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温肾健脾方对重症肌无力患者免疫功能的影响

张丽香 郭全 郭远瑾 韦俊杰 李吕力 钟维章 蔺心敬 李燕华 李晓峰

湖南中医药大学学报2018,Vol.38Issue(4):459-462,4.
湖南中医药大学学报2018,Vol.38Issue(4):459-462,4.DOI:10.3969/j.issn.1674-070X.2018.04.024

温肾健脾方对重症肌无力患者免疫功能的影响

Effect of Wenshen Jianpi Decoction on the Immunologic Function in Patients with Myasthenia Gravis

张丽香 1郭全 2郭远瑾 3韦俊杰 1李吕力 1钟维章 1蔺心敬 1李燕华 1李晓峰1

作者信息

  • 1. 广西壮族自治区人民医院神经内科,广西 南宁530021
  • 2. 广西壮族自治区人民医院中医科,广西 南宁530021
  • 3. 华中科技大学附属协和医院神经内科,湖北 武汉430022
  • 折叠

摘要

Abstract

Objective To observe the effect of Wenshen Jianpi decoction on the immunologic function in spleen-kidney yang deficiency patients with myasthenia gravis. Methods 18 MG patients with spleen-kidney yang deficiency were selected as observation group and 20 healthy subjects were selected as normal control group in the same period. The levels of BAFF and IL-6 were measured by ELISA and the percentage of B lymphocyte subsets in peripheral blood was detected by flow cytometry before and after treatment. Results The expression of IL-6,BAFF in MG patients were significantly higher than the normal control group (P<0.01). After Wenshen Jianpi decoction treatment for 1 month, the levels of IL-6 and BAFF in MG patients decreased significantly (P<0.01). The percentage of CD19+CD27+cells before and after treatment were (1.04±0.24)%, 0.96± 0.28)%, the percentage of CD19+CD27-cells before and after treatment were (3.02±1.12)%,(2.12±0.42)%, the differences were ststistically significant (P<0.05). Conclusion Wenshen Jianpi decoction has exact effects on immune regulation in patients with myasthenia gravis,and the mechanism may be related to reducing the number of undifferentiated B lymphocytes and the levels of BAFF and IL-6 in peripheral blood.

关键词

重症肌无力/温肾健脾方/B淋巴细胞亚群/IL-6/BAFF

Key words

myasthenia gravis/Wenshen Jianpi decoction/B lymphocyte subsets/IL-6/BAFF

分类

医药卫生

引用本文复制引用

张丽香,郭全,郭远瑾,韦俊杰,李吕力,钟维章,蔺心敬,李燕华,李晓峰..温肾健脾方对重症肌无力患者免疫功能的影响[J].湖南中医药大学学报,2018,38(4):459-462,4.

基金项目

广西中医药科技重点项目(GZKZ10-012). (GZKZ10-012)

湖南中医药大学学报

OACSTPCD

1674-070X

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