首页|重组人干扰素α2b联合阿昔洛韦对疱疹性咽峡炎患儿的治疗作用

重组人干扰素α2b联合阿昔洛韦对疱疹性咽峡炎患儿的治疗作用

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目的 探讨重组人干扰素α2b与阿昔洛韦联合治疗疱疹性咽峡炎(HA)患儿的临床效果及其应用价值.方法 选取2022 年1 月至2022 年12 月收治的108 例HA患儿,根据治疗方法不同分为单药治疗组和联合治疗组,每组54 例.单药治疗组予以阿昔洛韦治疗,联合治疗组予以重组人干扰素α2b联合阿昔洛韦治疗.比较两组的治疗总有效率、症状消失时间、心肌损伤指标、炎性因子和免疫功能及不良反应.结果 联合治疗组治疗总有效率96.30%,高于单药治疗组的85.19%,临床症状消失时间短于单药治疗组,差异有统计学意义(P<0.05).治疗7d后,联合治疗组心肌损伤指标、炎性因子水平及CD3+低于单药治疗组,免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM)及CD4+高于单药治疗组(P<0.05).联合治疗组不良反应发生率为9.26%,与单药治疗组5.56%比较,差异无统计学意义(P>0.05).结论 重组人干扰素α2b与阿昔洛韦联合治疗HA患儿有助于抑制炎性反应,恢复心肌功能,增强机体免疫功能,提高治疗效果.
Therapeutic effects of recombinant human interferon α2b combined with acyclovir in children with herpetic angina
Objective To investigate the clinical efficacy of the combination of recombinant human interferon α2b and acyclovir in the children with herpetic angina(HA)and its application value.Methods 108 children with HA were retrospectively selected from January 2022 to December 2022 and divided into monotherapy group(n=54)and combination group(n=54)according to different treatment.Methods The patients in the monotherapy group were treated with acyclovir,and the patients in the combination group were treated with recombinant human interferon α2b combined with acyclovir.The total effective rate,clinical symptoms disappearance time,adverse reactions,myocardial injury,inflammatory factor and immune function levels before and after treatment were compared between the monotherapy group and combination group.Results The total effective rate in the combination group was 96.30%,which was higher than 85.19%in the monotherapy group,showing a statistically significant difference(P<0.05).After trentment for 7 d,the serum myocardial injury index,inflammatory factor level and CD3+in the combination group were lower than those in the monotherapy group,while immunoglobulin A(IgA),immunoglobulin G(IgG),immunoglobulin M(IgM)and CD4+in the combination group were higher than those in the monotherapy group(P<0.05).The incidence of adverse reactions in the combination group was 9.26%,which was no statistically significant compared with 5.56%in the monotherapy group(P>0.05).Conclusion Recombinant human interferon α2b combined with acyclovir is effective therapy in children with HA,which accelerates the process of rehabilitation,alleviates effectively the clinical symptoms,improves the myocardial injury,inhibits the inflammatory response,and enhances the immune function.

herpetic anginarecombinant human interferon α2bacyclovirinflammatory factorsmyocardial injury

靳宁超、胡青青、杨双杰

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开封市祥符区第一人民医院儿科,开封 475100

开封市儿童医院儿科,开封 475100

疱疹性咽峡炎 重组人干扰素α2b 阿昔洛韦 炎性因子 心肌损伤

河南省医学科技攻关联合共建项目

LHGJ20223470

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(4)