首页|基于炎症因子及Th17、Treg探讨百令胶囊对哮喘-慢性阻塞性肺疾病重叠症的作用

基于炎症因子及Th17、Treg探讨百令胶囊对哮喘-慢性阻塞性肺疾病重叠症的作用

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目的:基于炎症因子及外周血辅助性T细胞 17(Th17)、调节性T细胞(Treg)探讨百令胶囊对哮喘-慢性阻塞性肺疾病重叠症(ACO)的作用.方法:将 60 例ACO患者随机分为对照组(n=30)和观察组(n=30).对照组给予布地奈德福莫特罗粉吸入剂、噻托溴铵粉雾剂治疗,观察组在此基础上给予百令胶囊治疗,2组均治疗 6个月.观察 2 组临床疗效,比较治疗前后 2 组肺功能、6 min步行试验(6MWT)、生活情况(SGRQ)、炎症因子水平和不良反应率情况.结果:观察组治疗总有效率高于对照组(93.33%vs 73.33%);观察组治疗后FEV1/FVC、FEV1%pred、6MWT距离增加,SGRQ评分降低,炎症因子水平下降,Th17细胞比例减少,Treg细胞比例升高,且均优于对照组(均P<0.05).2 组不良反应发生率比较差异无统计学意义(P>0.05).结论:百令胶囊治疗ACO效果较好,能改善症状和肺功能,安全性良好.
Study on the effect of Bailing capsule on asthma-chronic obstructive pulmonary disease overlap based on inflammatory factors and Th17 and Treg
Objective:To explore the effect of Bailing capsule on asthma-chronic obstructive pulmonary disease overlap(ACO)based on inflammatory factors and peripheral blood helper T cell 17(Th17)and regulatory T cells(Treg).Methods:Sixty patients with ACO were randomly divided into a control group(n=30)and an observation group(n=30).The control group was given budesonide formoterol powder inhalation and tiotropium bromide powder aerosol,and the observation group was additionally given Bailing capsule on this basis,and the treatment was lasted for 6 months.The clinical efficacy of the 2 groups was observed,and the lung function,6-min walk test(6MWT),life situation(St.George's respiratory questionnaire,SGRQ),inflammatory factor level and the incidence of adverse reactions were compared between the 2 groups before and after treatment.Results:The total effective rate of the observation group was higher than that of the control group(93.33%vs 73.33%).The FEV1/FVC,FEV1%pred,6MWT distance and the proportion of Treg cells increased,the SGRQ score,the level of inflammatory factors and the proportion of Th17 cells decreased in the observation group after treatment,which were all better than that of the control group(all P<0.05).There were no statistically significant differences in the incidence of adverse reactions(P>0.05).Conclusion:Bailing capsule is effective in the treatment of ACO,can improve symptoms and lung function and has good safety.

Bailing capsuleasthma-chronic obstructive pulmonary disease overlapinflammatory factorsTh17Treg

钟斌、郑婕、曾省都、陈红、文慧兰

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赣南医科大学第一附属医院 呼吸与危重症医学科 赣州 341001

赣南医科大学第一附属医院 肾内科 赣州 341001

赣南医科大学第一附属医院 中医科 赣州 341001

百令胶囊 哮喘-慢性阻塞性肺疾病重叠症 炎症因子 Th17 Treg

2024

上海医药
上海医药行业协会

上海医药

影响因子:0.781
ISSN:1006-1533
年,卷(期):2024.45(21)