›› 2017, Vol. 2 ›› Issue (8): 53-55.

• 临床医学 • 上一篇    下一篇

排毒尪痹汤对类风湿性关节炎患者T 细胞亚群的影响

  

  1. (大理大学第八附属医院,云南临沧677000)
  • 收稿日期:2016-10-24 出版日期:2017-08-15 发布日期:2017-08-15
  • 作者简介:唐贞力,主任医师,主要从事中医类风湿性关节炎病研究.

Effects of Wang-bi Detoxification Herbal Medication on T-lymphocyte Subgroups of Patients with
Rheumatoid Arthritis

  1. (The Eighth Affiliated Hospital of Dali University, Lincang, Yunnan 677000, China)
  • Received:2016-10-24 Online:2017-08-15 Published:2017-08-15

摘要:

目的:观察排毒尪痹汤对类风湿性关节炎(RA)患者外周血T 淋巴细胞亚群的影响,从细胞免疫方面探讨本方药的疗效
机制。方法:使用随机且平行对照的方法,按随机数字表法将200例门诊及住院患者分为两组。对照组100例,吲哚美辛肠溶
片25 mg/次,1次/d,甲氨蝶呤片7.5 mg/次,1次/周;治疗组100例,排毒尪痹汤煎服200 mL/次,2次/d。连续治疗4周为1疗程,
两个疗程后,于治疗前和治疗后分别检测CD4+,CD8+细胞,计算CD4+/CD8+值。结果:治疗前两组CD4+、CD8+、CD4+/CD8+ 值比
较差异无统计学意义(P>0.05)。治疗后,两组较治疗前,CD4+细胞均下降,CD8+细胞均升高,CD4+/CD8+比值均降低;且两组
治疗后各指标组间比较差异无统计学意义(P>0.05)。结论:RA 患者体内存在着细胞免疫功能紊乱,排毒尪痹汤能调节T 细胞
分布,使机体趋向免疫稳定状态,具有类似MTX 联合用药的免疫抑制效应。

关键词: 类风湿性关节炎, 排毒尪痹汤, T 淋巴细胞亚群

Abstract:

Objective:To observe effects of Wang-bi detoxification herbal medication on T-lymphocyte subgroups of patients with
Rheumatoid Arthritis, and to explore the mechanism of it efficacy. Methods:A comparative study was conducted among 200 patients
including inpatients and outpatients who were divided into two groups randomly. 100 patients in the control group took Indometacin
Enteric-coated Tablets with 25 mg every time and once a day, and Methotrexate Tablets with 7.5 mg every time and once a week, while
100 patients in the treatment group took Wang-bi detoxification herbal medication with 200 mL each time and twice a day. After two
courses of eight weeks, we compared CD4 + and CD8 + of the two groups before and after the treatment. Results:There was no
significant difference with regard to the comparison of CD4+ and CD8+ of each group before the treatment(P>0.05). However, after
the treatment both of the groups had a lower CD4+ and a higher CD8 and a lower ratio of CD4+ to CD8+. Comparison between the two
groups also showed no significant difference(P>0.05). Conclusion:Patients with RA has an autoimmune disorder. Wang- bi
detoxification herbal medication can help the distribution of their T-lymphocyte subsets and help them keep a stable immune system,
and can have a similar immunosuppressive effect as that produced by the therapy of MTX in combination with other medicines.

Key words: rheumatoid arthritis, Wang-bi detoxification herbal medication, T-lymphocyte subgroups

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