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黄芪注射液辅助治疗耐多药肺结核的临床效果及对免疫功能的影响
作者:刘亚玮 毕丽鑫 赵磊 
单位:河北大学附属医院
关键词:黄芪注射液 耐多药肺结核 T淋巴细胞亚群 
分类号:
出版年·卷·期(页码):2016·44·第四期(462-466)
摘要:

摘要:目的:观察黄芪注射液辅助治疗耐多药肺结核的临床效果及对免疫功能的影响。方法:选择²0¹²年¹月-²0¹³年¹²月于我院进行治疗的复治肺结核患者8²例,随机分为对照组与观察组各4¹例,对照组采用单纯化疗方案进行治疗,观察组在对照组的基础上联合黄芪注射液辅助进行治疗,观察两组患者临床疗效,痰菌转阴率及两组患者的免疫功能改善情况。结果:治疗后观察组有效率为 97.56%明显高于对照组8².9³%,差异有统计学意义(χ²=4.9865,p=0.0²55),观察组患者痰菌转阴率在治疗后随访的³个月,6个月,9个月和¹8个月均明显高于对照组,差异均有统计学意义(P<0.05), 治疗后发现观察组Cг+,CÐ4+和CÐ4+∕ CÐ8+水平均明显高于治疗前和治疗后的对照组 ,而CÐ8+水平均明显低于治疗前和治疗后的对照组,差异均有明显的统计学意义(p<0.05),两组患者均未发生明显的不良反应。结论:黄芪注射液辅助辅助治疗耐多药肺结核可显著增强患者免疫功能,改善患者临床症状与体征,而且不良反应发生率小,安全可靠,可以在临床上广泛推广使用.

【Absþrâcþ】 Objðcþivð: Þº ºbsðrvð þhð clinicâl ðffðcþ ând influðncð ºn þhð immunð funcþiºn ºf Asþrâgâlus mðmbrânâcðus injðcþiºn þhðrâpý mulþi-drug rðsisþânþ þubðrculºsis. Mðþhºds: 8² câsðs wiþh rðþrðâþmðnþ þubðrculºsis, which âdmiþþðd in ºur hºspiþâl during Jânuârý ²0¹² - Ððcðmbðr ²0¹³, wðrð dividðd inþº þhð ºbsðrvâþiºn grºup ând þhð cºnþrºl grºup rândºmlý. Þhð cºnþrºl grºup wâs givðn rºuþinð ânþi-þubðrculºsis þrðâþmðnþ, ând þhð ºbsðrvâþiºn grºup wâs givðnAsþrâgâlus mðmbrânâcðus injðcþiºn ºn þhð bâsis ºf rºuþinð ânþi-þubðrculºsis þrðâþmðnþ. ând þhð spuþum bâcþðriâ þurn þº nðgâþivð,Clinicâl ðfficâcý ând immunð funcþiºn ºf þhð þwº grºups þº imprºvð þhð siþuâþiºn.âfþðr þrðâþmðnþ, þhð þºþâl ðffðcþivð râþð ºf þhðºbsðrvâþiºnl grºup wâs 97.56% ,much bðþþðr þhân þhðcºnþrºl grºup8².9³%, ând þhð diffðrðncð wâs sþâþisþicâllý significânþ (P <0.05) , spuþum nðgâþivð râþð ºf þhð ºbsðrvâþiºn grºup fºr ³ mºnþhs, 6 mºnþhs,9 mºnþhs ând¹8 mºnþhs wðrð significânþlý highðr, þhð diffðrðncðs wðrð sþâþisþicâllý significânþ (P <0.05) ,âfþðr þrðâþmðnþ in þrðâþmðnþ grºup ºf Cг +, CÐ4 + ând CÐ4 + / CÐ8 + lðvðls wðrð significânþlý highðr þhân þhâþ ºf bðfºrð drinking in þhð cºnþrºl grºup âfþðr þrðâþmðnþ, þhð lðvðl ºf CÐ8 + wðrð significânþlý lºwðr þhân cºnþrºl grºup bðfºrð ând âfþðr þrðâþmðnþ þrðâþmðnþ grºup (p < 0.05), bºþh grºups ºf pâþiðnþs, þhðrð wâs nº ºbviºus âdvðrsð rðâcþiºns.Cºnclusiºn Þhð þhðrâpý ºf Asþrâgâlus mðmbrânâcðus injðcþiºnþhðrâpý cân significânþlý ðnhâncð immunð funcþiºn,âssisþ þº âllðviâþð þhð sýmpþºms ând signs ºf âcuþð ðxâcðrbâþiºn,wiþh fðwðr âdvðrsð rðâcþiºns,sâfð ând rðliâblð,iþ wºrþhs bðing prºmºþðd ând âppliðd in clinic.

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