中药协定处方联合磷酸奥司他韦治疗流感临床疗效及对炎性因子的影响
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R511.7

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中医药循证能力建设项目(2019XZZX-LG008)


Clinical Effect of Chinese Medicine Prescriptions Combined with Oseltamivir Phos⁃ phate for Influenza and Its Effect on Inflammatory Factors
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    摘要:

    目的:观察中药协定处方联合磷酸奥司他韦治疗流感的临床疗效及对炎症因子水平的影响。方 法:将200 例流感患者随机分为研究组和对照组各100 例,对照组以磷酸奥司他韦治疗,研究组在对照组基础 上结合中药协定处方治疗。比较2 组临床疗效、症状消退时间、不良反应及治疗前后炎性因子水平。结果:研 究组治疗总有效率97.0%,高于对照组81.0%(P<0.05)。研究组咳嗽、流涕、发热及咽喉肿痛消退时间均短 于对照组(P<0.05)。治疗前,2 组C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α)、白细胞介素-6(IL-6) 水平比较,差异无统计学意义(P>0.05);治疗后,2 组CRP、TNF-α、IL-6 水平均降低(P<0.05),且研究 组低于对照组(P<0.05)。研究组不良反应发生率6.0%,对照组不良反应发生率8.0%,2 组比较,差异无统 计学意义(P>0.05)。结论:采用中药协定处方联合磷酸奥司他韦治疗流感临床疗效显著,有助于降低患者炎 性因子水平,且安全性较高。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Chinese medicine prescriptions combined with Oseltamivir Phosphate for influenza and its effect on levels of inflammatory factors. Methods: A total of 200 cases of patients with influenza were randomly divided into the study group and the control group,with 100 cases in each group. The control group was treated with Oseltamivir Phosphate,and the study group was additionally treated with Chinese medicine prescriptions based on the treatment of the control group. The levels of inflammatory factors before and after treatment,the clinical effects,the regression time of symptoms and the adverse reactions were compared between the two groups. Results:The total effective rate was 97.0% in the study group,higher than that of 81.0% in the control group (P<0.05). The regression time of cough, runny nose, fever and sore throat in the study group was earlier than that in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the levels of C-reactive protein (CRP),tumor necrosis factor-α (TNF-α) and interleukin-6 (IL-6) between the two groups (P>0.05). After treatment, the levels of CRP, TNF- α and IL- 6 in the two groups were decreased (P<0.05), and the levels in the study group were lower than those in the control group (P< 0.05). The incidence of adverse reactions was 6.0% in the study group and 8.0% in the control group, there being no significant difference between the two groups (P>0.05). Conclusion: Chinese medicine prescriptions combined with Oseltamivir Phosphate for influenza has a significant clinical effect, and can help reduce the levels of inflammatory factors in patients with high safety.

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冀亮,沈其霖,高晔,黄飞,任记均.中药协定处方联合磷酸奥司他韦治疗流感临床疗效及对炎性因子的影响[J].新中医,2023,55(5):104-107

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  • 在线发布日期: 2023-03-15
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