); (4) the human peripheral blood mononuclear cells assay of Th17 were detected in patients of different treatment group by using flow cytometry, the results showed that: Th17 expression of the two groups had no obvious differences before treatment (P>0.05); Th17 cells expression of observation group was obviously lower than the control group1 month after the treatment.Conclusion:Modified Longdan Xiegan decoction can treat herpes zoster effectively, and its mechanism may be related to the improvement of Th17 cells in patients.

    参考文献
    相似文献
    引证文献
引用本文

白桦,刘法.龙胆泻肝汤加减对带状疱疹的临床疗效观察及对免疫功能的影响[J].世界中医药,2015,10(07).

复制
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2014-12-04
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2015-08-03
  • 出版日期:
文章二维码