目的探讨补肾清热育阴汤联合帕夫林胶囊治疗气阴两虚证干燥综合征(SS)患者的疗效及对其免疫功能、血清C反应蛋白、γ-球蛋白的影响。方法选取2018年2~12月我院收治的气阴两虚证SS患者94例,采用随机数字表法分成对照组和观察组,每组47例。对照组患者应用帕夫林胶囊治疗,观察组患者在对照组治疗的基础上联合补肾清热育阴汤治疗。比较两组患者的临床疗效、中医症候积分以及血清免疫球蛋白(IgG、IgA、IgM)、C反应蛋白、γ-球蛋白水平。结果治疗12周后,观察组和对照组患者的治疗总有效率分别为89.36%和59.57%,两组比较差异有统计学意义(P<0.05);两组患者的中医症候积分以及血清IgG、IgA、IgM、C反应蛋白、γ-球蛋白水平均显著下降(P<0.05),观察组患者上述指标水平均显著低于对照组,差异有统计学意义(P<0.05)。结论补肾清热育阴汤联合帕夫林胶囊治疗气阴两虚证干燥综合征患者,可有效缓解临床症状,明显改善免疫功能,减轻患者的炎性反应。
ObjectiveTo investigate the curative efficacy of Bushen Qingre Yuyin Decoction combined with Pavlin capsule on patients with Sjogren′s Syndrome (SS) of Qi and Yin deficiency and its effects on immune function, serum C-reactive protein(CRP) and γ-globulin. MethodsA total of 94 patients with SS of Qi and Yin deficiency admitted to our hospital from February to December 2018 were selected and randomly divided into the control group and the observation group, with 47 cases in each group. The patients in the control group were treated with Pavlin capsules, and the patients in the observation group were treated with Bushen Qingre Yuyin Decoction on the basis of the treatment in the control group. The clinical efficacy, traditional Chinese medicine (TCM) symptom integral, serum immunoglobulin (IgG, IgA, IgM), CRP and γ-globulin levels were compared between the two groups. ResultAfter 12 weeks of treatment, the total effective rates of the observation group and the control group were 89.36% and 59.57%, respectively, and the difference was statistically significant (P<0.05). The TCM syndrome integral and serum IgG, IgA, IgM, CRP and γ-globulin levels in the two groups were significantly decreased. The level of the above indicators in the observation group was significantly lower than that in the control group, and the difference was statistically significant (P<0.05). ConclusionBushen Qingre Yuyin Decoction combined with Pavlin capsule on patients with Sjogren′s Syndrome of Qi and Yin deficiency can effectively relieve clinical symptoms, significantly improve immune function and reduce the inflammatory response of patients.