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Influence of pidotimod combined with conventional drug therapy on the infection status and immune function of children with recurrent respiratory tract infection 被引量:1
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作者 Hong-Chun Lu 《Journal of Hainan Medical University》 2017年第19期121-124,共4页
Objective: To study the influence of pidotimod combined with conventional drug therapy on the infection status and immune function of children with recurrent respiratory tract infection. Methods: A total of 118 childr... Objective: To study the influence of pidotimod combined with conventional drug therapy on the infection status and immune function of children with recurrent respiratory tract infection. Methods: A total of 118 children with recurrent respiratory tract infection who were treated in the hospital between January 2015 and January 2017 were collected and divided into control group and observation group by random number table method, 59 cases in each group. Control group received conventional therapy, and observation group received pidotimod combined with conventional therapy. The differences in serum levels of inflammatory mediators, acute phase proteins and Th1/Th2 cytokines were compared between the two groups before and after treatment. Results: Before treatment, the differences in serum levels of inflammatory mediators, acute phase proteins and Th1/Th2 cytokines were not statistically significant between the two groups. after 1 week of treatment, serum TNF-α, PCT, CRP, PAB, TRF and IL-4 contents of both groups of children were lower than those before treatment while IFN-γ contents as well as IFN-γ/ IL-4 levels were higher than those before treatment, and serum TNF-α, PCT, CRP, PAB, TRF and IL-4 contents of observation group were lower than those of control group while IFN-γ content as well as IFN-γ/ IL-4 level was higher than those of control group. Conclusion: Pidotimod combined with conventional drug therapy can effectively inhibit the infection status and optimize the Th1/Th2 cellular immune function of children with recurrent respiratory tract infection. 展开更多
关键词 RESPIRATORY TRACT INFECTION pidotimod INFLAMMATORY response Acute phase protein Immune function
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Stimulation of Phagocytosis and Production of Antibodies against Canine Herpesvirus Type 1 by Pidotimod (Adimod<sup>TM</sup>)
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作者 Edgar G. Valdivia Lara Andrés ángeles Aldana +3 位作者 Jesica I. ángeles Solis Patricia Miranda Castro Juan C. Del Río García Guillermo Valdivia Anda 《Open Journal of Veterinary Medicine》 2017年第4期38-47,共10页
Neutrophils are the most important circulating phagocytes. Circulating mono-cytes and precursors of tissue macrophages also have the ability to phagocytize. Pidotimod (ADIMODTM) exerts immunostimulatory and immunoregu... Neutrophils are the most important circulating phagocytes. Circulating mono-cytes and precursors of tissue macrophages also have the ability to phagocytize. Pidotimod (ADIMODTM) exerts immunostimulatory and immunoregulatory effects through the stimulation and regulation of cellular immune responses by lymphocytes Canine herpesvirus (CHV) mainly affect puppies between the first and second weeks of age, causing high morbidity