甘露消毒丹加味治疗小儿EB 病毒感染疗效观察及对T 淋巴细胞亚群水平的影响
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R725.1

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Curative Effect of Modified Ganlu Xiaodu Micropills on EB Virus Infection in Children and Its Effect on T-lymphocyte Subset Levels
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    摘要:

    目的:观察甘露消毒丹加味治疗小儿EB 病毒感染的临床疗效及对T 淋巴细胞亚群水平的影响。 方法:回顾性分析65 例EB 病毒感染患儿的临床资料,根据不同治疗方式分为对照组34 例和观察组31 例。 对照组在对症治疗的基础上加用阿昔洛韦注射液治疗,观察组在对照组基础上联合甘露消毒丹加味治疗。比 较2 组临床疗效、中医证候评分、T 淋巴细胞亚群水平及安全性。结果:观察组总有效率为93.55%,对照组 为73.53%,2 组比较,差异有统计学意义(P<0.05)。治疗前,2 组发热、咽喉肿痛、肢体困重、胸闷腹胀等 中医证候评分比较,差异均无统计学意义(P>0.05);治疗后,2 组上述各项中医证候评分均较治疗前降 低(P<0.05),且观察组各项评分均低于对照组(P<0.05)。治疗前,2 组T 淋巴细胞亚群CD3+、CD4+、CD8+ 水平比较,差异均无统计学意义(P>0.05);治疗后,2 组CD3+、CD8+水平均较治疗前降低(P<0.05),CD4+ 水平均较治疗前升高(P<0.05);且观察组CD3+、CD8+水平均低于对照组(P<0.05),CD4+水平高于对照 组(P<0.05)。治疗结束后,2 组患儿均无出现肝、肾功能损害。结论:甘露消毒丹加味治疗小儿EB 病毒感 染疗效显著,可有效改善患儿临床症状及免疫功能,且安全性良好。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Ganlu Xiaodu Micropills on EB virus infection in children and its effect on T- lymphocyte subset levels. Methods:A retrospective analysis was conducted on the clinical data of 65 children infected with EB virus. The children were divided into the control group and the observation group according to different treatment methods,with 34 and 31 cases in each group respectively. The control group was treated with Aciclovir Injection based on symptomatic treatment,and the observation group was additionally treated with modified Ganlu Xiaodu Micropills based on the treatment of the control group. Clinical effects, traditional Chinese medicine (TCM) syndrome scores,T-lymphocyte subset levels,and safety were compared between the two groups. Results:The total effective rate was 93.55% in the observation group and 73.53% in the control group,the difference being significant (P<0.05). Before treatment, there was no significant difference being found in the comparison of the TCM syndrome scores of hyperthermia, sore throat, weakness and heaviness of limbs, and chest oppression and abdominal distension between the two groups (P>0.05). After treatment,the above TCM syndrome scores in the two groups were decreased when compared with those before treatment (P<0.05), and each score in the observation group was lower 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 T- lymphocyte subsets (CD3 + , CD4 + , and CD8 + ) between the two groups (P>0.05). After treatment, the levels of CD3 + and CD8 + in the two groups were decreased when compared with those before treatment (P<0.05), and the levels of CD4 + were increased when compared with those before treatment (P<0.05);the levels of CD3 + and CD8 + in the observation group were lower than those in the control group (P<0.05),and the level of CD4+ in the observation group was higher than that in the control group (P<0.05). After treatment, no impairment of kidney function happened in the two groups. Conclusion:Modified Ganlu Xiaodu Micropills for children with acute EB virus infection can enhance clinical effects and effectively improve clinical symptoms and immune function,with good safety.

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袁国文,金旌.甘露消毒丹加味治疗小儿EB 病毒感染疗效观察及对T 淋巴细胞亚群水平的影响[J].新中医,2023,55(16):52-55

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  • 在线发布日期: 2023-08-31
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