首页|基于免疫平衡和氧化/抗氧化平衡探讨苇茎汤加味对减低胸外科术后肺部炎症的效果

基于免疫平衡和氧化/抗氧化平衡探讨苇茎汤加味对减低胸外科术后肺部炎症的效果

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目的 基于免疫平衡和氧化/抗氧化平衡探讨苇茎汤加味治疗胸外科术后肺部炎症的效果.方法 方便选取2022年3月—2023年8月安徽中医药大学附属太和中医院收治的62例痰热壅肺型胸外科术后肺炎患者作为研究对象,以随机数表法分为对照组(n=31)和研究组(n=31).对照组采用吸氧、抗炎、化痰及对症支持治疗等常规治疗,研究组在常规治疗基础上给予苇茎汤加味治疗.观察并对比两组患者治疗前后的安全性指标、中医证候评分、免疫和应激反应相关细胞及因子.结果 治疗前、后,两组患者的血常规、尿常规、肝功能、肾功能指标比较,差异无统计学意义(P均>0.05).治疗后,两组患者动脉血气指标、C反应蛋白、白细胞计数在治疗后均得到一定的改善,且研究组优于对照组,差异有统计学意义(P均<0.05).治疗后,两组中医证候评分均降低,且研究组低于对照组,差异有统计学意义(P均<0.05).治疗后,两组免疫和氧化应激反应相关细胞及因子均较治疗前有所改善,且研究组改善程度优于对照组,差异有统计学意义(P均<0.05).研究组临床总有效率(96.77%)高于对照组(90.32%),差异有统计学意义(χ2=6.552,P=0.010).结论 苇茎汤加味在减低胸外科术后肺部炎症具有良好的应用效果,可以有效平衡免疫指标及氧化/抗氧化指标.
Effect of Modified Weijing Decoction in Reducing Pulmonary Inflamma-tion after Thoracic Surgery Based on Immune Balance and Oxidation/anti-oxidant Balance
Objective To investigate the effect of modified Weijing Decoction on pulmonary inflammation after tho-racic surgery based on immune balance and oxidation/antioxidant balance.Methods 62 patients with pneumonia after thoracic surgery with phlegm-heat obstructing lung admitted to Taihe Hospital of Traditional Chinese Medicine Affili-ated to Anhui University of Chinese Medicine from March 2022 to August 2023 were conveniently selected as the re-search subjects.They were randomly divided into the control group(n=31)and the study group(n=31)using random number table method.The control group received routine treatments such as oxygen inhalation,anti-inflammatory,phlegm resolving,and symptomatic supportive treatment,while the study group received treatment with modified Wei-jing decoction on the basis of routine treatment.The safety indexes,traditional Chinese medicine(TCM)syndrome scores,immune and stress response related cells and factors were observed and compared before and after treatment.Results Before and after treatment,there was no statistically significant difference in blood routine,urine routine,liver function and renal function indexes between the two groups of patients(all P>0.05).The arterial blood gas index,C-reactive protein,and white blood cell count of the two groups of patients all showed certain improvements after treat-ment,and the study group was better than the control group,and the differences were statistically significant(all P<0.05).After treatment,the TCM syndrome scores of both groups decreased,and the study group were lower than the control group,and the differences were statistically significant(all P<0.05).After treatment,both groups of cells and factors related to immune and oxidative stress improved compared to before treatment,and the improvement degree of the study group were better than those of the control group,and the differences were statistically significant(all P<0.05).The total clinical effective rate of the study group(96.77%)was higher than that of the control group(90.32%),and the difference was statistically significant(χ2=6.552,P=0.010).Conclusion Weijing Decoction has a good effect on reducing pulmonary inflammation after thoracic surgery,and can effectively balance immune indexes and oxidation/antioxidant indexes.

Immune balanceOxidation/antioxidant balanceWeijing decoctionPulmonary inflammation

樊志伟、范铮

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安徽中医药大学附属太和中医院外三科,安徽阜阳 236600

免疫平衡 氧化/抗氧化平衡 苇茎汤加味 肺部炎症

2024

中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
年,卷(期):2024.43(9)
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