in the litter. To date, there is only one commercial vaccine in Europe to prevent disease. In this work, inactivated CHV cultures were inoculated in rabbits, adsorbed and not adsorbed to chitosan nanoparticles. Phagocytosis in the presence or absence of specific antibodies was measured. Response of virus neutralizing antibodies was also evaluated. AdimodTM enhanced the nonspecific and specific phagocytotic response. The association of the virus to the nanoparticles increased the phagocytic ability of blood cells;however, AdimodTM alone had a greater effect on phagocytic activity and generated a stronger immune response that corresponded to the increased phagocytosis (p TM was used. 展开更多
关键词 PHAGOCYTOSIS CANINE HERPESVIRUS pidotimod STIMULATION
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Clinical observation of effects of pidotimod combined with ribavirin on inflammatory factors, T lymphocyte subsets, immunoglobulin and blood biochemical markers in children with hand-foot-mouth disease
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作者 Shi-Chao Zhang Sha-Sha Wang +2 位作者 Jing-Feng Li Na Ding Jian-Hong Ren 《Journal of Hainan Medical University》 2017年第17期87-90,共4页
Objective:To observe the effects of pidotimod combined with ribavirin on inflammatory factors, T lymphocyte subsets, immunoglobulin, lactate, D-dimer and procalcitonin in children with hand-foot-mouth disease.Methods:... Objective:To observe the effects of pidotimod combined with ribavirin on inflammatory factors, T lymphocyte subsets, immunoglobulin, lactate, D-dimer and procalcitonin in children with hand-foot-mouth disease.Methods: A total of 108 children with foot-hand-and-mouth epidemic in our hospital from Jan. 2013-Dec. 2016 were divide into the observation group and the control group, each groups has 54 cases. Two groups of children were treated with isolation, the observation group was given pidotimod combined with ribavirin, and the control group was treated with ribavirin. 5 mL venous blood of two group patients were collected at admission and after 6 d treatment, respectively, to compare inflammatory factor, T lymphocyte subsets, immunoglobulin, lactate, D-dimer and procalcitonin in two groups.Results: Before treatment, the levels of inflammatory factor, T lymphocyte subsets, immunoglobulin, lactate, D-dimer and procalcitonin of two groups were not statistically significant. Compared with groups after treatment, the levels of CRP, IL-6, TNF-α were lower than that before treatment, CRP (2.23±0.37) mg/L, IL-6 (21.24±9.81) pg/mL and TNF-α (56.97±50.36) pg/mL levels in observation group after treatment were significantly lower than those in control group, the difference was statistically significant. After treatment, the levels of CD3, CD4, CD4/CD8, IgG, IgA and IgM in control group were significantly higher than that before treatment, the difference was statistically significant;After treatment, the levels of CD3 (51.26±10.27)%, CD4 (36.36±4.09)% and CD4/CD8 (1.60±0.47), IgG (10.24±1.82) mg/L, IgA (1.30±0.31) mg/L and IgM (1.48±0.30) mg/L in observation group were significantly higher than in control group, the difference was statistically significant. After treatment, the levels of lactate, D-dimer and procalcitonin in two groups were significantly lower than that before treatment, the difference was