|
|
Effect of Wuhu Decoction on acute asthmatic bronchitis caused by mycoplasma infection in children and its influence on Th1/Th2 cytokines |
WU Jinhua, JIA Linping, LI Jing |
1. Pediatric Department, Shanxi Academy of Traditional Chinese Medicine /Shanxi Hospital of Traditional Chinese Medicine, Xi'an 710003, China; 2. Pediatric Department, Xi'an High tech Hospital, Xi'an 710003, China; 3. Pediatric Department, Yan'an Traditional Chinese Medicine Hospital, Yan'an 716000, China |
|
|
Abstract Objective To investigate the curative effect of modified Wuhu Decoction on acute asthmatic bronchitis infected with mycoplasma in children and its effect on Helper T cells (Th) 1/Th2 cytokines. Methods Prospective study. A total of 80 children with acute asthmatic bronchitis infected with phlegm-heat closed-lung mycoplasma treated in our hospital from March 2020 to March 2023 were selected and divided into two groups by random number table method. Control group (40 cases) was treated with azithromycin anti-infection combined with ambroxol and pramicol Ling Shu for 1 week, observation group (40 cases) was treated with supplemented Wuhu Decoction for 1 week on the basis of control group. Compared the therapeutic effect of the two groups, traditional Chinese medicine syndrome score, normal body temperature recovery time, disappearance time of lung crackles, disappearance time of cough and asthma, interferon-γ (IFN-γ), Tumor necrosis faction-α (TNF-α), Th2 cytokines interleukin (IL) -4, IL-6, adverse reactions. Results The effective rate of the observation group was higher than that of the control group, the time of body temperature returning to normal, the time of lung rales disappearing, the time of cough and asthma disappearing was shorter than that of the control group. The serum IFN-γ, TNF-α, IL-4 and IL-6 levels of the two groups after treatment were lower than those before treatment, and the serum difference of TCM syndrome score, IFN-γ, TNF-α, IL-4 and IL-6 levels of the observation group after treatment were lower than those of the control group (P<0.05). Conclusion Compared with Western medicine alone, adding Wuhu decoction can improve Th1/Th2 cytokine disorder in children with acute asthmatic bronchitis infected with phlegm-heat cloister-pulmonary mycoplasma and improve clinical efficacy.
|
Received: 05 November 2023
|
|
|
|
|
[1] 王卫华, 李松康, 陆亚鹏, 等. 止喘灵口服液联合沙丁胺醇治疗儿童喘息性支气管炎的临床研究[J]. 现代药物与临床, 2021, 36(12): 2556-2559. [2] 曾苑, 刘阳, 张映雪. 血清Th1/Th2细胞因子在喘息性支气管炎患儿中的表达及意义[J]. 实验与检验医学, 2020, 38(2): 331-333. [3] MEN S, YU Y, ZHANG Y, et al.Methylation Landscape of RUNX3 Promoter Region as a Predictive Marker for Th1/Th2 Imbalance in Bronchiolitis[J]. Med Sci Monit, 2019, 25: 7795-7807. [4] 周婷, 丁娴, 吴宏图, 等. 孟鲁司特钠联合重组人干扰素α-2b对呼吸道合胞病毒致毛细支气管炎患儿淋巴细胞Th1/Th2亚群的影响[J]. 药物评价研究, 2020, 43(4): 738-741. [5] 刘海燕, 陈华芳, 李建军. 氨溴索联合布地奈德治疗对小儿喘息性支气管炎临床疗效、炎性因子及免疫功能的影响[J]. 实用医院临床杂志, 2021, 18(3): 135-138. [6] 边红恩, 陈团营, 单海军. 加味五虎汤联合阿奇霉素治疗痰热闭肺型小儿支原体肺炎疗效及对T淋巴细胞亚群的影响[J]. 中国实验方剂学杂志, 2018, 24(2): 164-169. [7] 王天有, 申昆玲, 沈颖. 诸福棠实用儿科学 (第9版) [M]. 北京: 人民卫生出版社, 2022: 1338. [8] 中华中医药学会儿科分会. 小儿肺炎喘嗽中医诊疗指南[J]. 中医儿科杂志, 2008, 4(3): 1-3. [6] 朱莉军, 朱莉红, 朱莉霞. 麻杏石甘汤加减联合阿奇霉素治疗小儿喘息性支气管炎 (痰热壅肺证) 42例临床疗效观察[J]. 四川中医, 2018, 36(8): 65-67. [7] 国家中医药管理局. 中药新药临床研究指导原则[M]. 北京: 中国医药科技出版社, 2002. [8] 李原, 苏俊颖, 梁玉颖. 宣肺平喘汤治疗小儿喘息性支气管炎的临床效果[J]. 世界中医药, 2020, 15(14): 2142-2145. [9] DU X, ZHAO C, LIU S, et al.Value of ambroxol in the treatment of asthmatic bronchitis[J]. Pak J Med Sci, 2020, 36(3): 501-504. [10] 鲁艳芳. 陈陶后论小儿咳喘学术思想探析[J]. 湖北中医药大学学报, 2020, 22(1): 108-111. [11] 王康, 孟泳, 芦晓帆, 等. 麻黄-苦杏仁药对治疗支气管哮喘机制研究[J]. 辽宁中医药大学学报, 2021, 23(6): 205-212. [12] 蒋海生, 王佳丽. 桑白皮的药理作用及临床应用研究进展[J]. 中药与临床, 2021, 12(2): 79-82. [13] 刘小娟, 姜小琴, 方月娟, 等. 衢枳壳总黄酮通过NF-κB信号通路对RSV感染哮喘小鼠肺损伤的保护作用[J]. 中华医院感染学杂志, 2021, 31(22): 3376-3380. [14] ZHU X, ZHU J.CD4 T Helper Cell Subsets and Related Human Immunological Disorders[J]. Int J Mol Sci, 2020, 21(21): 8011. [15] WATANABE S, YAMADA Y, MURAKAMI H.Expression of Th1/Th2 cell-related chemokine receptors on CD4+ lymphocytes under physiological conditions[J]. Int J Lab Hematol, 2020, 42(1): 68-76. [16] 魏盼, 季律, 袁为远, 等. 麻黄-甘草药对对小鼠脾细胞的增殖以及Th1/Th2平衡的影响[J]. 南京中医药大学学报, 2018, 34(4): 371-375+380. [17] 周欢, 薛征, 刘亚尊, 等. 苦杏仁苷通过TSLP-DC-OX40 L通路改善哮喘小鼠Th1/Th2免疫失衡的研究[J]. 医学研究杂志, 2022, 51(7): 31-35+40. |
|
|
|