首页|喉咽清口服液联合重组人干扰素a2b雾化对小儿疱疹性咽峡炎血清炎症因子及免疫功能的影响

喉咽清口服液联合重组人干扰素a2b雾化对小儿疱疹性咽峡炎血清炎症因子及免疫功能的影响

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目的 探讨重组人干扰素a2h治疗小儿疱疹性咽峡炎的基础上加用喉咽清口服液对患儿临床疗效、炎症因子及免疫功能的影响.方法 选取济南市儿童医院2021年1月至2022年6月收治的90例疱疹性咽峡炎患儿作为研究对象,按照随机数表法将其分为对照组和观察组,每组各45例.对照组给予重组人干扰素a2b治疗,观察组给予喉咽清口服液+重组人干扰素a2b治疗,5 d为1个疗程.比较两组患儿症状消失时间及恢复进食时间,治疗前及治疗5 d结束时进行C反应蛋白、降钙素原、肿瘤坏死因子α、T淋巴细胞亚群测定,评估治疗5 d后的临床效果,并统计不良反应事件发生情况.结果 观察组退热时间、疱疹消失时间、流涎消失时间、咽痛消失时间、恢复进食时间短于对照组,差异有统计学意义(P<0.05).与治疗前及对照组治疗后比较,观察组治疗后血清C反应蛋白、降钙素原、肿瘤坏死因子α明显降低,差异有统计学意义(P<0.05).与治疗前及对照组治疗后比较,观察组治疗后CD4+、CD4+/CD8+明显升高,CD8+明显降低,差异有统计学意义(P<0.05).观察组治疗总有效率为95.56%(43/45),明显高于对照组的77.78%(35/45),差异有统计学意义(P<0.05).两组患儿治疗期间均未出现严重不良反应,个别患儿出现厌食.结论 重组人干扰素a2h治疗小儿疱疹性咽峡炎的基础上加用喉咽清口服液,可快速缓解患儿临床症状,提升临床治疗效果,同时可有效减轻患儿炎症反应及调节免疫球蛋白水平,提高机体免疫功能,且安全性较高.
Therapeutic effect of Houyanqing Oral Liquid combined with recombinant human interferon a2b atomization on herpetic angina in children and its influence on serum inflammatory factors and immune function
Objective To investigate the clinical efficacy,inflammatory factors and immune function of recombinant human interferon a2b in the treatment of herpetic angina in children,combined with the use of Laryngoyanqing Oral Liquid.Methods A total of 90 children with herpetic angina admitted to Children's Hospital of Jinan City from January 2021 to June 2022 were selected as the study subjects.They were randomly divided into a control group and an observation group using a random number table method,with 45 cases in each group.The control group received treatment with recombinant human interferon a2b,while the observation group received treatment with Houyanqing Oral Liquid and recombinant human interferon a2b,with a 5-day course of treatment.Compare two groups of children with symptoms disappear time and recovery eating time,before and at the end of the 5 d treatment on c-reactive protein(enzyme linked immune analyzer,Enzyme-linked immunosorbent assay(ELISA),procalcitonin(ELISA),tumor necrosis factor α(ELISA),and T lymphocyte subsets(flow cytometry)were measured.Clinical effects were evaluated at the end of 5 days of treatment,and adverse events were counted.Results The observation group had shorter fever relief time,herpes disappearance time,salivation disappearance time,pharyngeal pain disappearance time,and resumption of eating time compared to the control group,with statistically significant differences(P<0.05).Compared with before treatment and the control group after treatment,the observation group had serum C-reactive protein,procalcitonin,and tumor necrosis factor α significantly decreased after treatment,with statistically significant differences(P<0.05).Compared with before treatment and after treatment in the control group,CD4+and CD4+/CD8+were significantly increased,and CD8+was significantly reduced in the observation group after treatment,with statistically significant differences(P<0.05).The total effective rate of the observation group was 95.56%(43/45),which was significantly higher than the control group's 77.78%(35/45),and the difference was statistically significant(P<0.05).No serious adverse reactions occurred in the two groups during treatment,and some children showed anorexia.Conclusion On the basis of recombinant human interferon a2b in the treatment of children with herpetic angina,the addition of Laryngoqing Oral Liquid can quickly relieve clinical symptoms,improve clinical therapeutic effect,effectively reduce the inflammatory response of children,regulate the level of immunoglobulin,and improve the immune function of the body,with high safety.

Herpetic angina in childrenHouyanqing Oral LiquidRecombinant human interferon a2bInflammatory factorsImmunologic function

韩琳、叶冰

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济南市儿童医院急诊科,山东济南 250000

小儿疱疹性咽峡炎 喉咽清口服液 重组人干扰素a2b 炎症因子 免疫功能

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(8)
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