[1]易 倩,姜立伟,赵 丹,等.清热益气方治疗复发性生殖器疱疹疗效及对患者免疫功能的影响[J].陕西中医,2021,(9):1253-1256.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.027]
 YI Qian,JIANG Liwei,ZHAO Dan,et al.Effect of Qingre Yiqi decoction on recurrent genital herpes and its influence on immune function[J].,2021,(9):1253-1256.[doi:DOI:10.3969/j.issn.1000-7369.2020.09.027]
点击复制

清热益气方治疗复发性生殖器疱疹疗效及对患者免疫功能的影响
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2021年9期
页码:
1253-1256
栏目:
临床研究
出版日期:
2021-09-05

文章信息/Info

Title:
Effect of Qingre Yiqi decoction on recurrent genital herpes and its influence on immune function
作者:
易 倩姜立伟赵 丹孙之中黄军铭(马来西亚)
(湖南中医药大学第一附属医院,湖南 长沙 410007)
Author(s):
YI QianJIANG LiweiZHAO DanSUN ZhizhongHUANG Junming(Malaysia)
(The First Hospital of Hunan University of Chinese Medicine,Changsha 410007,China)
关键词:
生殖器疱疹 清热益气方 阿昔洛韦 炎症因子 免疫功能 复发
Keywords:
Genital herpes Qingre Yiqi decoction Acyclovir Inflammatory factors Immune function Recurrence
分类号:
R 246.7
DOI:
DOI:10.3969/j.issn.1000-7369.2020.09.027
文献标志码:
A
摘要:
目的:探讨清热益气方治疗复发性生殖器疱疹(RGH)的临床疗效及其对患者血清炎症因子、免疫功能的影响。方法:将84例RGH患者分成观察组和对照组,各42例。对照组给予阿昔洛韦治疗,观察组予阿昔洛韦联合清热益气方治疗。对比两组患者临床疗效、血清炎症因子水平[白细胞介素-2(IL-2)、白细胞介素-4(IL-4)、白细胞介素-6(IL-6)、肿瘤坏死因子-α(TNF-α)、γ-干扰素(IFN-γ)]、T淋巴细胞亚群、不良反应以及复发情况。结果:治疗后,观察组总有效率为97.62%高于对照组的85.71%(P<0.05)。治疗后,观察组血清IL-2、IL-4、IL-6、TNF-α低于对照组,而IFN-γ高于对照组(均P<0.05)。治疗后观察组CD3+、CD4+、CD4+/CD8+高于对照组,CD8+低于对照组(均P<0.05)。两组不良反应发生率比较,差异无统计学意义(P>0.05)。观察组随访时平均复发皮肤病损评分、复发频次均低于对照组,平均复发间隔时间长于对照组(均P<0.05)。结论:清热益气方治疗RGH临床疗效较好,能减少复发风险。
Abstract:
Objective:To investigate clinical efficacy of Qingre Yiqi decoction in treatment of recurrent genital herpes(RGH)and its effect on serum inflammatory factors and immune function.Methods:84 patients with RGH were divided into observation group and control group,42 patients in each group.The control group was treated with acyclovir,the observation group treated acyclovir combined with Qingre Yiqi decoction.Clinical efficacy,serum inflammatory factors [interleukin-2(IL-2),interleukin-4(IL-4),interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),γ-interferon(IFN-γ)],T lymphocyte subsets,adverse reactions and recurrence were compared between the two groups.Results:After treatment,total effective rate of the observation group was 97.62%,which was significantly higher than 85.71% of the control group(P<0.05).After treatment,the serum IL-2,IL-4,IL-6 and TNF-α in the observation group were lower than those in the control group,while the serum IFN-γ was higher than that in the control group(all P<0.05).After treatment,CD3+,CD4+,CD4+/CD8+ in the observation group were higher than those in the control group,and CD8+ was lower than that in the control group(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).During follow-up,average recurrence skin lesions score and recurrence frequency in the observation group were lower than those in the control group,and average recurrence interval was significantly longer than that in the control group(all P<0.05).Conclusion:Qingre Yiqi decoction has better clinical efficacy in the treatment of RGH,and can reduce the risk of recurrence.