statistically significant;After treatment, the levels of lactate (1.19±0.20) mmol/L, D-dimer (150.23±27.21) ng/mL, and procalcitonin (0.08±0.02) ng/mL in observation group were significantly higher than in control group, the difference was statistically significant. Conclusion: Pidotimod combined with ribavirin has a pronounced effect on children with hand-foot-mouth disease, which can effectively reduce the body's inflammatory response, enhance immune function, improve clinical biochemical indicators, and should be widely recommended for clinical use. 展开更多
关键词 pidotimod RIBAVIRIN Hand FOOT and MOUTH disease INFLAMMATORY factors Immune function
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Application analysis of pidotimod in the treatment of allergic rhinitis in children accompanied by allergic asthma
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作者 Xia Zhao 《Journal of Hainan Medical University》 2017年第4期148-151,共4页
Objective:To observe the application effect of pidotimod in the treatment of allergic rhinitis in children accompanied by allergic asthma.Methods:A total of 60 children with allergic rhinitis accompanied by allergic a... Objective:To observe the application effect of pidotimod in the treatment of allergic rhinitis in children accompanied by allergic asthma.Methods:A total of 60 children with allergic rhinitis accompanied by allergic asthma who were admitted in our hospital from January, 2013 to January, 2015 were included in the study and randomized into the treatment group and the control group with 30 cases in each group. The patients in the two groups were given routine treatments in combined with sublingual immunotherapy. On this basis, the patients in the treatment group were given additional pidotimod. The immunological function, inflammatory cytokine level, and pulmonary function improvement in the two groups were observed. Results:The immunological function, inflammatory cytokine level, and pulmonary function improvement in the treatment group were significantly superior to those in the control group. Conclusions:Pidotimod can significantly enhance the immunological function in children with allergic rhinitis in children accompanied by allergic asthma, alleviate the inflammatory reaction, and promote the pulmonary function improvement, with an accurate efficacy. 展开更多
关键词 ALLERGIC RHINITIS in CHILDREN ALLERGIC asthma SUBLINGUAL immunotherapy pidotimod Efficacy
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Effects of montelukast sodium combined with pidotimod on acute phase protein and immune function in children with acute bronchitis
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作者 Jing Wang Chong-De Liu +1 位作者 Mei-Fang Peng Cai-Ping Ran 《Journal of Hainan Medical University》 2017年第16期74-77,共4页
Objective: To observe the effects of montelukast sodium combined with pidotimod on acute phase protein (APP) and indexes of immunologic function in pediatric acute bronchitis treatment. Methods: A total of 180 cases c... Objective: To observe the effects of montelukast sodium combined with pidotimod on acute phase protein (APP) and indexes of immunologic function in pediatric acute bronchitis treatment. Methods: A total of 180 cases children with acute bronchitis acted as research objects were randomly divided into control group (n=65) and observation