玉屏风散联合苍耳子散治疗过敏性鼻炎临床研究
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R276.1

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Clinical Study on Yupingfeng San Combined with Cangerzi San for Allergic Rhinitis
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    摘要:

    目的:观察玉屏风散联合苍耳子散对过敏性鼻炎患者中医证候、血清嗜酸性粒细胞趋化因 子(Eotaxin) 水平及氧化应激的影响。方法:将134例过敏性鼻炎患者按照随机数字表法分为对照组及研究组 各67例。对照组采用常规西药治疗,研究组采用玉屏风散联合苍耳子散治疗。比较2组临床疗效,比较2组治 疗前后症状评分及中医证候评分、血清Eotaxin水平及氧化应激指标。结果:治疗后,研究组总有效率95.52%, 高于对照组79.10%(P<0.05)。治疗后,2组喷嚏、流涕、鼻痒、鼻塞等鼻部症状评分以及语气低怯、气短无 力、倦怠纳差、大便溏薄等中医证候评分均降低(P<0.05),且研究组低于对照组(P<0.05)。治疗后,2组 血清γ干扰素(IFN-γ)、免疫球蛋白M(IgM)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG) 水平均升高(P< 0.05),且研究组高于对照组(P<0.05);2组血清白细胞介素-4(IL-4) 水平降低(P<0.05),且研究组低于 对照组(P<0.05)。治疗后,2 组血清超氧化物歧化酶(SOD) 水平升高(P<0.05),且研究组高于对照 组(P<0.05);2 组血清丙二醛(MDA)、Eotaxin水平降低(P<0.05),且研究组低于对照组(P<0.05)。结 论:玉屏风散联合苍耳子散治疗过敏性鼻炎,可有效缓解患者临床症状,抑制机体炎症反应,降低氧化应激水 平,提高临床疗效。

    Abstract:

    Abstract: Objective: To observe the effect of Yupingfeng San combined with Cangerzi San on traditional Chinese medicine (TCM) syndromes, level of eosinophil chemotactic factor (Eotaxin) in serum and oxidative stress in patients with allergic rhinitis. Methods:A total of 134 cases of patients with allergic rhinitis were divided into the control group and the study group according to the random number table method,with 67 cases in each group. The control group was treated with routine western medicine,and the study group was treated with Yupingfeng San combined with Cangerzi San. Clinical effects were compared between the two groups. TCM syndrome scores, levels of Eotaxin in serum, and oxidative stress indicators were compared between the two groups before and after treatment. Results: After treatment, the total effective rate was 95.52% in the study group, higher than that of 79.10% in the control group (P<0.05). After treatment, the scores of sneezing, runny nose, nasal itching, nasal congestion and other nasal symptoms,as well as TCM syndrome scores of faint,low voice,shortness of breath, fatigue, poor appetite, and thin, unformed stool in the two groups were decreased when compared with those before treatment (P<0.05),and the scores in the study group were lower than those in the control group (P<0.05). After treatment,the levels of serum interferon-γ (IFN-γ),immunoglobulin M (IgM), immunoglobulin A (IgA), and immunoglobulin G (IgG) in the two groups were increased when compared with those before treatment (P<0.05),and the levels in the study group were higher than those in the control group (P<0.05);the levels of serum interleukin-4 (IL-4) in the two groups were decreased when compared with those before treatment (P<0.05), and the level in the study group was lower than that in the control group (P<0.05). After treatment,the levels of serum superoxide dismutase (SOD) in the two groups were increased (P<0.05),and the level in the study group was higher than that in the control group (P<0.05); the levels of serum malondialdehyde (MDA) and Eotaxin 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). Conclusion: Yupingfeng San combined with Cangerzi San for allergic rhinitis can effectively relieve clinical symptoms, inhibit body inflammatory responses, reduce oxidative stress levels, and improve clinical effects.

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王国仙.玉屏风散联合苍耳子散治疗过敏性鼻炎临床研究[J].新中医,2024,56(9):16-21

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  • 在线发布日期: 2024-05-13
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