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重组人干扰素α1b联合炎琥宁对小儿手足口病的疗效分析

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目的:分析注射用重组人干扰素α1b与炎琥宁联合治疗小儿手足口病的效果.方法:选取我院 2020年 1月至 2022年 12 月收治的手足口病患儿 60 例,随机分为对照组(n=30)和研究组(n=30).对照组静脉滴注利巴韦林注射液 15 mg·kg-1 治疗,在此基础上,研究组肌肉注射重组人干扰素α1b 1 μg·kg-1 和静脉滴注炎琥宁注射液 10 mg·kg-1 治疗.治疗5 d后,采用双抗体夹心酶联免疫吸附试验测定肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)、白介素-6(Interleukin-6,IL-6),散射比浊法测定 C反应蛋白(C-reaction protein,CRP)水平,并比较两组患者恢复情况、临床疗效及不良反应.结果:研究组退热、口腔溃疡消退、手足皮疹结痂及住院时间明显短于对照组(P<0.05);治疗总有效率显著高于对照组(P<0.05).治疗后,研究组CRP、TNF-α及IL-6 水平明显低于对照组(P<0.05).两组治疗期间不良反应无显著差异(P>0.05).结论:重组人干扰素α1b与炎琥宁联合应用可缓解患儿症状,抑制机体炎症反应,加速康复.
Therapeutic effect of recombinant human interferon α1b combined with Yanhuning on children with hand,foot,and mouth disease
Objective:To analyze the effect of recombinant human interferon α1b for injection combined with Yanhuning in the treatment of pediatric hand,foot,and mouth disease.Methods:Sixty children with HFMD treated in our hospital from January 2020 to December 2022 were randomly divided into a control group(n=30)and a study group(n=30).The control group was treated with an intravenous injection of ribavirin injection 15 mg·kg-1.Based on this,the study group was treated with intramuscular injection of recombinant human interferon α1b 1 μg·kg-1 and intravenous injection of Yanhuning injection 10 mg·kg-1.After 5 days of treatment,tumor necrosis factorα-α(TNF-α)and interleukin-6(IL-6)were determined by double-antibody sandwich enzyme-linked immunosorbent assay(ELISA),and C-reaction protein(CRP)was determined by scattering turbidimetry.The recovery,clinical efficacy,and adverse reactions of the two groups were compared.Results:The duration of fever,oral ulcer,hand and foot rash and hospital stay in the study group were significantly shorter than those in the control group(P<0.05).The total effective rate of treatment was significantly higher than that of the control group(P<0.05).After treatment,the levels of CRP,TNF-α,and IL-6 in the study group were significantly lower than those in the control group(P<0.05).There was no significant difference in adverse reactions between the two groups(P>0.05).Conclusion:The combination of recombinant human interferon α1b and Yanhuning can relieve the symptoms of children,inhibit the inflammatory response,and accelerate recovery.

YanhuningHand,foot,and mouth diseaseRecombinant human interferonT lymphocyte subpopulationsInflammatory factors

张凤单、付荣、王善涛

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台前县人民医院儿科,河南 濮阳 457600

炎琥宁 手足口病 重组人干扰素 T淋巴细胞亚群 炎症因子

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(4)
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