group (n=63). On the basis of conventional therapy, control group was treated by plus pidotimod. On this base, observation group was treated with montelukast sodium. The changes of acute phase proteins (CRP, HP, a1-AAG and CER) and immune function (CD3+, CD4+, CD8+ and CD4+/CD8+) levels before and after treatment were observed after 2 months. Results: Before treatment, CRP, HP, a1-AAG, CER, CD3+, CD4+, CD8+ and CD4+/CD8+ levels of two groups had no statistically significant difference;CRP, HP, a1-AAG, CER, and CD8+ levels of control and observation groups decreased significantly after treatment, the decreases of observation group were more obvious than that of control group, and the levels after treatment were significantly lower than that of control groups. The levels of CD3+, CD4+ and CD4+/CD8+ in two groups after treatment were significantly higher than those before treatment. For observation group, the levels of CD3+, CD4+ and CD4+/CD8+ increased more significantly after treatment, which were significantly higher than that of the control group. Conclusion: Using Montelukast sodium combined with pidotimod can effectively reduce the children's acute phase protein levels, improve immune function, which has clinical value for the treatment of children with acute bronchitis. 展开更多
关键词 PEDIATRIC ACUTE BRONCHITIS pidotimod MONTELUKAST sodium ACUTE phase protein Immune function
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Exploration of Therapeutic Measures and Clinical Efficacy for Recurrent Respiratory Infections in Children
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作者 Bei Li Suyi Zhang 《Journal of Clinical and Nursing Research》 2024年第7期60-66,共7页
Objective:To explore the treatment strategies and clinical effects for recurrent respiratory infections in children.Methods:From May 2022 to May 2024,100 pediatric patients with recurrent respiratory infections were s... Objective:To explore the treatment strategies and clinical effects for recurrent respiratory infections in children.Methods:From May 2022 to May 2024,100 pediatric patients with recurrent respiratory infections were selected in this study and evenly divided into two groups.The control group(50 patients)was treated with conventional therapy supplemented with budesonide,while the observation group(50 patients)received pidotimod treatment in addition to the control group’s treatment.Subsequently,the duration of clinical symptom improvement,respiratory function enhancement,serological index changes,reinfection status,and parental satisfaction were compared between the two groups.Results:In terms of clinical symptoms,the observation group showed significantly shorter durations of fever reduction,cough relief,tonsil swelling reduction,and disappearance of fine wet rales compared to the control group(average reduction times were 1.6 days,2.3 days,2.1 days,and 1.9 days,respectively,P<0.05).Regarding respiratory function,the observation group experienced a 12%increase in peak expiratory flow rate variability,a 0.6-liter increase in lung capacity,a 0.7-liter increase in forced lung capacity,and a 0.5-liter increase in forced expiratory volume in the first second after treatment,all significantly higher than the control group(P<0.05).Serological testing revealed that interferon-γand interleukin-2 levels increased