黄芩汤治疗嗜酸粒细胞性哮喘患者的临床效果OA
Clinical Effect of Huangqin Decoction in the Treatment of Patients with Eosinophilic Asthma
目的:探讨黄芩汤治疗嗜酸粒细胞性哮喘患者的临床效果.方法:选取南昌大学第二附属医院 2023 年 1 月—2024 年 3 月 100 例嗜酸粒细胞性哮喘患者,按随机数字表法分为对照组(n=50)和试验组(n=50).对照组给予常规沙美特罗替卡松吸入粉雾剂治疗,试验组在对照组基础上使用黄芩汤.两组疗程均为8周.比较两组IL-17、IL-10、Th17、调节性T细胞(Treg)、辅助性T细胞17/调节性T细胞(Th17/Treg),FVC、FEV1、FEV1/FVC、治疗总有效率、哮喘急性发作及不良反应发生情况.结果:治疗后,两组 IL-10、IL-17、Th17 和 Th17/Treg 较治疗前降低,且试验组低于对照组(P<0.05).治疗后,两组 FVC、FEV1、FEV1/FVC、Treg 较治疗前升高,且试验组高于对照组(P<0.05).试验组治疗总有效率高于对照组,且哮喘急性发作及不良反应发生率低于对照组(P<0.05).结论:对于嗜酸粒细胞性哮喘患者,在常规西药(沙美特罗替卡松吸入粉雾剂)治疗基础上,加用黄芩汤可进一步恢复 Th17/Treg 平衡、改善免疫状态与肺功能,并有助于降低哮喘急性发作及不良反应发生率.
Objective:To explore the clinical effect of Huangqin Decoction in the treatment of patients with eosinophilic asthma.Method:A total of 100 patients with eosinophilic asthma treated at the Second Affiliated Hospital of Nanchang University from January 2023 to March 2024 were selected and divided into a control group(n=50)and an experimental group(n=50)using a random number table method.The control group was treated with conventional Salmeterol Xinafoate and Fluticasone Propionate Powder for Inhalation,while the experimental group received Huangqin Decoction on the basis of the control group.The treatment courses for both groups were 8 weeks.The IL-17,IL-10,Th17,regulatory T cells(Treg),helper T cell 17/regulatory T cells(Th17/Treg),FVC,FEV1,FEV1/FVC,total effective rate,occurrence of acute asthma attack and adverse reactions were compared between the two groups.Result:After treatment,IL-10,IL-17,Th17,and Th17/Treg decreased in both groups compared with those before treatment,and those in the experimental group were lower than those in the control group(P<0.05).After treatment,FVC,FEV1,FEV1/FVC,and Treg levels increased in both groups compared with those before treatment,and those in the experimental group were higher than those in the control group(P<0.05).The total effective rate in the experimental group was higher than that in the control group,and the incidences of acute asthma attacks and adverse reactions were lower than those in the control group(P<0.05).Conclusion:For patients with eosinophilic asthma,on the basis of conventional western medicine(Salmeterol Xinafoate and Fluticasone Propionate Powder for Inhalation)treatment,the addition of Huangqin Decoction can further restore the Th17/Treg balance,improve immune status and lung function,and help reduce the incidence of acute asthma attacks and adverse reactions.
高哲;周甜甜;何亮;胡玲玲
南昌大学第二附属医院急诊科 江西 南昌 330000南昌大学第二附属医院麻醉与围手术医学科 江西 南昌 330000南昌大学第二附属医院急诊科 江西 南昌 330000南昌大学第二附属医院核医学科 江西 南昌 330000
嗜酸粒细胞性哮喘Th17/Treg黄芩汤免疫失衡
Eosinophilic asthmaTh17/TregHuangqin DecoctionImmune imbalance
《中国医学创新》 2026 (12)
5-9,5
江西省中医药管理局科技计划项目(2023B0724)
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