当前位置:首页 / 中药穴位贴敷联合布地奈德治疗小儿支原体肺炎的疗效及对炎症水平、免疫功能的影响
论著 | 更新时间:2023-12-29
|
中药穴位贴敷联合布地奈德治疗小儿支原体肺炎的疗效及对炎症水平、免疫功能的影响
The efficacy of acupoint application of traditional Chinese medicine combined with budesonide in the treatment of mycoplasmal pneumonia in children and its effects on the inflammation level and immune function

内科 202318卷06期 页码:561-566

作者机构:江西省都昌县中医院儿科,九江市332600

DOI:10.16121/j.cnki.cn45-1347/r.2023.06.11

  • 中文简介
  • 英文简介
  • 参考文献

目的探究中药穴位贴敷联合布地奈德治疗小儿支原体肺炎的疗效及对炎症水平、免疫功能的影响。方法选取124例支原体肺炎患儿作为研究对象,将其随机分为对照组和观察组,每组62例。对照组行布地奈德雾化吸入治疗,观察组在对照组的基础上行中药穴位贴敷治疗,两组均连续治疗2周。比较两组患儿临床疗效、治疗前后的炎症指标水平和免疫功能,以及治疗期间不良反应的发生情况。结果治疗2周后,观察组的治疗总有效率高于对照组(96.77%比83.87%),差异具有统计学意义(P<0.05);两组肿瘤坏死因子受体相关因子6和核因子κB的mRNA相对表达量,以及血清CD8+、干扰素(IFN)-γ和白细胞介素(IL)-4水平均降低,且观察组均低于对照组(均P<0.05);两组血清CD3+、CD4+、免疫球蛋白(Ig)A、IgG、IgM水平、CD4+/CD8+和IFN-γ/IL-4均升高,且观察组均高于对照组(均P<0.05)。两组治疗期间不良反应的发生情况,差异无统计学意义(P>0.05)。结论中药穴位贴敷联合布地奈德治疗能够调节支原体肺炎患儿的细胞和体液免疫功能,抑制炎症反应,改善临床症状,提高临床疗效。

ObjectiveTo explore the efficacy of acupoint application of traditional Chinese medicine combined with budesonide in the treatment of mycoplasmal pneumonia in children and its effects on the inflammation level and immune function. MethodsA total of 124 children with mycoplasmal pneumonia were selected as research objects and randomly divided into a control group or an observation group, with 62 cases in each group. The control group was treated with nebulized budesonide inhalation, based on which the observation group was treated with acupoint application of traditional Chinese medicine, and both groups were treated continuously for 2 weeks. The clinical efficacy, inflammatory indicators levels and immune function before and after treatment, and incidence of adverse reactions during treatment were compared between the two groups. ResultsAfter 2 weeks of treatment, the total effective rate of treatment in the observation group was higher than that in the control group (96.77% vs. 83.87%), and the difference was statistically significant (P<0.05); the relative expression levels of tumor necrosis factor receptor-associated factor-6 and nuclear factor kappa-B mRNAs, as well as the serum levels of CD8+, interferon(IFN)-γ, and interleukin(IL)-4, decreased in the two groups, and those in the observation group were lower than those in the control group (all P<0.05); the serum CD3+, CD4+, immunoglobulin(Ig)A, IgG, IgM levels; CD4+/CD8+; and IFN-γ/IL-4 increased in both groups; those in the observation group were higher than those in the control group (all P<0.05). There was no statistically significant difference in the incidence of adverse reactions between the two groups during treatment (P>0.05). ConclusionThe treatment of acupoint application of traditional Chinese medicine combined with budesonide can regulate the cellular and humoral immune function of children with mycoplasmal pneumonia, inhibit inflammatory response, improve clinical symptoms, and enhance clinical efficacy.

1524

浏览量

148

下载量

0

CSCD

工具集