首页|梔黄解毒饮对儿童甲型流感症状控制及血清α1-AG、α1-AT、IL-17、IFN-γ水平的影响

梔黄解毒饮对儿童甲型流感症状控制及血清α1-AG、α1-AT、IL-17、IFN-γ水平的影响

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目的 探讨栀黄解毒饮对儿童甲型流感症状控制及血清α1酸性糖蛋白(α1-AG)、α1抗胰蛋白酶(α1-AT)、白细胞介素-17(IL-17)、干扰素-γ(IFN-γ)水平的影响.方法 依据随机数字表法将2021年1月-2023年1月绵阳市妇幼保健院(绵阳市儿童医院)收治的78例甲型流感患儿分为对照组39例和研究组39例.对照组给予磷酸奥司他韦胶囊,研究组在对照组的基础上给予栀黄解毒饮,两组均治疗1周.比较两组治疗1周后疗效及症状控制情况,治疗前和治疗1周后免疫功能、血清α1-AG、α1-AT、IL-17、IFN-γ水平及治疗期间不良反应.结果 与对照组总有效率(76.92%)比较,研究组治疗1周后的总有效率更高(94.87%,P<0.05).研究组咳嗽、咽痛、肌肉酸痛、发热、鼻塞流涕消失时间短于对照组(P<0.05).治疗1周后,两组外周血中性粒细胞与淋巴细胞比值(NLR)、CD8+及血清α1-AG、α1-AT、IL-17、IFN-γ水平与治疗前比较降低,研究组更低(P<0.05);外周血CD4+、CD4+/CD8+升高,研究组更高(P<0.05).两组治疗期间的总不良反应发生率比较无统计学差异.结论 栀黄解毒饮可调节甲型流感患儿血清α1-AG、α1-AT、IL-17、IFN-γ水平,减轻机体炎症,并可改善患儿免疫功能,控制症状,进而利于疗效的提高,且并未明显增加患儿的不良反应,安全性良好.
Effects of Zhihuang Jiedu drink on control of symptoms and serum α1-AG,α1-AT,IL-17 and IFN-γ of children with influenza A
OBJECTIVE To explore the effects of Zhihuang Jiedu Drink on the control of symptoms and serum α1 a-cidic glycoprotein(α1-AG),α1 antitrypsin(α1-AT),interleukin-17(IL-17)and interferon-γ(IFN-γ)of the chil-dren with influenza A.METHODS A total of 78 children with influenza A who were treated in Mianyang Maternal and Child Care Hospital(Mianyang Children's Hospital)from Jan 2021 to Jan 2023 were enrolled in the study and randomly divided into the control group with 39 cases and the study group with 39 cases.The control group was treated with oseltamivir phosphate capsules,the study group was given additional Zhihuang Jiedu drink on ba-sis of the therapy of the control group,both groups were treated for 1 week.The therapeutic effects and status of control of symptoms were observed and compared between the two groups after the treatment for 1 week.The im-mune function indexes and levels of serum α1-AG,α1-AT,IL-17 and IFN-γ were compared before the treatment and after the treatment for 1 week,and the adverse reactions during the treatment period were observed.RESULTS The total effective rate of the study group was 94.87%after the treatment for 1 week,higher than 76.92%of the control group(P<0.05).The time of disappearance of cough,pharyngalgia,muscular soreness,fever and nasal congestion and runny nose was shorter in the study group than in the control group(P<0.05).The peripheral blood neutrophils to lymphocytes ratio(NLR),CD8+,and levels of serum α1-AG,α1-AT,IL-17 and IFN-γ of the two groups were lower after the treatment for 1 week than before the treatment,and the levels of the above indexes of the study group were lower than those of the control group(P<0.05).The levels of peripheral blood CD4+and CD4+/CD8+of the two groups were elevated,and the levels of the above indexes of the study group were higher(P<0.05).There was no significant difference in the total incidence of adverse reactions be-tween the two groups during the treatment period.CONCLUSION Zhihuang Jiedu drink can regulate the levels of serum α1-AG,α1-AT,IL-17 and IFN-γ of the children with influenza A,alleviate the inflammatory response,im-prove the immune function,and control the symptoms so as to boost the therapeutic effect without a significant in-crease of adverse reactions,with the safety favorable.

Influenza AChildZhihuang Jiedu drinkControl of symptomα1 acidic glycoproteinα1 antitryp-sinInterleukin-17Interferon-γ

邹艳萍、刘辉、夏清、王嘉毅、张禹、赵娜

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四川中医药高等专科学校药学院,四川绵阳 621000

绵阳市妇幼保健院(绵阳市儿童医院)药剂科,四川绵阳621000

绵阳市妇幼保健院(绵阳市儿童医院)中医科,四川绵阳621000

四川中医药高等专科学校附属医院中医科,四川绵阳621000

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甲型流感 儿童 栀黄解毒饮 症状控制 α1酸性糖蛋白 α1抗胰蛋白酶 白细胞介素-17 干扰素-γ

四川省中医药管理局基金资助项目

2023614

2024

中华医院感染学杂志
中华预防医学会 中国人民解放军总医院

中华医院感染学杂志

CSTPCD北大核心
影响因子:1.885
ISSN:1005-4529
年,卷(期):2024.34(13)
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