柴胡三石解毒汤加味对慢性肝炎的治疗效果及对患者COX-2、CD127表达的影响OACSTPCD
The effect of modified chaihusanshi Jiedu Decoction on chronic hepatitis and the expression of COX-2and CD127
目的:研究柴胡三石解毒汤加味对慢性肝炎的治疗效果及对患者环氧化酶-2(cyclooxygenase-2,COX-2)、CD127表达的影响.方法:本文选取2019年 1月~2020年1月在我院就诊的慢性乙型肝炎患者86例,分为对照组(n=43)给予苦参素胶囊,中医组(n=43)给予柴胡三石解毒汤加味进行治疗.测定两组患者COX-2、CD 127表达,评估症候评分,检测HBV-DNA值、AST、ALT、TBIL水平,统计治疗有效率.结果:两组治疗后COX-2表达、症候评分、HBV-DNA值,ALT、AST、TBIL水平低于两组治疗前,CD4+CD127+、CD8+CD127+表达高于两组治疗后(P<0.05).中医组治疗后COX-2表达、症候评分、HBV-DNA值,ALT、AST、TBIL水平低于对照组治疗后,CD4+CD127+、CD8+CD127+表达高于对照组治疗后;治疗有效率高于对照组(P<0.05).结论:慢性乙型肝炎采用柴胡三石解毒汤加味治疗后COX-2水平下降,CD 127水平上升,临床症状、肝功能改善,HBV-DNA值降低,值得在临床推广应用.
Objective:To study the effect of chaihusanshi Jiedu Decoction on chronic hepatitis and the expression of cycloox-ygenase-2(COX-2)and CD127.Methods:In this study,86patients with chronic hepatitis B treated in our hospital.from Janu-ary 2019to January 2020were selected and divided into the control group(n=43)and the traditional Chinese medicine group(n=43),respectively,and the traditional Chinese medicine group(n=43)were given the added flavor of bupleurum Sanshi Jiedu decoction for treatment.The expression of COX-2and CD127in the two groups was measured,the symptom score was evaluated,HBV-DNA value,AST,ALT and TBIL levels were detected,and the therapeutic effectiveness was statistically analyzed.Re-sults:After treatment,COX-2expression,symptom score,HBV-DNA value,ALT,AST and TBIL levels in both groups were lower than before treatment,and CD4+CD127+and CD8+CD127+expressions were higher than after treatment(P<0.05).After treatment,COX-2expression,symptom score,HBV-DNA value,ALT,AST and TBIL levels in the TCM group were lower than those in the control group,while CD4+CD127+and CD8+CD127+expressions were higher than those in the control group.The ef-fective rate of treatment was higher than that of control group(P<0.05).Conclusion:After the treatment of chronic hepatitis B with buplehu Sanshi Jiedu decoction,COX-2level decreased,CD127level increased,clinical symptoms and liver function im-proved,HBV-DNA value decreased,which is worthy of clinical application.
倪友琼;胡乃毅;张紫涵
武汉市中西医结合医院(武汉市第一医院)消化内科,湖北武汉 430030
临床医学
柴胡三石解毒汤加味慢性乙型肝炎环氧化酶-2
Chaihu Sanshi Jiedu DecoctionModifiedChronic hepatitis BCyclooxygenase-2
《四川中医》 2024 (004)
114-117 / 4
评论