首页|红花黄注射液治疗突发性聋的疗效及对内皮炎症损伤的影响

红花黄注射液治疗突发性聋的疗效及对内皮炎症损伤的影响

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目的 观察红花黄注射液对突发性聋(气滞血瘀证)患者的临床疗效及其对内皮炎症损伤的影响.方法 将60例患者随机分为试验组与对照组,对照组采用激素治疗,试验组加上红花黄注射液治疗.采集患者治疗前后血样,对比分析两组治疗前后听力恢复情况,ELISA检测血清中白细胞介素-6(IL-6)、细胞间黏附分子1(ICAM-1)、一氧化氮(NO)含量,RT-PCR检测血清中TLR4 mRNA/NF-κB mRNA含量.结果 试验组总有效率为90.00%,高于对照组的66.67%(P<0.05);两组治疗后IL-6、ICAM-1水平均较治疗前显著下降(P<0.05),且试验组低于对照组(P<0.05).两组血清中NO含量均较治疗前升高(P<0.05),试验组高于对照组(P<0.05);两组治疗后血清TLR4/NF-κB mRNA表达水平较治疗前显著下降(P<0.05),试验组低于对照组(P<0.05).结论 红花黄注射液联合激素治疗突发性聋疗效显著,优于单纯西医治疗,能显著降低突发性聋患者体内血管炎症因子,减少TLR4/NF-κBmRNA信号通路的表达.
Efficacy Analysis of Safflower Yellow Injection in Patients with Sudden Deafness and Its Impact on Endo-thelial Inflammatory Injury
Objective:To observe the clinical efficacy of saffllower yellow injection in patients with sudden deaf-ness(syndrome of qi stagnation and blood stasis)and its impact on endothelial inflammatory injury.Methods:60 patients were divided into an experimental group and a control group.The control group received hormone therapy,while the experimental group was treated with both hormone therapy and safflower yellow injection.Blood samples were collected before and after treatment to compare the recovery of hearing between the two groups.ELISA was used to detect the levels of interleukin-6(IL-6),intercellular adhesion molecule 1(ICAM-1),and nitric oxide(NO)in serum,and RT-PCR was used to measure the levels of TLR4 mRNA and NF-κB mRNA in serum.Re-sults:The therapeutic effect of the experimental group was significantly better than that of the control group,with statistically significant differences(P<0.05).After treatment,the levels of IL-6 and ICAM-1 in both groups were significantly lower than before treatment(P<0.05),and the decrease was more significant in the experimental group compared with the control group(P<0.05).The content of NO in serum increased in both groups after treat-ment(P<0.05),and the increase was also significantly higher in the experimental group compared with the control group(P<0.05).RT-PCR detection of TLR4/NF-κB mRNA content in serum before and after treatment showed that the expression levels of TLR4/NF-κB mRNA in serum decreased significantly after treatment in both groups(P<0.05),and the decrease was more significant in the experimental group compared with the control group(P<0.05).Conclusion:The combined treatment of safflower yellow injection and hormones for sudden deafness is sig-nificantly effective,better than monotherapy with western medicine,and can significantly reduce vascular inflamma-tory factors and decrease the expression of the TLR4/NF-κB signaling pathway in patients with sudden deafness.

Sudden deafnessSafflower yellow injectionInflammatory factorsEndothelial injury

郭清华、张晓阳、朱晓燕、张恬、杨旻、伏飞达

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江苏省南京市中西医结合医院,江苏 南京 210014

南京中医药大学,江苏 南京 210023

突发性聋 红花黄注射液 炎症因子 内皮损伤

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(12)