益气活血汤联合康复治疗对颈髓损伤术后免疫及炎症的影响
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R744

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河南省中医药科学研究专项课题(2019ZY1029)


Effect of Yiqi Huoxue Decoction Combined with Rehabilitation Therapy on Immunity and Inflammation in Patients After Operation for Cervical Spinal Cord Injury
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    摘要:

    目的:观察益气活血汤联合康复治疗对颈髓损伤术后患者免疫及炎症因子的影响。方法:将60 例 颈髓损伤术后患者按数字表法随机分为对照组28 例与观察组32 例。对照组采用西医常规疗法,观察组在对照 组治疗方案的基础上联合中药益气活血汤剂及早期康复治疗措施。观察2 组治疗前后T 淋巴细胞CD3+、 CD4+、CD8+,自然杀伤细胞(NK 细胞)、免疫球蛋白G(IgG)、免疫球蛋白A(IgA)、免疫球蛋白M(IgM)、 补体C3、补体C4,以及炎症因子白细胞介素-6 (IL-6)、肿瘤坏死因子-α (TNF-α)、血清淀粉样蛋白 A(SAA) 和C-反应蛋白(CRP) 的变化。结果:与同组治疗前比较,治疗3 d 后,观察组CD3+、NK 细胞、 IgG、IgM 有所升高,差异均有统计学意义(P<0.05);治疗7 d 后,观察组CD3+、CD4+、CD8+、NK 细胞、 IgG、IgA、IgM、C3、C4,以及对照组CD3+、IgM、C3 均有明显升高,差异均有统计学意义(P<0.05,P< 0.01)。与对照组治疗7 d 后比较,观察组CD3+、CD4+、NK 细胞、IgG、IgA 及IgM 升高更明显,差异均有统 计学意义(P<0.05)。与同组治疗前比较,观察组治疗3 d 后的IL-6、TNF-α、SAA,以及治疗7 d 后的IL-6、 TNF-α、SAA、CRP 均明显下降,差异均有统计学意义(P<0.05,P<0.01);对照组治疗7 d 后的IL-6、 TNF-α、SAA、CRP 均明显下降,差异均有统计学意义(P<0.05)。与对照组同时间比较,观察组治疗3 d 后 的TNF-α,以及治疗7d 后的IL-6、TNF-α、SAA、CRP 下降更明显,差异均有统计学意义(P<0.05)。结 论:益气活血汤联合康复治疗可有效增强颈髓损伤术后患者的免疫功能,抑制炎症反应。

    Abstract:

    Abstract: Objective: To observe the effect of Yiqi Huoxue Decoction combined with rehabilitation therapy on immune and inflammatory factors in patients after operation for cervical spinal cord injury. Methods:A total of 60 cases of patients after operation for cervical spinal cord injury were divided into the control group and the observation group according to the random number table method , with 28 and 32 cases in each group respectively. The control group was treated with routine western medicine,and the observation group was additionally given Yiqi Huoxue Decoction and early rehabilitation treatment measures based on the treatment plan of the control group. Before and after treatment,the changes in T lymphocytes including CD3 + , CD4 + , CD8 + , natural killer cells(NK cells), immunoglobulin G(IgG), immunoglobulin A (IgA), immunoglobulin M(IgM), complement C3, complement C4, and inflammatory factors including interleukin-6(IL-6),tumor necrosis factor-α(TNF-α),serum amyloid A(SAA) and C-reactive protein(CRP) in the two groups were observed. Results:After 3 days of treatment,CD3+,NK cells,IgG,and IgM in the observation group were increased when compared with those before treatment, differences being significant(P<0.05). After 7 days of treatment,CD3+,CD4+,CD8+,NK cells,IgG,IgA,IgM,C3,and C4 in the observation group and CD3 + , IgM, and C3 in the control group were significantly increased, differences being significant(P<0.05,P<0.01). After 7 days of treatment,the increase of CD3+,CD4+, NK cells,IgG,IgA,and IgM in the observation group was more obvious than that in the control group, differences being significant(P<0.05). When compared with those before treatment, the levels of IL- 6, TNF-α and SAA after 3 days of treatment and the levels of IL-6,TNF-α,SAA,and CRP after 7 days of treatment in the observation group were significantly decreased,differences being significant(P<0.05,P< 0.01); the levels of IL- 6, TNF- α, SAA and CRP after 7 days of treatment in the control group were significantly decreased, differences being significant(P<0.05). The decrease of TNF- α after 3 days of treatment and IL-6,TNF-α,SAA,and CRP after 7 days of treatment in the observation group was more significant than that in the control group at the same time, differences being significant(P<0.05). Conclusion: Yiqi Huoxue Decoction combined with rehabilitation therapy for patients after operation for cervical spinal cord injury can effectively enhance their immune function and inhibit inflammatory responses.

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乔若飞,李鹤,尤莉莉,王凤英.益气活血汤联合康复治疗对颈髓损伤术后免疫及炎症的影响[J].新中医,2023,55(2):90-94

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  • 在线发布日期: 2023-01-29
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