首页|加味宣白承气汤对慢性阻塞性肺疾病患者血清IL-21、CTRP-9和IL-33的影响

加味宣白承气汤对慢性阻塞性肺疾病患者血清IL-21、CTRP-9和IL-33的影响

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目的 观察加味宣白承气汤对慢性阻塞性肺疾病急性加重期患者血清白细胞介素-21(IL-21)、肿瘤坏死因子相关蛋白9(CTRP-9)和白细胞介素-33(IL-33)的影响.方法 120例患者随机分为研究组与对照组各60例.对照组患者给予常规治疗,研究组在此基础上予加味宣白承气汤治疗.检查两组患者治疗前后肺功能指标[用力肺活量(FVC)、第1秒用力呼气容积(FEV1)、第1秒用力呼气容积占用力肺活量的百分比(FEV1/FVC)]、中医证候积分、6 min步行试验(6MWT)和血清指标(IL-21、CTRP-9、IL-33),并统计两组患者临床疗效.结果 研究组总有效率为91.67%,显著高于对照组的78.33%(P<0.05);治疗后,研究组FVC、FEV1、FEV1/FVC、中医证候积分和6MWT改善较对照组明显(P<0.05),IL-21、CTRP-9、IL-33均显著低于对照组(P<0.05).结论 采用加味宣白承气汤治疗急性加重期慢性阻塞性肺疾病患者可抑制IL-21、CTRP-9和IL-33的表达,从而促进肺功能和临床症状康复.
Effect of Modified Xuanbai Chengqi Decoction on serum IL-21,CTRP-9 and IL-33 in Patients with Chronic Obstructive Pulmonary Disease
Objective:To investigate the effects of Modified Xuanbai Chengqi Decoction on serum IL-21,CTRP-9 and IL-33 in patients with chronic obstructive pulmonary disease.Methods:A total of 120 patients with acute exacerbation of chronic obstructive pulmonary disease admitted to our hospital were prospectively selected.They were randomly divided into study group and control group,60 cases in each group.The control group was given conventional treatment.On this basis,the study group was treated with modified Xuanbai Chengqi Decoction.Pul-monary function,TCM symptom score,6MWT and serum indexes(IL-21,CTRP-9,IL-33)of the two groups were examined before and after treatment,and the clinical efficacy of the two groups were counted.Results:The total effective rate of the study group was 91.67%,which was significantly higher than 78.33%of the control group(P<0.05).Before treatment,the TCM syndrome scores of the two groups were compared with 6MWT,IL-21,CTRP-9,IL-33,FVC,FEV1 and FEV1/FVC(P>0.05).After treatment,FVC,FEV1,FEV1/FVC,TCM symptom score and 6MWT in the study group were significantly improved than those in the control group(P<0.05).After treatment,IL-21,CTRP-9 and IL-33 in the study group were significantly lower than those in the control group(P<0.05).Conclusion:Modified Xuanbai Chengqi Decoction can inhibit the expression of IL-21,CTRP-9 and IL-33 in pa-tients with acute exacerbation chronic obstructive pulmonary disease,so as to promote the lung function and recov-ery of clinical symptoms.

Chronic obstructive pulmonary diseaseModified Xuanbai Chengqi DecoctionIL-21CTRP-9IL-33

陈文思、冯超、李春盈

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海南省中医院,海南 海口 570203

慢性阻塞性肺疾病 加味宣白承气汤 IL-21 CTRP-9 IL-33

海南省卫生健康行业科研项目

21A200400

2024

中国中医急症
中华中医药学会

中国中医急症

CSTPCD
影响因子:1.144
ISSN:1004-745X
年,卷(期):2024.33(1)
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