by 15%and 18%,respectively,while interferon-α,interleukin-5,and interleukin-4 levels decreased by 10%,12%,and 9%,respectively,in the observation group,showing significant differences compared to the control group(P<0.05).Additionally,the reinfection rate in the observation group(10%)was significantly lower than that in the control group(30%),with an average reduction of two reinfections within one year and a 3.2-day shorter infection control time(P<0.05).In terms of parental satisfaction,the observation group achieved 95%,significantly higher than the 70%in the control group(P<0.05).Conclusion:The addition of pidotimod to conventional therapy for pediatric patients with recurrent respiratory infections can significantly alleviate clinical symptoms,promote the recovery of respiratory function,regulate serological indicators,effectively reduce the risk of reinfection,and improve parental satisfaction.This method deserves widespread clinical application. 展开更多
关键词 PEDIATRICS Respiratory system Recurrent infections BUDESONIDE pidotimod Clinical efficacy Reinfection rate Parental satisfaction
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匹多莫德对支原体感染小鼠肺功能损伤的影响及其机制研究
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作者 王坤 李嫣 《中国现代医学杂志》 CAS 2024年第6期1-7,共7页
目的观察匹多莫德对支原体感染(MPI)小鼠肺功能损伤的保护作用,并探讨其可能机制。方法MPI小鼠随机分为MPI组和实验A、B、C组,每组10只;另取10只健康小鼠设为正常组。实验A、B、C组分别灌胃匹多莫德颗粒100、200和400 mg/kg,正常组、MP... 目的观察匹多莫德对支原体感染(MPI)小鼠肺功能损伤的保护作用,并探讨其可能机制。方法MPI小鼠随机分为MPI组和实验A、B、C组,每组10只;另取10只健康小鼠设为正常组。实验A、B、C组分别灌胃匹多莫德颗粒100、200和400 mg/kg,正常组、MPI组灌胃等量生理盐水,1次/d,持续3 d。采用小动物呼吸机检测肺功能,紫外分光光度法和细胞色素C还原法检测血清氧化应激指标,酶联免疫吸附试验检测血清免疫指标,苏木精-伊红染色观察肺组织病理变化,Western blotting检测肺组织核因子E2相关因子2(Nrf2)、血红素加氧酶-1(HO-1)蛋白表达。结果与正常组比较,MPI组每分钟通气量(MV)、潮气量(TV)、最大呼气量(MEV)均减少(P<0.05),血清谷胱甘肽过氧化物酶(GSH-Px)、超氧化物歧化酶(SOD)活性、γ干扰素(IFN-γ)水平均降低(P<0.05),血清白细胞介素-4(IL-4)水平升高(P<0.05);与MPI组比较,实验A、B、C组MV、TV、MEV均增加(P<0.05),GSH-Px、SOD活性均增强(P<0.05),IFN-γ水平升高(P<0.05),IL-4水平降低(P<0.05);与实验A组比较,实验B、C组MV、TV、MEV均增加(P<0.05),GSH-Px、SOD活性均增强(P<0.05),IFN-γ水平升高(P<0.05),IL-4水平降低(P<0.05);与实验B组比较,实验C组MV、TV、MEV均增加(P<0.05),GSH-Px、SOD活性均增强(P<0.05),IFN-γ水平升高(P<0.05),IL-4水平降低(P<0.05)。与正常组比较,MPI组肺组织Nrf2、HO-1蛋白相对表达量均降低(P<0.05);与MPI组比较,实验A、B、C组肺组织Nrf2、HO-1蛋白相对表达量均升高(P<0.05);与实验A组比较,实验B、C组肺组织Nrf2、HO-1蛋白相对表达量均升高(P<0.05);与实验B组比较,实验C组肺组织Nrf2、HO-1蛋白相对表达量均升高(P<0.05)。结论匹多莫德可能通过调节Nrf2/HO-1信号通路,改善MPI小鼠肺功能和免疫功能,减轻氧化应激损伤。 展开更多
关键词 支原体感染 肺功能损伤 匹多莫德 核因子E2相关因子2 血红素加氧酶-1
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匹多莫德治疗小儿呼吸系统反复感染的临床效果
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作者 李德国 张磊 《妇儿健康导刊》 2024年第8期110-115,共6页
目的探讨匹多莫德治疗小儿呼吸系统反复感染的临床效果。方法选取2022年1月至12月安丘市人民医院治疗的96例呼吸系统反复感染患儿作为研究对象,按照随机数字表法分为对照组和观察组,每组各48例。对照组采用美洛西林钠联合布地奈德治疗,... 目的探讨匹多莫德治疗小儿呼吸系统反复感染的临床效果。方法选取2022年1月至12月安丘市人民医院治疗的96例呼吸系统反复感染患儿作为研究对象,按照随机数字表法分为对照组和观察组,每组各48例。对照组采用美洛西林钠联合布地奈德治疗,观察组在对照组基础上采用匹多莫德治疗。比较两组炎症因子水平、免疫球蛋白水平、临床症状消失时间、肺功能、临床疗效、不良反应发生情况和再次感染情况。结果治疗后,观察组γ干扰素、白细胞介素-2水平高于对照组,肿瘤坏死因子-α、白细胞介素-4水平低于对照组(P<0.05);观察组各项临床症状消失时间均短于对照组(P<0.05);观察组免疫球蛋白A、免疫球蛋白G、免疫球蛋白M水平均高于对照组(P<0.05);观察组第1秒用力呼气容积、用力肺活量、最高呼气流速变异率、一秒率水平均高于对照组(P<0.05);观察组临床总有效率高于对照组(P<0.05);观察组不良反应总发生率低于对照组(P<0.05);观察组再次感染次数少于对照组,再感染持续时间短于对照组(P<0.05)。结论匹多莫德治疗小儿呼吸系统反复感染的临床效果较好,值得推广。 展开更多
关键词 呼吸系统反复感染 匹多莫德 炎症因子 肺功能
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匹多莫德对哮喘患儿IL-16及免疫功能的影响 被引量:24
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作者 孙凌新 杨晓松 +4 位作者 张德洁 王妍 王艳君 李超刚 刘朝辉 《临床儿科杂志》 CAS CSCD 北大核心 2011年第8期777-779,共3页
