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喘可治穴位注射治疗哮喘急性发作期寒哮肾阳亏虚型疗效及对IFN-γ和IL-4的影响
  • ISSN号:1674-070X
  • 期刊名称:《湖南中医药大学学报》
  • 时间:0
  • 分类:R245.9[医药卫生—针灸推拿学;医药卫生—中医临床基础;医药卫生—中医学]
  • 作者机构:[1]江门市五邑中医院,广东江门529000
  • 相关基金:广东省建设中医药强省资助课题(2010077).
中文摘要:

目的观察喘可治穴位注射治疗哮喘急性发作期寒哮肾阳亏虚型的临床疗效,并探讨其作用机制。方法将116例患者随机分为治疗组与对照组各58例,均予抗炎、化痰及解痉平喘等西医常规治疗,治疗组加用喘可治穴位注射。隔日1次,10 d为1个疗程。治疗前及治疗结束后对哮喘症状进行评分,测早晚1 s用力呼气容积(FEV1),测定外周血细胞因子γ干扰素(TFN-γ)、白介素-4(IL-4)。结果两组治疗后哮喘症状评分和FEV1预计值与治疗前比较均得到了明显改善P〈0.05,且治疗组改善程度优于对照组P〈0.05;两组治疗后外周血IFN-γ含量明显上升,IL-4含量明显下降,与治疗前比较,差异有统计学意义(P〈0.05),两组治疗后比较,差异也有统计学意义(P〈0.05)。结论喘可治穴位注射治疗哮喘急性发作期寒哮肾阳亏虚型的临床疗效确切,作用机制可能与通过纠正Th1/Th2细胞因子失衡,使免疫反应由Th2型向Th1型逆转有关。

英文摘要:

Objective To observe the effects of Chuankezhi acupoint injection in treatment ofacute attack of bronchial asthma with cold syndrome and deficiency of kidney-yang, and explore its action echanism. Methods 116 patients were randomly divided into treatment group and control group with 58 cases in each group. 2 groups were given anti-inflammatory, resolving phlegm and antispasmodic and conventional Western medicine treatment; treatment group was added with Chuankezhi acupoint injection treatment every other day, 10 days for a treatment course. Asth- ma symptom score, FEV1 IFN-γ and IL-4 of peripheral blood were tested in 2 groups before and after treatment. Results After treatment, asthma symptom score and FEV1 expected value were im- proved in 2 groups, and the data of treatment group was better than those of control group in im- proving degree. After treatment in 2 groups peripheral blood IFN-γ content increased obviously and IL-4 content decreased obviously; differences had statistical significances (P〈0.05). Conclusion Chuankezhi acupoint injection in the treatment of acute attack of bronchial asthma with cold syn- drome and deficiency of kidney-yang is clinical effective, mechanism of action may be adjustingTh1/Th2 cytokine imbalance and reversing the immune response from Th2 to Th1.

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期刊信息
  • 《湖南中医药大学学报》
  • 中国科技核心期刊
  • 主管单位:湖南省教育厅
  • 主办单位:湖南中医大学
  • 主编:黄惠勇
  • 地址:湖南长沙岳麓区含浦科教园区学士路300号湖南中医药大学含浦校区
  • 邮编:410208
  • 邮箱:xuebaotcm@126.com
  • 电话:0731-88458339 88458340
  • 国际标准刊号:ISSN:1674-070X
  • 国内统一刊号:ISSN:43-1472/R
  • 邮发代号:42-64
  • 获奖情况:
  • 2004,2006,2008年连续三次荣获全国高校两年评比一...,2005年被评为湖南省十佳科技期刊,连续三次被评为全国高校优秀自然科学学报,2009年全国高校科技期刊编辑质量优秀奖,2011年荣获湖南省新闻出版局"第五届十佳科技期刊"称号
  • 国内外数据库收录:
  • 美国化学文摘(网络版),中国中国科技核心期刊
  • 被引量:10690