临床误诊误治2018,Vol.31Issue(5):98-101,4.DOI:10.3969/j.issn.1002-3429.2018.05.026
银屑胶囊联合阿维A治疗寻常型银屑病临床效果及对外周血T淋巴细胞免疫功能影响
Clinical Effect of Yinxie Capsule Combined with Acitretin in Treatment of Patients with Psoriasis Vulgaris and Its Effect on Immune Function of T Lymphocytes in Peripheral Blood
摘要
Abstract
Objective To investigate clinical effect of Yinxie capsule combined with Acitretin in treatment of patients with psoriasis vulgaris and its effect on immune function of T lymphocytes in peripheral blood. Methods A total of 88 patients with psoriasis vulgaris,who had met in the admittance and exclusion criteria,were divided into control group (n=44) and observation group (n=44) by random number method. Observation group was treated with Yinxie capsule combined with Acitretin,while control group was treated with Acitretin. Psoriasis area and sever-ity index (PASI) scores and T lymphocyte subsets in peripheral blood before and in 8 weeks after treatment,clinical efficacy in 8 weeks after treatment and incidence conditions of adverse reactions during course of treatment were ob-served and compared in two groups. Results There were no significant differences in PASI scores and T cell sub-sets in peripheral blood before treatment in two groups (P>0.05). In 8 weeks after treatment, PASI scores and CD8+ were significantly lower,while CD3+,CD4+ and CD4+/CD8+ levels were significantly higher than those before treatment in two groups(P<0.05);in observation group,PASI scores and CD8+ were significantly lower, while CD3+,CD4+ and CD4+/CD8+ levels were significantly higher than those in control group (P<0.05). The total effective rate in observation group(93.18%) was significantly higher than 72.27% in control group(P<0.05). During the course of treatment,1 patient had nausea in observation group,while 1 patient with headache and 2 patients with nausea were found in control group. Conclusion Yinxie capsule combined with Acitretin in treat-ment of patients with psoriasis vulgaris may achieve well clinical effect,and it may play role by changing disequilibri-um condition of T lymphocytes immune function in peripheral blood.关键词
银屑病/银屑胶囊/阿维A/T淋巴细胞Key words
Psoriasis/Yinxie capsules/Acitretin/T lymphocytes分类
医药卫生引用本文复制引用
李达,赵菊花,苏青..银屑胶囊联合阿维A治疗寻常型银屑病临床效果及对外周血T淋巴细胞免疫功能影响[J].临床误诊误治,2018,31(5):98-101,4.基金项目
四川省卫生厅科研基金资助项目(130472) (130472)