目的探讨白介素-16(IL-16)在儿童哮喘中的发病机制,观察匹多莫德在儿童哮喘防治中的疗效。方法将90例哮喘患儿随机分为治疗组55例,对照组35例;对照组予哮喘常规治疗,治疗组予常规治疗外,加用匹多莫德治疗2个月。治疗后随访观察12个月,... 目的探讨白介素-16(IL-16)在儿童哮喘中的发病机制,观察匹多莫德在儿童哮喘防治中的疗效。方法将90例哮喘患儿随机分为治疗组55例,对照组35例;对照组予哮喘常规治疗,治疗组予常规治疗外,加用匹多莫德治疗2个月。治疗后随访观察12个月,治疗前后均监测IL-16、免疫球蛋白及淋巴细胞亚群。结果与对照组比较,治疗组急性期病程天数、上下呼吸道感染次数、哮喘发作次数均少于对照组,差异均有统计学意义。哮喘急性发作期CD3+、CD4+、CD4+/CD8+淋巴细胞亚群较哮喘缓解期显著下降,免疫球蛋白轻度降低,IL-16较哮喘缓解期明显增高。匹多莫德治疗后3项指标均有明显改善。除IgG、IgM外,余均有统计学意义(P<0.05)。结论 IL-16参与了哮喘发病的全过程,匹多莫德可下调IL-16的产生,从抗炎和提高免疫力的角度达到治疗哮喘的作用,安全有效。 展开更多
关键词 儿童 哮喘 匹多莫德 白介素-16 免疫球蛋白 T细胞亚群
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玉屏风颗粒联合匹多莫德对变应性鼻炎合并支气管哮喘的临床疗效探究 被引量:19
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作者 崔怀亮 可秋萍 +2 位作者 娄莹 琚玮 云鹰 《中华中医药学刊》 CAS 北大核心 2019年第8期2039-2041,共3页
目的:探讨玉屏风颗粒联合匹多莫德对变应性鼻炎合并支气管哮喘患儿的临床疗效。方法:选择变应性鼻炎合并支气管哮喘患儿80例作为研究对象,以随机数表法分为观察组(n=43)和对照组(n=37),对照组使用匹多莫德治疗,观察组在对照组的基础上... 目的:探讨玉屏风颗粒联合匹多莫德对变应性鼻炎合并支气管哮喘患儿的临床疗效。方法:选择变应性鼻炎合并支气管哮喘患儿80例作为研究对象,以随机数表法分为观察组(n=43)和对照组(n=37),对照组使用匹多莫德治疗,观察组在对照组的基础上使用玉屏风颗粒进行治疗。比较两组的临床疗效、嗽消失时间、喘息消失时间、肺部啰音消失时间、治疗前后肺功能、治疗前后哮喘症状评分、变应性鼻炎症状评分及不良反应发生情况。结果:治疗后,观察组临床疗效总有效率为93.02%,明显比对照组的72.97%高(P<0.05);治疗后,观察组患儿咳嗽消失时间、喘息消失时间、肺部啰音消失时间均显著低于对照组(P<0.05);治疗前,两组患者肺功能水平无显著差异(P>0.05);治疗后,两组各肺功能指标较治疗前均显著升高(P<0.05),观察组FEV1、PEF水平均明显高于对照组(P<0.05);治疗前,两组患者哮喘症状评分、变应性鼻炎症状评分无显著差异(P>0.05);治疗后,两组哮喘症状评分、变应性鼻炎症状评分较治疗前均显著下降(P<0.05),观察组哮喘症状评分、变应性鼻炎症状评分均明显低于对照组(P<0.05);观察组不良反应总发生率为4.65%,显著低于对照组的29.73%(P<0.05)。结论:在变应性鼻炎合并支气管哮喘患儿中使用玉屏风颗粒联合匹多莫德效果显著,可有效改善患儿的临床症状,值得推广与运用。 展开更多
关键词 玉屏风颗粒 匹多莫德 变应性鼻炎 支气管哮喘
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匹多莫德对免疫功能缺陷小鼠脾组织TNF-α和IL-6表达及相关免疫药理作用的研究 被引量:16
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作者 李慧 王丙力 +4 位作者 毛一卿 张翼 李志红 申淑兰 谭焕然 《中国临床药理学与治疗学》 CAS CSCD 2005年第8期857-862,共6页
目的:研究匹多莫德注射剂对正常小鼠及免疫功能低下小鼠脾组织TNF-α和IL-6表达及相关免疫功能的影响,以及匹多莫德免疫调节作用可能的机制。方法:RT-PCR法对小鼠脾组织的TNF-α和IL-6的表达进行分析;中性红法对小鼠的腹腔巨噬细胞的吞... 目的:研究匹多莫德注射剂对正常小鼠及免疫功能低下小鼠脾组织TNF-α和IL-6表达及相关免疫功能的影响,以及匹多莫德免疫调节作用可能的机制。方法:RT-PCR法对小鼠脾组织的TNF-α和IL-6的表达进行分析;中性红法对小鼠的腹腔巨噬细胞的吞噬功能进行研究;MTT法检测ConA和LPS分别刺激的小鼠脾淋巴细胞的体外增殖;血清溶血素法检测小鼠血清抗体的产生。结果:匹多莫德注射剂连续给药14d对正常小鼠及免疫功能低下小鼠脾组织的TNF-α和IL-6的表达有一定的促进作用;小鼠腹腔巨噬细胞的吞噬能力明显提高;ConA或LPS刺激的小鼠脾淋巴细胞的转化能力均有明显的提高。结论:匹多莫德可明显提高正常小鼠和免疫功能低下小鼠的免疫功能,并促进TNF-α和IL-6表达。 展开更多
关键词 匹多莫德 免疫活性 巨噬细胞 细胞因子 TNF-Α IL-6
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匹多莫德对儿童哮喘合并反复呼吸道感染的疗效观察 被引量:26
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作者 钱旭波 蔡晓红 +2 位作者 高原 李源 李宁 《临床儿科杂志》 CAS CSCD 北大核心 2009年第4期375-378,共4页
目的探讨哮喘合并反复呼吸道感染(RRI)经规律吸入糖皮质激素(ICS)症状控制不理想的儿童联用匹多莫德口服的临床疗效。方法将2007年5月至2007年7月收治的哮喘合并RRI经系统ICS治疗控制不佳的患儿65例采用随机数字表分为两组,实验组(33例)... 目的探讨哮喘合并反复呼吸道感染(RRI)经规律吸入糖皮质激素(ICS)症状控制不理想的儿童联用匹多莫德口服的临床疗效。方法将2007年5月至2007年7月收治的哮喘合并RRI经系统ICS治疗控制不佳的患儿65例采用随机数字表分为两组,实验组(33例)在ICS的基础上加用匹多莫德颗粒口服2个月,对照组(32例)仅给予ICS吸入治疗。两组均随访12个月,记录RRI和哮喘发作情况、血液淋巴细胞亚群检测结果及不良反应。结果与对照组比较,实验组的上呼吸道感染次数(t=5.205),下呼吸道感染次数(Z=2.056),哮喘发作次数(t=3.876),每次发作的发热天数(t=2.746)、咳嗽天数(Z=3.036)和抗生素使用天数(t=2.399)均少于对照组,差异有统计学意义(P均<0.05)。与治疗前比较,实验组在治疗后2个月时CD3、CD4、CD8百分比和CD4/CD8比值均升高(t=3.783~13.490,P均<0.01);对照组治疗后CD3、CD4和CD4/CD8均低于实验组治疗后水平(t=4.107~7.209,P均<0.01)。两组不良反应发生率差异无统计学意义(校正χ2=0.378,P>0.05)。结论哮喘合并RRI经ICS治疗控制不佳的儿童联用匹多莫德能有效预防RRI,减少哮喘的发作次数。匹多莫德颗粒疗效肯定,无明显不良反应,对RRI或哮喘合并RRI者可考虑使用。 展开更多
关键词 儿童 支气管哮喘 反复呼吸道感染 匹多莫德 淋巴细胞亚群
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匹多莫德颗粒剂的生物等效性研究 被引量:9
