|
|
Clinical effect of Yupingfeng Powder combined with BCG polysaccharide nucleic acid for treatment of chronic urticaria |
HE Qiang1 PAN Wulin1 YU Zhihua2 |
1.Department of Dermatology, Hubei Provincial Hospital of Integrated Chinese and Western Medicine, Hubei Province, Wuhan 430015, China;
2.Department of Pathology, Tongji Hospital, Tongji Medical College of HUST, Hubei Province, Wuhan 430030, China
|
|
|
Abstract Objective To explore the clinical efficacy of Yupingfeng Powder combined with BCG polysaccharide nucleic acid for treatment of chronic urticaria. Methods From January 2016 to December 2017 in Hubei Provincial Hospital of Integrated Chinese and Western Medicine, 80 patients with chronic urticaria were selected. They were divided into control group and treatment group according to random number table method, with 40 cases in each group. The control group was treated with BCG polysaccharide nucleic acid injection, the treatment group was treated with Yupingfeng Powder combined with BCG polysaccharide nucleic acid injection, two groups were treated for 12 weeks cowtinuously. The UAS scores, DLQI scores, serum IFN-γ, IL-2, IL-4 and IL-10 in the two groups before and after treatment were compared. The clinical efficacy and the adverse reaction rate of the two groups were compared. Results After treatment, the UAS scores, DLQI scores, levels of serum IL-4, IL-10 in the two groups were significantly lower than those before treatment, the levels of serum IFN-γ, IL-2 in the two groups were significantly higher than those before treatment, and the UAS scores, DLQI scores, levels of serum IL-4, IL-10 in the treatment group were obviously higher than those in the control group, the levels of serum IFN-γ, IL-2 in the treatment group were lower than those in the control group, the differences were statistically significant (P < 0.05). The total effective rate of treatment group was significantly higher than those of the control group, the difference was statistically significant (P < 0.05). There was no significantly difference in the adverse reaction rate between the two groups during treatment (P > 0.05). Conclusion Yupingfeng Powder combined with BCG polysaccharide nucleic acid injection for treatment of chronic urticaria has a good efficacy and few adverse reactions, which can relieve clinical symptoms, improve life quality and the levels of serumIFN-γ, IL-2, reduce the levels of serum IL-4, IL-10, and it is worthy clinical application.
|
|
|
|
|
[1] 宋志强.慢性荨麻疹的临床分型、定义、特征及其分型的意义[J].皮肤病与性病,2015,37(1):14-15.
[2] 刘河,董永胜,王培中,等.慢性荨麻疹病因及机制[J].包头医学,2013,37(3):132-135.
[3] 陆莉,万屏.慢性荨麻疹的治疗进展[J].医学理论与实践,2017,30(8):1125-1127.
[4] 徐继鹏.卡介菌多糖核酸治疗慢性荨麻疹疗效观察[J].实用临床护理学电子杂志,2016,1(6):64-67.
[5] 白庭恩,范斌.慢性荨麻疹的中医研究概况[J].中国民族民间医药,2017,26(2):75-80.
[6] 李红念,梅全喜,戴卫波,等.玉屏风散的临床应用与药理作用研究进展[J].广州中医药大学学报,2016,33(2):284-287.
[7] 张学军.皮肤性病学[M].北京:人民卫生出版社,2003:270.
[8] 赵辨.临床皮肤性病学[M].南京:江苏科学技术出版社,2001:612-617.
[9] 陈慰峰.医学免疫学[M].北京:人民卫生出版社,1994:197-200.
[10] 国家中医药管理局.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2002:124-129.
[11] 陈秀英.慢性荨麻疹的西药治疗研究进展[J].按摩与康复医学,2016,7(15):9-10.
[12] 王晓彤,张亚莉.卡介菌多糖核酸注射液对慢性荨麻疹治疗效果[J].大家健康:学术版,2016,10(2):159-160.
[13] 牟萍,郑罡.卡介菌多糖核酸对慢性荨麻疹患者外周血炎症因子水平和Th1/Th2分化的影响[J].中华临床医师杂志:电子版,2015,9(24):4589-4592.
[14] 孙晓晖.中药辨证治疗慢性荨麻疹的临床疗效观察[J].陕西中医,2015,36(5):559-561.
[15] 毕春生,李寅荧,解会杰,等.慢性荨麻疹的中医辨证浅析[J].世界最新医学信息文摘,2017,17(63):105-106.
[16] 孟胜利.玉屏风散治疗慢性荨麻疹心得[J].中国中医药现代远程教育,2017,15(12):133-135.
[17] 刘婷,杨雪,颜红炜.卡介菌多糖核酸联合玉屏风颗粒治疗慢性荨麻疹的疗效及机制分析[J].安徽医药,2018, 22(4):735-738.
[18] 林玲.盐酸非索非那定片联合卡介菌多糖核酸治疗慢性荨麻疹效果分析[J].中国当代医药,2017,24(32):26-28.
[19] 梁绮敏.加味玉屏风治疗慢性荨麻疹表虚不固证的临床效果[J].中国医药科学,2017,7(3):74-76.
[20] 沈萃萃,吕萌.慢性荨麻疹患者血清25羟基维生素D水平变化及其与Th1/Th2细胞失衡的关系[J].山东医药,2018,58(4):77-79.
[21] 种玲玲,袁永革,徐益明.慢性荨麻疹发作期与缓解期患者血清IL-4、IL-10、IL-25、IFN-γ水平变化及意义[J].山东医药,2015,55(45):81-82.
[22] 魏建峰.卡介菌多糖核酸联合玉屏风颗粒治疗慢性荨麻疹的临床疗效[J].海峡药学,2012,24(1):113-115. |
|
|
|