目的:研究中药治疗花粉症的作用机理。方法:选择50例花粉症患者,口服敏康片,治疗6个月后观察疗效及FceRIβ,IL-4Ra,IL-5Ra,HIM-A基因表达情况,并以20例变应性皮炎和19例正常人为对照,用Northern blot检测FceRIβ,IL-4RA,IL-5Ra的变化。用RT-PCR法检测HLA-A,计算相对光密度值。结果:花粉症组患者症状有明显改善(P〈0.05),治疗前后血清总IgE比较差异有统计学意义(P〈0.01),花粉症组4个基因的表达治疗前与正常人比较,差异均具有统计学意义(P〈0.01),治疗后与治疗前比较差异有统计学意义(P〈0.01)。变应性皮炎组治疗前FceRIβ,IL-4Ra与正常组比较差异有统计学意义(P〈0.05),治疗前后FceRIβ比较,差异有统计学意义(P〈0.05)。鼻炎组、皮炎组HLA-A相对光密度值均较正常组高,两组治疗前后也有不同程度的改善(P〈0.05)。结论:中药可以调整花粉症患者相关基因表达,改善患者过敏体质,缓解临床症状。
Objective: To evaluate the efficacy of Minkang tablet on gene hay fever. Methods: The trial involved 50 patients with hay fever, 20 patients express in the patients with with atopic dermatitis, Minkang tablet(three capsule, twice a day, 6 months) was given to patients with hay fever(50),also 19 as normal as control. Results : The symptom and IgE after medication had difference highly statistically significant before medication. The FceRIβ,IL-4Ra, IL-5Ra, HLA-A related with atopy before and after medication, FceRIβ,IL-4Ra,IL-5Ra, HLA-A in the patients with hay fever and in normal were different highly statistically significant( P 〈 0.01 ) before medication; and genes express improved significantly (P 〈 0.01 ) after medication. FceRIβ ,IL-4Ra of the patients with atopic dermatitis and in normal were statistically sig- nificant( P 〈 0.05 ) before medication, FceRIβ improved significantly( P 〈 0.05 ) after medication. Conclusion: Minkang tablet was effective in controlling gene express on patients with hay fever.