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作者 韦阳 张美云 +4 位作者 王恪申 赵早瑞 刘相勇 吴定伟 邵庆翔 《中国新药杂志》 CAS CSCD 北大核心 2003年第6期461-463,共3页
目的 :研究匹多莫德颗粒剂和片剂的生物等效性。方法 :18例健康男性志愿者 ,随机分为两个序列 ,交叉单剂量口服 80 0mg匹多莫德颗粒剂和片剂 ,给药前及给药后不同时间定时采取血样 ;以HPLC UV法测定血浆样本中匹多莫德的浓度 ,并对两种... 目的 :研究匹多莫德颗粒剂和片剂的生物等效性。方法 :18例健康男性志愿者 ,随机分为两个序列 ,交叉单剂量口服 80 0mg匹多莫德颗粒剂和片剂 ,给药前及给药后不同时间定时采取血样 ;以HPLC UV法测定血浆样本中匹多莫德的浓度 ,并对两种制剂进行生物等效性评价。结果 :口服匹多莫德颗粒剂或片剂 80 0mg后 ,匹多莫德的Cmax分别为 (4 .37± 1.6 6 )和 (4 .83± 1.5 5 ) μg·mL-1,Tmax分别为 (2 .4 2± 1.0 9)和 (2 .6 1± 1.0 9)h ,AUC0~∞分别为 (2 1.17± 8.4 3)和 (2 1.89± 9.0 2 ) μg·h·mL-1;t1/ 2 分别为 (2 .2 1± 0 .4 6 )和 (2 .2 3± 0 .36 )h。结论 :匹多莫德颗粒剂和片剂生物等效。 展开更多
关键词 匹多莫德 颗粒剂 片剂 生物等效性
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多因素干预毛细支气管炎后喘息的疗效及对血嗜酸性粒细胞和免疫球蛋白E的影响 被引量:23
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作者 周娇妹 林建军 +6 位作者 徐勇 樊慧苏 吕建飞 雷后兴 胡丽娅 黄淑美 付小丽 《中国医药导报》 CAS 2015年第4期120-124,共5页
目的 探讨多因素干预对毛细支气管炎后喘息的疗效及对血嗜酸性粒细胞(EOS)和免疫球蛋白E(IgE)的影响.方法 收集2009年6月~2012年8月浙江省丽水市人民医院儿科门诊及病房收治的毛细支气管炎患儿122例,将其分为对照组27例、干预Ⅰ组2... 目的 探讨多因素干预对毛细支气管炎后喘息的疗效及对血嗜酸性粒细胞(EOS)和免疫球蛋白E(IgE)的影响.方法 收集2009年6月~2012年8月浙江省丽水市人民医院儿科门诊及病房收治的毛细支气管炎患儿122例,将其分为对照组27例、干预Ⅰ组28例、干预Ⅱ组32例、干预Ⅲ组35例.四组治疗包括常规的抗病毒、抗感染、解痉、平喘、必要时吸痰等对症治疗.临床治愈后,对照组无干预措施;干预Ⅰ组予布地奈德混悬液,雾化吸入,1次/d,疗程1个月;干预Ⅱ组予孟鲁司特钠咀嚼片,1次/d,睡前口服,疗程3个月;干预Ⅲ组在干预Ⅰ组和干预Ⅱ组基础上加用匹多莫德口服液口服,1支/次,1次/d,疗程2个月.随访1年,记录各组喘息次数及哮喘发生情况,同时监测血清总IgE和EOS计数的变化.结果 6、12个月随访结果显示,于预Ⅰ、Ⅱ、Ⅲ组的喘息次数明显低于对照组,差异有统计学意义(均P< 0.05),哮喘发生率亦明显低于对照组(均P<0.05),其中随访12个月,干预Ⅲ组喘息次数[(0.8±0.3)次]低于干预Ⅰ组[(1.7±0.4)次]、干预Ⅱ组[(1.6±0.3)次],差异均有统计学意义(t=2.58,2.93,P<0.05),干预Ⅲ组哮喘发生率(11.42%)低于干预Ⅰ组(32.14%)、干预Ⅱ组(21.87%),差异均有统计学意义(x2=4.75,3.88,P<0.05).干预Ⅰ、Ⅱ、Ⅲ组血清总IgE低于对照组(均P<0.05),且干预Ⅲ组低于干预Ⅰ、干预Ⅱ组(均P< 0.05),其中随访12个月,干预Ⅰ、Ⅱ、Ⅲ组血清总IgE[(123.55±122.43)、(126.69±95.81)、(65.30±68.20) μg/L]明显低于治疗前[(290.21±122.12)、(291.10±142.25)、(286.20±152.10)μg/L],差异均有高度统计学意义(t=3.40,3.62,5.32,均P<0.01);对照组随访前后有下降,但差异无统计学意义(t=1.56,P>0.05).EOS计数干预后有下降,仅干预Ⅲ组随访6、12个月[(0.34±0.11)×10^9/L、(0.29±0.07)×10^9/L]低于治疗前[(0.56±0.09)×10^9/L],差异均有统计学差义(t=2.34,2.72,P< 0.05).结论 采用布地奈德雾吸、孟鲁司特和匹多莫德口服等综合干预措施,可降低血清IgE水平,降低气道高反应性,减少临床治愈后发生反复喘息和哮喘的概率,有效改善婴儿毛细支气管炎的预后,值得广泛推广应用. 展开更多
关键词 毛细支气管炎 布地奈德 孟鲁司特 匹多莫德 免疫球蛋白E 嗜酸性粒细胞
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盐酸伐昔洛韦片联合匹多莫德片治疗复发性生殖器疱疹的观察 被引量:24
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作者 张潇艺 邓列华 +6 位作者 胡云峰 赵刚 刘赛君 孙乐栋 罗育武 谢明 金泓 《暨南大学学报(自然科学与医学版)》 CAS CSCD 北大核心 2013年第4期441-444,共4页
目的:评价口服盐酸伐昔洛韦片联合口服匹多莫德片治疗复发性生殖器疱疹的临床疗效。方法:选择复发性生殖器疱疹患者88例,随机分为两组,治疗组45例,对照组43例。治疗组采用口服盐酸伐昔洛韦片联合口服匹多莫德片联合治疗,对照组单纯口服... 目的:评价口服盐酸伐昔洛韦片联合口服匹多莫德片治疗复发性生殖器疱疹的临床疗效。方法:选择复发性生殖器疱疹患者88例,随机分为两组,治疗组45例,对照组43例。治疗组采用口服盐酸伐昔洛韦片联合口服匹多莫德片联合治疗,对照组单纯口服盐酸伐昔洛韦片治疗,疗程均2个月,随访6个月。结果:总体效果评价中,治疗组和对照组总有效率分别为97.8%、95.4%,两组疗效差异无显著性(P>0.05),治疗组和对照组复发率分别为53.3%、90.7%,治疗组复发率明显低于对照组,差异有显著性(P<0.01)。患者均未见明显不良反应。结论:口服盐酸伐昔洛韦片与口服匹多莫德片联合治疗复发性生殖器疱疹疗效好,且复发率明显低于单纯口服盐酸伐昔洛韦片,是治疗复发性生殖器疱疹较好的方法之一。 展开更多
关键词 复发性生殖器疱疹 盐酸伐昔洛韦片 匹多莫德片
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匹多莫德对呼吸道感染患儿免疫功能影响的多中心研究 被引量:25
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作者 杨延源 张华 +3 位作者 李站领 许秀辉 钟辉耀 陈如华 《中国生化药物杂志》 CAS 北大核心 2014年第7期132-134,137,共4页
