首页|采用卡泊三醇治疗银屑病的效果及对外周血各血清指标水平的影响

采用卡泊三醇治疗银屑病的效果及对外周血各血清指标水平的影响

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目的 探讨卡泊三醇治疗银屑病的效果及对外周血白细胞介素-2(IL-2)、IL-4、IL-10、γ干扰素(IFN-γ)水平及TH17细胞百分比的影响.方法 选取2013年3月~2016年6月绵阳市第三人民医院96例寻常银屑病患者,依据治疗方案不同分为对照组和研究组,各48例.对照组采用郁金消银汤剂饮服治疗,研究组采用郁金消银汤剂饮服+卡泊三醇软膏涂抹治疗,2组均持续治疗3个月.统计对比2组治疗效果、银屑病皮损面积和严重程度指数(PASI)评分、不良反应发生率,并检测对比2组外周血IL-10、IL-2、IFN-γ、IL-4水平及外周血TH17细胞百分比.结果 研究组治疗1个月、2个月、3个月后疗效均高于对照组,PASI评分低于对照组,差异有统计学意义(P<0.05);治疗3个月后研究组外周血IL-10、IL-2、IFN-γ、IL-4水平较治疗前明显降低,且低于对照组,差异有统计学意义(P<0.05);治疗3个月后2组TH17细胞百分比较治疗前明显降低,且研究组低于对照组,差异有统计学意义(P<0.05);研究组治疗后总不良反应发生率(4.17%)低于对照组(18.75%),差异有统计学意义(P<0.05).结论 采用卡泊三醇治疗银屑病疗效显著,可有效改善患者皮损症状,降低机体外周血IL-10、IL-2、IFN-γ、IL-4水平,且安全性较高.
Effect of calcipotriol on psoriasis and its effect of peripheral blood IFN-γ, IL-2 and IL-4 levels
Objective To investigate the effect of calcipotriol on psoriasis and its effect of peripheral blood interleukin-2(IL-2), interferon-γ(IFN-γ), IL-4 and IL-10 and the percent of cell TH17.Methods From March 2013 to June 2016, 96 patients with psoriasis vulgaris inour hospital were randomly divided into control group and study group according to different treatment regimens, each group 48 cases.The control group was treated with YujinXiaoyin Decoction, and the study group was treated with YujinXiaoyin Decoction and calcipotriolointment,both groups were treated for 3 months.Treatment effect, psoriasis lesion area and severity index(PASI) score, the incidence of adverse reactions were statistically analyzed of the two groups,and the levels of IL-10, IL-2, IFN-γ, IL-4 and peripheral blood TH17 cells percentagewere measured and compared.Results The treatment effectafter treatmentfor 1month, 2 months and 3 months of the study group were significantly higher than those of the control group, but PASI score was lower than the control group, the difference was statistically significant(P<0.05);The peripheral blood IL-10, IL-2, IFN-γ and IL-4 levels after treatment for 3 months in the study group were significantly lower than those before treatment, and was significantly lower than that of the control group(P<0.05);The percentage of TH17 cells in the two groups after treatment for 3 months was significantly lower than before treatment, and the study group was significantly lower than that of the control group(P<0.05);The incidence of adverse events in the study group(4.17%) was lower than that in the control group(18.75%) after treatment, the difference was statistically significant(P<0.05).Conclusion The efficacy of carbapenol in the treatment of psoriasis is significant, which can effectively improve the skin lesions and reduce the the peripheral blood IL-10, IL-2, IFN-γ, IL-4levels and the safety is high.

carapotriolpsoriasis vulgarisYujinxiaoyin decoctioninterferon-γinterleukinTH17 cells

崔阳

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绵阳市第三人民医院,四川 绵阳 621000

卡泊三醇 寻常型银屑病 郁金消银汤 γ干扰素 白细胞介素 TH17细胞

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.(7)
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