首页|加味玉屏风颗粒治疗慢性荨麻疹的临床研究及其对外周血TNF-α的影响

加味玉屏风颗粒治疗慢性荨麻疹的临床研究及其对外周血TNF-α的影响

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目的:探讨中药加味玉屏风颗粒对慢性荨麻疹的治疗作用及对外周血TNF-α表达的影响.方法:将慢性荨麻疹患者分为两组,对照组给予盐酸左西替利嗪,治疗组给予加味玉屏风颗粒,服用28 d后分别对其起效时间、疗效及复发率进行比较,并用ELISA方法检测外周血TNF-α的改变.结果:加味玉屏风颗粒组起效时间[(2.65±0.93)d]大于对照组[(1.84±0.90)d,P<0.05],其治疗有效率(90%)与对照组(96%)无统计学差异,但其复发率(33.3%)明显低于治疗组(64.O%)(P<0.05).同时,经治疗后两组外周血TNF-α均有明显下降,两组之间无统计学差异.结论:加味玉屏风颗粒可有效治疗慢性荨麻疹,且复发率较口服盐酸左西替利嗪组低,并明显抑制外周血TNF-α的表达.
Effect of modified yupingfeng granule in treating chronic urticaria and its influence on expression of TNF-α
AIM: To investigate the therapeutical effect of modified yupingfeng granule on chronic urticaria and its influence on expression of TNF-α. METHODS: Fifty-five cases of chronic urticaria were randomly divided into 2 groups, the control group were treated orally with levocetirizine hydrochloride 5 mg once a day, the trial group were given modified yupingfeng granule. The effective rate, recurrence rate, responsive time were observed after one therapeutic course of 28 d, then the expressions of TNF-α in peripheral blood were detected by ELISA. RESULTS: The responsive time of modified yupingfeng granule group [(2.65 ± 0.93) d]was longer than the control group[(1.84 ± 0.90) d, P< 0.05], and the total effective rate was no significant difference between the two groups (90% and 96%). But the recurrence rate of the the modified yupingfeng granule group (33.3%) was decreased significantly compared with the control group(64.0%, P < 0.05). The expression of TNF-α in 2 groups was significantly inhibited, but there was no significant difference between the 2 groups. CONCLUSION: Modified yupingfeng granule can effectively treat chronic urticaria, the recurrence rate was lower than it in the levocetirizine hydrochloride group. And Modified yupingfeng granule can down-regulate the expression of TNF-α.

chronic urticariamodified yupingfeng granuleTNF-α

李莉、梁刘萍

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南方医科大学南方医院皮肤科,广东,广州,510515

加味玉屏风颗粒 慢性荨麻疹 肿瘤坏死因子-α

广东省自然科学基金广东省科技计划

845105150100117420098080701050

2009

第四军医大学学报
第四军医大学

第四军医大学学报

CSTPCDCSCD北大核心
影响因子:0.599
ISSN:1000-2790
年,卷(期):2009.30(20)
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