目的探讨匹多莫德对呼吸道感染患者临床疗效及免疫功能影响。方法选取秦皇岛市第三医院、包钢集团第三职工医院、乌兰察布市第三医院收治的反复呼吸道感染患者120例,按照随机数字表达法分为2组,其中对照组60例,予抗感染、止咳、化痰、... 目的探讨匹多莫德对呼吸道感染患者临床疗效及免疫功能影响。方法选取秦皇岛市第三医院、包钢集团第三职工医院、乌兰察布市第三医院收治的反复呼吸道感染患者120例,按照随机数字表达法分为2组,其中对照组60例,予抗感染、止咳、化痰、退热常规治疗;实验组60例,在常规治疗的基础上加用匹多莫德颗粒,0.4 g开水冲服,每日2次,60 d为1个疗程,治疗1个疗程。治疗后,对比2组临床疗效及治疗前后患者血清免疫球蛋白水平(IgG、IgA、IgM),T淋巴细胞亚群(CD+3、CD+4、CD+8)和NK细胞相对活性。结果治疗后实验组总有效率(95.00%)明显高于对照组(81.67%),差异有统计学意义(P<0.05);2组患者治疗前各免疫指标水平无显著性差异,治疗后实验组血清免疫球蛋白IgG、IgA、IgM及T淋巴细胞亚群CD+3、CD+4、CD+8水平较对照组明显上升,差异有统计学意义(P<0.05);治疗后实验组NK细胞相对活性明显比对照组升高,差异有统计学意义(P<0.05);2组患者在治疗期间均出现较轻微皮疹、贫血等不良反应,且不良反应发生率无显著性差异,经对症处理后,不良反应可耐受。结论匹多莫德能够明显提高呼吸道感染患者临床疗效,有效改善反复呼吸道感染患者免疫功能,安全性较高,对临床具有指导意义。 展开更多
关键词 匹多莫德 呼吸道感染 临床疗效 免疫功能
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匹多莫德治疗小儿呼吸道感染的单盲多中心临床试验 被引量:10
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作者 胡仪吉 董宗祈 +2 位作者 邓力 王莹 钱娟 《中国新药杂志》 CAS CSCD 北大核心 2004年第12期1161-1163,共3页
目的:研究匹多莫德治疗我国小儿急性呼吸道感染的疗效及安全性。方法:4家儿童医院采用单盲方法,共观察135例急性呼吸道感染患儿。其中治疗组95例,采用抗生素加口服匹多莫德800mg·d^(-1),bid。对照组40例,单用抗生素治疗。两组疗程... 目的:研究匹多莫德治疗我国小儿急性呼吸道感染的疗效及安全性。方法:4家儿童医院采用单盲方法,共观察135例急性呼吸道感染患儿。其中治疗组95例,采用抗生素加口服匹多莫德800mg·d^(-1),bid。对照组40例,单用抗生素治疗。两组疗程均10~15d。结果:治疗组发热时间和咳嗽消失的时间与对照组比较均明显缩短(P<0.05),肺部啰音消失时间与对照组比较差异无显著性(P>0.05);在临床疗效方面,治疗组疗效明显高于对照组;免疫指标如免疫球蛋白IgG,IgA,IgM 和CD 等改善不明显。主要不良反应是轻度消化道症状(如腹泻、呕吐)及皮疹,停药后消失,不良反应发生率与年龄有关,年龄越大不良反应越少。服药依从性达100%。结论:匹多莫德对急性呼吸道感染治疗有较好疗效,不良反应少,用于2岁以上小儿安全,依从性高。 展开更多
关键词 匹多莫德 呼吸道感染 药物不良反应 依从性
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匹多莫德联合氯雷他定治疗小儿过敏性鼻炎疗效观察 被引量:27
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作者 高雪 陈琪玮 +2 位作者 罗佳 曲华 任灵 《现代中西医结合杂志》 CAS 2016年第17期1845-1847,1850,共4页
目的观察匹多莫德联合氯雷他定治疗小儿过敏性鼻炎的临床疗效及对外周血Th1/Th2细胞因子表达的影响。方法将100例过敏性鼻炎患儿随机分为观察组和对照组各50例,2组均给予氯雷他定口服,观察组在此基础上给予匹多莫德口服,观察2组治疗前... 目的观察匹多莫德联合氯雷他定治疗小儿过敏性鼻炎的临床疗效及对外周血Th1/Th2细胞因子表达的影响。方法将100例过敏性鼻炎患儿随机分为观察组和对照组各50例,2组均给予氯雷他定口服,观察组在此基础上给予匹多莫德口服,观察2组治疗前及治疗4周后临床症状及体征评分和血清白细胞介素-4(IL-4)、IL-5、IL-12、肿瘤坏死因子α(TNF-α)水平,统计2组症状体征缓解时间、临床疗效及不良反应发生情况。结果 2组治疗4周后临床症状及体征评分均明显低于治疗前(P均<0.05),且观察组各项评分均明显低于对照组(P均<0.05);2组治疗4周后血清IL-4、IL-5水平均明显低于治疗前(P均<0.05),血清IL-12、TNF-α水平均明显高于治疗前(P均<0.05),且治疗组各指标改善情况均明显优于对照组(P均<0.05);观察组鼻痒、流涕、鼻塞、打喷嚏症状缓解时间均明显短于对照组(P均<0.05);治疗4周后治疗组总有效率明显高于对照组(P<0.05);2组不良反应发生率比较差异无统计学意义(P>0.05)。结论在基础治疗基础上给予匹多莫德口服能进一步改善过敏性鼻炎患儿的Th1/Th2细胞因子失衡,并能提高治疗总有效率,缩短伴随症状消失时间,且不良反应少。 展开更多
关键词 儿童 过敏性鼻炎 匹多莫德 伴随症状 TH1/TH2细胞因子
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新型合成免疫调节剂——匹多莫德 被引量:97
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作者 田新平 曾小峰 《中国新药杂志》 CAS CSCD 北大核心 2005年第1期111-114,共4页
匹多莫德(pidotimod)是一种新型的化学合成免疫调节剂,可以促进机体的特异和非特异免疫反应。主要用于小儿反复呼吸道和泌尿系统感染、慢性支气管炎急性发作及肿瘤患者伴发感染的治疗和预防。与传统的免疫调节剂相比,匹多莫德具有安全... 匹多莫德(pidotimod)是一种新型的化学合成免疫调节剂,可以促进机体的特异和非特异免疫反应。主要用于小儿反复呼吸道和泌尿系统感染、慢性支气管炎急性发作及肿瘤患者伴发感染的治疗和预防。与传统的免疫调节剂相比,匹多莫德具有安全、使用方便和耐受性好的优点。现对匹多莫德的免疫调节作用、药动学、临床应用、安全性及用法用量等作一概述。 展开更多
关键词 匹多莫德 免疫调节剂 反复感染
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匹多莫德防治反复呼吸道感染55例临床疗效分析 被引量:16
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作者 孙凌新 杨晓松 +4 位作者 张德洁 王妍 王艳君 李超刚 刘朝辉 《临床军医杂志》 CAS 2010年第6期982-984,共3页
目的探讨匹多莫德对反复呼吸道感染的临床疗效。方法 90例哮喘患儿随机分为治疗组55人,对照组35人,治疗组在对照组治疗的基础上,加用匹多莫德治疗2个月,治疗前后监测IL-16、免疫球蛋白及淋巴细胞亚群。结果与对照组比较,治疗组急性病程... 目的探讨匹多莫德对反复呼吸道感染的临床疗效。方法 90例哮喘患儿随机分为治疗组55人,对照组35人,治疗组在对照组治疗的基础上,加用匹多莫德治疗2个月,治疗前后监测IL-16、免疫球蛋白及淋巴细胞亚群。结果与对照组比较,治疗组急性病程天数、上下呼吸道感染次数均少于对照组,差异均有统计学意义(P<0.05)。感染急性发作期CD3+、CD4+、CD4+/CD8+淋巴细胞亚群较缓解期显著下降,CD8+细胞明显升高,免疫球蛋白轻度降低,IL-16明显增高,匹多莫德治疗后三项指标均有明显改善。除IgG、IgM外,余均有统计学意义(P<0.05)。结论匹多莫德治疗反复呼吸道感染疗效显著。 展开更多
关键词 匹多莫德 防治 反复呼吸道感染 临床疗效分析 clinical efficacy 治疗组 淋巴细胞亚群 对照组 统计学意义 免疫球蛋白 下呼吸道感染 急性发作期 IL-16 CD4+/CD8+ 哮喘患儿 三项指标 疗效显著 缓解期 随机 升高
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