参考文献/References:

[1] Parra SM.Genital ulcers caused by herpes simplex virus[J].Enferm Infecc Microbiol Clin,2019,37(4):260-264.
[2] Bernstein DI,Flechtner JB,McNeil LK,et al.Therapeutic HSV-2 vaccine decreases recurrent virus shedding and recurrent genital herpes disease[J].Vaccine,2019,37(26):3443-3450.
[3] 张 辰,郭姗姗,谢 川,等.梅花针联合普瑞巴林治疗带状疱疹后遗神经痛疗效研究[J].陕西中医,2021,42(3):376-378,382.
[4] 匡 琳,徐婷玉,黄恩惠,等.中医“扶正祛邪”序贯疗法治疗复发性生殖器疱疹的临床观察[J].中国皮肤性病学杂志,2020,34(8):941-944.
[5] 中国中西医结合学会皮肤性病专业委员会性病学组.生殖器疱疹中西医结合诊疗指南[J].中国中西医结合皮肤性病学杂志,2009,8(6):382-383
[6] 国家中医药管理局.中药新药临床研究指导原则[M].北京:中国医药科技出版社,2002:295-298.
[7] 候亚林,杜立行,欧柏生,等.参芪止疱颗粒抗HSV-2的体外实验研究[J].陕西中医,2018,39(1):10-13.
[8] 王素梅,张玉杰.疏风解毒胶囊联合常规西药治疗生殖器疱疹的临床疗效研究[J].中国性科学,2021,30(3):120-123.
[9] 吴敬云,明清平,潘海涛.中西药序贯疗法对复发性生殖器疱疹的疗效观察[J].中国医药指南,2020,18(5):177.
[10] 董小天.扶正解毒汤联合盐酸伐昔洛韦胶囊治疗复发型口唇疱疹临床研究[J].陕西中医,2020,41(7):932-934.
[11] Bennett C,Rebafka A,Carrier J,et al.Health-related quality of life of young people and adults with primary or recurrent episodes of genital herpes:A mixed methods systematic review protocol[J].JBI Database System Rev Implement Rep,2018,16(5):1087-1094.
[12] 庄国宾,陈和亮,肖陈富,等.陈氏疱疹二号方治疗男性复发性生殖器疱疹缓解期阴虚邪恋证100例临床观察[J].中医杂志,2020,61(6):514-518.
[13] 王晨霞,张 莉.泛昔洛韦联合膦甲酸钠对复发性生殖器疱疹患者免疫功能的影响[J].中国中西医结合皮肤性病学杂志,2021,20(1):44-46.
[14] 乔国安,陈 艳.清热解毒汤治疗复发性生殖器疱疹临床观察[J].黑龙江中医药,2020,49(3):14-15.
[15] 李梓盟,张佳彦,李 菲,等.白花蛇舌草抗肿瘤化学成分及药理作用研究进展[J].中医药信息,2021,38(2):74-79.
[16] 刘静茹,姚姗姗,王文静,等.中药黄柏抗炎作用机制的网络药理学分析[J].黑龙江畜牧兽医,2020(10):117-121,127,161.
[17] 杨正生,彭振辉,李 扬,等.丹皮酚软膏联合复方甘草酸苷治疗变应性接触性皮炎临床观察[J].陕西医学杂志,2011,40(8):1069,1074.
[18] 朱恒舟,桑天庆,季 漪,等.基于消癌解毒方中白花蛇舌草有效成分治疗肿瘤的靶点研究[J].中华中医药学刊,2020,38(5):132-135.
[19] 唐 爽,李修洋,邸 莎.黄柏的临床应用及其用量探究[J].吉林中医药,2019,39(8):1008-1012.
[20] 伍淳操,郭小红,刘 霞,等.近5年牡丹皮现代药学作用研究进展[J].中国新药杂志,2020,29(3):281-284.

备注/Memo

备注/Memo:
基金项目:湖南省教育厅科学研究项目(19C1105)
更新日期/Last Update: 2021-09-10