首页|归芍消银汤联合臭氧水治疗寻常型银屑病患者的疗效及对其炎性因子和免疫功能的影响

归芍消银汤联合臭氧水治疗寻常型银屑病患者的疗效及对其炎性因子和免疫功能的影响

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目的 探讨归芍消银汤联合臭氧水治疗寻常型银屑病患者的疗效及对其炎性因子和免疫功能的影响.方法 选取2021年3月-2023年3月期间中国人民解放空军军医大学第二附属医院皮肤科收治的100例寻常型银屑病患者,采用随机数字表法分为对照组和观察组,每组各50例.对照组常规西医治疗,观察组在对照组基础上予以归芍消银汤联合臭氧水疗进行治疗,两组患者均连续治疗8周.观察比较两组患者临床疗效,治疗前后两组患者中医证候积分、皮损改善情况、炎性因子[白细胞介素-6(Interleukin-6,IL-6)、白细胞介素-1β(Interleukin-1β,IL-1β)及肿瘤坏死因子-α(Tumor necrosis factor-α,TNF-α)]水平及免疫功能指标(Tfh 及活化Tfh).结果 治疗后两组患者中医证候积分较治疗前明显降低,差异有统计学意义(P<0.05);且观察组中医证候积分明显低于对照组,差异有统计学意义(P<0.05).治疗后两组患者PASI、BSA及DLQI评分均较治疗前明显降低,差异有统计学意义(P<0.05);且观察组PASI、BSA及DLQI评分均明显低于对照组,差异有统计学意义(P<0.05).治疗后两组患者外周血Tfh及活化Tfh均较治疗前降低,差异有统计学意义(P<0.05);且观察组外周血Tfh及活化Tfh均明显低于对照组,差异有统计学意义(P<0.05).治疗后两组患者血清IL-6、IL-1β及TNF-α水平均较治疗前明显降低,差异有统计学意义(P<0.05);且观察组血清IL-6、IL-1β及TNF-α水平均明显低于对照组,差异有统计学意义(P<0.05).治疗后观察组总有效率93.62%(44/47)明显高于对照组77.08%(37/48),差异有统计学意义(P<0.05).结论 归芍消银汤联合臭氧水治疗能有效减轻寻常型银屑病患者临床症状,改善皮损状态,提高生活质量;其机制可能与归芍消银汤联合臭氧水治疗能够介导寻常型银屑病患者免疫反应及抑制炎症因子表达,减轻炎症反应有关.
Efficacy of Guishao Xiaoyin Decoction Combined with Ozone Hydrotherapy on Pso-riasis Vulgaris and Effect on Inflammatory Factors and Immune Function
Objective To investigate the efficacy of Guishao Xiaoyin Decoction combined with ozone hydrothera-py in treating patients with psoriasis vulgaris and its impact on inflammatory factors and immune function.Methods A to-tal of 100 patients with psoriasis vulgaris treated at the Dermatology Department of the Second Affiliated Hospital of the PLA Air Force Military Medical College from March 2021 to March 2023 were selected and randomly divided into a control group and an observation group according to a random number table,with 50 patients in each group.The control group re-ceived conventional Western medical treatment,while the observation group received Guishao Xiaoyin Decoction combined with ozone hydrotherapy in addition to the conventional treatment.Both groups were treated continuously for 8 weeks.The clinical efficacy,traditional Chinese medicine(TCM)syndrome scores,lesion improvement,levels of inflammatory factors[interleukin-6(IL-6),interleukin-1β(IL-1β),tumor necrosis factor-α(TNF-α)],and immune function indica-tors(Tfh and activated Tfh)were observed and compared between the two groups before and after treatment.Results After treatment,TCM syndrome scores significantly decreased in both groups compared to those before treatment(P<0.05),with the observation group showing significantly lower scores than the control group(P<0.05).PASI,BSA,and DLQI scores significantly decreased in both groups compared to those before treatment(P<0.05),with the observation group showing significantly lower scores than the control group(P<0.05).Peripheral blood levels of Tfh and activated Tfh significantly decreased in both groups compared to those before treatment(P<0.05),with the observation group showing significantly lower levels than the control group(P<0.05).Serum levels of IL-6,IL-1β,and TNF-α significantly decreased in both groups compared to those before treatment(P<0.05),with the observation group showing significantly lower levels than the control group(P<0.05).The overall efficacy rate in the observation group(93.62%)was significantly higher than in the control group(77.08%)(P<0.05).Conclusion Guishao Xiaoyin Decoction combined with ozone hydrotherapy can effectively alleviate clinical symptoms,improve lesion status,and enhance the quality of life in patients with psoriasis vul-garis.The mechanism may be related to the regulation of immune responses and inhibition of inflammatory factor expres-sion,thereby reducing inflammation.

Guishao Xiaoyin DecoctionOzone HydrotherapyPsoriasis VulgarisInflammatory FactorsImmune Func-tion

高锦慧、王贝贝、党学良、蔺建苹、董高宏、胡新红

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中国人民解放空军军医大学第二附属医院皮肤科,陕西西安 710038

陕西西安大兴医院重症医学二科,陕西西安 710082

中国人民解放军空军军医大学院第二附属医院医院药剂科,陕西西安 710038

归芍消银汤 臭氧水疗 寻常型银屑病 炎性因子 免疫功能

陕西省重点研发计划项目

2020SF-304

2024

世界中西医结合杂志
中华中医药学会

世界中西医结合杂志

CSTPCD
影响因子:1.053
ISSN:1673-6613
年,卷(期):2024.19(7)
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