首页|百合利咽胶囊对肺胃实热证急性咽喉炎患者吞咽功能、免疫和镇痛效应的研究

百合利咽胶囊对肺胃实热证急性咽喉炎患者吞咽功能、免疫和镇痛效应的研究

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目的:探讨百合利咽胶囊对肺胃实热证急性咽喉炎患者吞咽功能、免疫和镇痛效应的研究。方法:选择 2021-2022 年该院治疗的急性咽喉炎患者 260 例,以随机数字表法分为对照组和观察组。对照组 130 例患者(脱落 7 例,实际纳入 123 例)给予常规治疗,百合利咽胶囊组130 例患者(脱落5 例,实际纳入125 例)在对照组的治疗基础上给予百合利咽胶囊治疗。检测治疗前后患者血管细胞黏附分子 1(VCAM-1)、超敏C反应蛋白(hs-CRP)、分泌型免疫球蛋白A(SIgA)、白细胞介素 1β(IL-1β)、肿瘤坏死因子α(TNF-α)、CD4+和CD8+水平,记录两组患者咽喉疼痛消失时间、咳嗽停止时间、体温恢复正常时间、声音嘶哑消失时间、咽部黏膜充血消失时间、咽喉异物感消失时间、咽后壁淋巴滤泡红肿消失时间,评价患者的中医证候评分、功能性吞咽障碍筛查量表(EAT10)评分,比较两组患者的临床疗效、不良反应发生情况。结果:百合利咽胶囊组患者的总有效率为 95。20%(119/125),较对照组的 82。93%(102/123)更高,差异有统计学意义(P<0。05)。百合利咽胶囊组患者体温恢复正常时间,咽喉异物感、咽喉疼痛、咳嗽、声音嘶哑、咽部黏膜充血和咽后壁淋巴滤泡红肿消失时间较对照组更短,差异均有统计学意义(P<0。05)。百合利咽胶囊组患者咽痛剧烈或痛连耳部、吞咽困难、咽部干燥、口渴多饮、大便干、痰黏稠、咳嗽、发热、头痛和小便黄赤评分较对照组更低,EAT10 评分较对照组明显更低,差异均有统计学意义(P<0。05)。治疗后,百合利咽胶囊组患者的CD4+、SIgA水平较对照组更高,CD8+水平较对照组更低,VCAM-1、hs-CRP、IL-1β和TNF-α含量较对照组低,差异均有统计学意义(P<0。05)。治疗期间,两组患者均无明显不良反应产生。结论:百合利咽胶囊治疗肺胃实热证急性咽喉炎患者,可改善机体免疫,减少炎症反应,提高咽喉镇痛效应,促进患者康复,提高患者吞咽功能及临床疗效,安全性高。
Effects of Baihe Liyan Capsules on Swallowing Function,Immunity and Analgesia in Patients with Acute Laryngopharyngitis of Lung-Stomach Excess-Heat Syndrome
OBJECTIVE:To probe into the effects of Baihe Liyan capsules on swallowing function,immunity and analgesia in patients with acute laryngopharyngitis of lung-stomach excess-heat syndrome.METHODS:A total of 260 patients with acute laryngopharyngitis admitted into the hospital from 2021 to 2022 were selected to be divided into control group and observation group via random number table method.The 130 cases(7 cases withdraw,123 cases actually enrolled)in the control group were given conventional treatment,and 130 cases(5 cases withdraw,125 cases actually enrolled)in the Baihe Liyan capsules group were given Baihe Liyan capsules based on the control group.The vascular cell adhesion molecule(VCAM-1),hypersensitivity C reaction protein(hs-CRP),secreted immunoglobulin A(SIgA),interleukin 1β(IL-1β),tumor necrosis factor α(TNF-α),CD4+ and CD8+ levels were detected before and after treatment,the disappearance time of throat irritation,cough cessation time,recovery time of temperature,disappearance time of hoarseness,disappearance time of pharyngeal mucosal congestion,disappearance time of throat foreign body sensation,disappearance time of posterior pharyngeal lymphatic follicular swelling of the two groups were recorded,the traditional Chinese medicine(TCM)syndrome scores and Functional Swallowing Disorder Screening Scale(EAT10)scores of patients were evaluated,the clinical efficacy and incidences of adverse drug reactions were compared between two groups.RESULTS:The total effective rate of Baihe Liyan capsules group was 95.20%(119/125),higher than 82.93%(102/123)of the control group,with statistically significant differences(P<0.05).The recovery time of temperature,disappearance times of throat foreign body sensation,throat irritation,cough,hoarseness,pharyngeal mucosal congestion and posterior pharyngeal lymphatic follicular swelling of the Baihe Liyan capsules group were shorter than those of the control group,with statistically significant differences(P<0.05).The scores of severe sore throat or pain to ear,dysphagia,pharyngoxerosis,thirst and excessive drinking,constipated,mucousy phlegm,cough,fever,headache and deep-colored urine of the Baihe Liyan capsules group were lower than those of the control group,the EAT10 score of the Baihe Liyan capsules group was significantly lower than that of the control group,with statistically significant differences(P<0.05).After treatment,the CD4+ and SIgA levels were higher,the CD8+ level was lowe,the VCAM-1,hs-CRP,IL-1β and TNF-α levels were lower in the Baihe Liyan capsules group than those int he control group,with statistically significant differences(P<0.05).No obvious adverse drug reactions occurred in either group during treatment.CONCLUSIONS:Baihe Liyan capsules for the treatment of patients with acute laryngopharyngitis of lung-stomach excess-heat syndrome can improve body immunity,reduce inflammatory reaction,enhance throat analgesic effect,promote patients'recovery,improve the swallowing function and clinical efficacy,with high safety.

Baihe Liyan capsulesAcute laryngopharyngitisImmunityInflammatory reactionAnalgesic effectSwallowing function

盖忆青、黄立惠、焦立红、祁爱风、普薇

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石家庄市中医院药学部,石家庄 050011

石家庄市中医院耳鼻喉科,石家庄 050011

百合利咽胶囊 急性咽喉炎 免疫 炎症反应 镇痛效应 吞咽功能

河北省中医药科研计划项目

2021245

2024

中国医院用药评价与分析
中国医药生物技术协会,中国药房杂志社

中国医院用药评价与分析

CSTPCD
影响因子:1.142
ISSN:1672-2124
年,卷(期):2024.24(2)
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