首页|加味当归芍药散对黄褐斑患者血清COX-2及Nrf2表达水平的影响

加味当归芍药散对黄褐斑患者血清COX-2及Nrf2表达水平的影响

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目的 探讨加味当归芍药散对黄褐斑患者的临床疗效及对血清环氧化酶-2(COX-2)及核因子E2相关因子2(Nrf2)表达水平的影响.方法 以我院就诊的90例黄褐斑患者为研究对象,依据患者治疗方法分为对照组(实施常规西药治疗,48例)及研究组(实施加味当归芍药散治疗,42例),观察治疗后2组临床疗效、细胞因子[血清环氧化酶-2(COX-2)、核因子E2相关因子2(Nrf2)]变化、斑片色素消退及皮损面积大小情况.结果 治疗后研究组总有效率90.48%较对照组72.92%明显高(P<0.05);治疗后2组COX-2、斑片色素消退及皮损面积评分较治疗前明显降低,Nrf2明显升高,且治疗后研究组变化较对照组明显(P<0.05).结论 加味当归芍药散治疗黄褐斑患者的临床疗效显著,可有效促进患者斑片色素消退、减少皮损面积,其作用机制可能与有效降低COX-2及升高Nrf2表达有关.
Effect of modified Danggui Shaoyao Powder on the expression of COX-2 and Nrf2 in serum of patients with chloasma
Objective To investigate the curative effect of modified Danggui Shaoyao Powder in the treatment of patients with chloasma and the effect on the expression of cyclooxygenase-2 (COX-2) and nuclear factor E2 (Nrf2) in serum.Methods90 cases of patients with chloasma treated in the hospital were selected as the subjects.According to different treatment methods, the patients were divided into the control group (treated with routine western medicine, n=48) and the study group (treated with modified Danggui Shaoyao Powder, n=42).The clinical efficacy, changes of cytokines (serum COX-2 and Nrf2), patch pigment regression.ResultsAfter treatment, the total effective rate of the study group was significantly higher than that of the control group (90.48% vs 72.92%) (P<0.05).After treatment, COX-2, patch pigment regression scores in the two groups were significantly lower than those before treatment, and Nrf2 was significantly higher than that before treatment.The changes were more significant in the observation group than the control group (P<0.05).ConclusionModified Danggui Shaoyao Powder is significant effective in the treatment of chloasma.It can effectively promote the regression of pigment, reduce the skin lesion area and improve the quality of life of patients.The mechanisms may be related to effectively reducing COX-2 and increasing Nrf2.

chloasmamodified danggui shaoyao powderCOX-2Nrf2

曹新民、魏国奇

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杭州市富阳区中医院 药剂科,浙江 杭州 311400

杭州市富阳区中医院 皮肤科,浙江 杭州 311400

黄褐斑 加味当归芍药散 COX-2 Nrf2

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(6)
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