首页|莫米松联合孟鲁司特钠治疗变应性鼻炎的效果及对血清Th1/Th2细胞因子表达调节效应的影响

莫米松联合孟鲁司特钠治疗变应性鼻炎的效果及对血清Th1/Th2细胞因子表达调节效应的影响

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目的:研究莫米松联合孟鲁司特钠治疗变应性鼻炎(Allergic rhinitis,AR)的效果及对血清Th1/Th2 细胞因子表达调节效应的影响.方法:以 2020 年3 月至 2022 年3月我院收治的 82例AR患者为研究对象,随机将患者分为A组、B组,各 41 例.A组采用糠酸莫米松治疗,B组采用糠酸莫米松联合孟鲁司特钠治疗.比较两组临床疗效、不同治疗时间临床症状评分、血清Th1/Th2细胞因子[白细胞介素-2(Interleukine-2,IL-2)、干扰素-γ(Interferon-γ,IFN-γ)、白细胞介素-4(Interleukine-4,IL-4)、白细胞介素-10(Interleukine-10,IL-10)]水平、血清趋化因子配体 17(CC-chemokine ligand 17,CCL17)、趋化因子配体 22(CC-chemokine ligand 22,CCL22)水平及不良反应发生率.结果:B组临床总有效率高于A组(P<0.05);治疗 1 m、3 m后B组临床症状评分低于A组(P<0.05);治疗 1 m、3 m后B组血清IL-2、IFN-γ水平高于A组,IL-4、IL-10 水平低于A组(P<0.05);治疗 1 m、3 m后B组血清CCL17、CCL22 水平低于A组(P<0.05);两组不良反应总发生率无统计学差异.结论:在糠酸莫米松治疗AR基础上,加用孟鲁司特钠可进一步提升疗效,改善临床症状,调节血清Th1/Th2 细胞因子,促进病情恢复.
Effect of mometasone combined with montelukast sodium in the treatment of allergic rhinitis and its effect on the regulation of serum Th1/Th2 cytokine expression
Objective:To study the effect of mometasone combined with montelukast sodium in the treatment of allergic rhinitis(AR)and the effect on the regulation of serum Th1/Th2 cytokine expression.Methods:A total of 82 AR patients admitted to our hospital from March 2020 to March 2022 were selected as the research object.The patients were divided into group A and group B randomly,with 41 cases in each group.Group A was treated with Mometasone furoate,group B was treated with Mometasone furoate combined with Montelukast sodium.Clinical efficacy,clinical symptom score,serum Th1/Th2 cytokines[interleukin-2(IL-2),interferon-γ(IFN-γ),interleukin-4(IL-4),interleukin-10(IL-10)]levels,serum chemokine ligand 17(CCL17),chemokine ligand 22(CCL22)levels and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of group B was higher than that of group A(P<0.05).The clinical symptom scores in group B were lower than those in group A after 1 month and 3 months of treatment(P<0.05);After 1 month and 3 months of treatment,the serum levels of IL-2 and IFN-γ in group B were higher than those in group A,while the levels of IL-4 and IL-10 were lower than those in group A(P<0.05).The serum levels of CCL17 and CCL22 in group B were lower than those in group A after 1 month and 3 months of treatment(P<0.05);The total incidence of adverse reactions in the two groups was no significant difference.Conclusion:On the basis of mometasone furoate in the treatment of AR,Montelukast sodium can further improve the curative effect,improve clinical symptoms,regulate serum Th1/Th2 cytokines,and promote the recovery of the disease.

Mometasone furoateMontelukast sodiumAllergic rhinitisTh1/Th2 cytokines

周倩、陈璀璀、李永磊

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河南科技大学第一附属医院耳鼻咽喉科,河南 洛阳 471000

糠酸莫米松 孟鲁司特钠 变应性鼻炎 Th1/Th2细胞因子

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(2)
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