首页|楮芍凉血汤加减治疗寻常型银屑病的效果及对免疫功能、辅助性T淋巴细胞17相关因子的影响

楮芍凉血汤加减治疗寻常型银屑病的效果及对免疫功能、辅助性T淋巴细胞17相关因子的影响

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目的 观察楮芍凉血汤加减治疗寻常型银屑病的临床疗效和对免疫功能、辅助性T淋巴细胞17(Th17)相关因子的影响.方法 选取2020 年2 月至2021 年12 月在本院接受治疗64 例进行期PV患者,采用随机数字表法将患者分为对照组和观察组各32 例.对照组患者接受常规西药治疗,观察组接受楮芍凉血汤加减治疗,治疗周期为 6 周.所有研究对象均检测外周血T淋巴细胞亚群、分离单个核细胞(PBMC)情况,分析PBMC中 Thl7 细胞相关因子白细胞介素17(IL-17)、IL-22、维甲酸相关孤儿受体γ(ROR-γ)mRNA、干扰素γ(INF-γ)mRNA相对表达量,并对比临床总疗效.结果 治疗6 周后,观察组总有效治疗30 例(93.75%),对照组总有效治疗 24 例(75.00%),2 组总疗效差异具有统计学意义(P<0.05).治疗6 周后,2 组患者T淋巴细胞指标CD3+、CD4+、CD4+/CD8+水平均升高,CD8+及Th17相关因子IL-17、IL-22、RORC mRNA、INF-γ mRNA相对表达量均降低,组内不同时点和组间同时点比较差异均具有统计学意义(P<0.05).结论 楮芍凉血汤可有效治疗寻常型银屑病,且作用机制与T淋巴细胞亚群分布及Thl7 细胞相关因子有关,可以提高机体免疫功能,以此减少不良症状,提高临床疗效.
Influence of Modified Chushao Liangxue Decoction on immune function and Th17-related factors in psoriasis vulgaris
Objective To observe the clinical efficacy of modified Chushao Liangxue Decoction for psoriasis vulgaris(PV)and its on immune function and T helper cell 17(Th17)-related factors.Methods A total of 64 patients with progres-sive PV treated in our hospital from February 2020 to December 2021 were randomly1:1assigned to control group(conventional Western medicine)or observation group(Modified Chushao Liangxue Decoction).The treatment period was 6 weeks,and the peripheral blood T lymphocytes subsets,isolated peripheral blood mononuclear cell(PBMC)were detected,aim to analyze the expression of interleukin-17(IL-17),IL-22,retinoic acid receptor-related orphan receptor gamma(ROR-γ)mRNA,interferon gamma(INF-γ)mRNA in PBMC,and assess the curative effect.Results After 6-week of treatment,the overall effective rate in the observation group was better than that in the control group(93.75%[30/32]vs 75.00%[24/32],P<0.05).After 6-week of treatment,CD3+,CD4+,CD4+/CD8+T lymphocytes in the both groups were significant increased than those before treatment,while CD8+,IL-17,IL-22,ROR-γ mRNA,INF-γ mRNA were significant decreased.The inter-group differences were significant at different time points(P<0.05).Conclusion Modified Chushao Liangxue Decoc-tion has effective therapeutic effects in PV patients,it can improve immune function,reduce adverse symptoms,and improve clinical efficacy.Its mechanism may be related to the distribution of T lymphocyte subsets and Th17-related factors.

PsoriasisTraditional Chinese medicine therapyImmune functionT lymphocytes subsets

余倩颖、宋玮、肖敏、陈明岭

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成都中医药大学附属医院皮肤科,四川 成都 610072

成都中医药大学,四川 成都 610072

银屑病 中医疗法 免疫功能 T淋巴细胞亚群

2024

河北中医
河北省医学情报研究所,河北省中医药学会

河北中医

CSTPCD
影响因子:0.951
ISSN:1002-2619
年,卷(期):2024.46(7)
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