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盐酸西替利嗪联合孟鲁斯特钠治疗慢性荨麻疹的疗效观察及机制分析 被引量:4
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作者 杨阳 汪甦 李鑫 《中外医疗》 2019年第10期109-111,共3页
目的探讨盐酸西替利嗪联合孟鲁斯特钠治疗慢性荨麻疹的临床疗效及对血清中干扰素-r(IFN-r)、白细胞介素-4(IL-4)及总IgE水平的影响。方法方便选取入组的120例慢性荨麻疹患者,采用随机数字表法分成治疗组和对照组,各60例。治疗组口服盐... 目的探讨盐酸西替利嗪联合孟鲁斯特钠治疗慢性荨麻疹的临床疗效及对血清中干扰素-r(IFN-r)、白细胞介素-4(IL-4)及总IgE水平的影响。方法方便选取入组的120例慢性荨麻疹患者,采用随机数字表法分成治疗组和对照组,各60例。治疗组口服盐酸西替利嗪片10 mg/次(1次/d)及孟鲁司特钠片10 mg/次(1次/d),对照组仅予口服盐酸西替利嗪片10 mg/次(1次/d),两组患者连续治疗8周。结果治疗组的有效率为91.7%,显著高于对照组的有效率71.7%(P<0.05)。治疗组复发率为15.6%,明显低于对照组复发率36.4%(P<0.05)。治疗后两组患者的IL-4、总IgE水平均较治疗前显著降低(P<0.05),而IFN-r水平较治疗前有明显升高(P<0.05)。均未出现严重不良反应。结论盐酸西替利嗪联合孟鲁斯特钠治疗慢性荨麻疹疗效优于单用盐酸西替利嗪,安全性好,并能降低复发率;降低血清中IL-4及血清总IgE水平,升高IFN-r水平可能是其作用机制之ー。 展开更多
关键词 盐酸西替利嗪联 孟鲁斯特钠 慢性荨麻疹 干扰素-r 白细胞介素-4 血清总IGE
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Comparison of clinical effectiveness of acupuncture and a Western drug on allergic rhinitis:study protocol for a randomized controlled trial 被引量:9
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作者 Yanping Wang Sheng Chen +4 位作者 Peng Wang Cheng Tan Chang Zhang Zhihong Shi Jiping Zhao 《Journal of Traditional Chinese Medicine》 SCIE CAS CSCD 2014年第3期254-260,共7页
OBJECTIVE: To compare the efficacy of an acu- puncture regimen for persistent allergic rhinitis (PER), aimed at improving a patient's mind or Shen in Traditional Chinese Medicine, to that of a sec- ond-generation ... OBJECTIVE: To compare the efficacy of an acu- puncture regimen for persistent allergic rhinitis (PER), aimed at improving a patient's mind or Shen in Traditional Chinese Medicine, to that of a sec- ond-generation H-receptor antagonist, cetirizine hydrochloride. METHODS: This multicenter, randomized, con- trolled clinical trial on PER will be conducted at three institutions in China. The total study period will be 9 weeks. After a 1-week preparatory screen- ing period, 240 eligible participants with PER willbe randomized to receive acupuncture or pharma- cotherapy (1: 1) for 4 weeks with a 4-week fol- low-up. The primary outcome will be changes in 7-day average total nasal symptom score. Second- ary outcome measures include rhinoconjunctivitis quality of life questionnaire score and total non-na- sal symptom score. RESULTS: The presence and seriousness of psycho- logical and emotional impairments should be con- sidered in therapeutic programs for allergic rhinitis. No clinical trial for treating allergic rhinitis via acu- puncture regulation of psychological and emotion- al activities has been reported. CONCLUSION: The findings of the trial will allow us to determine the effects of the mind (Shen)-regula- tion treatment approach. We will also be able to confirm if the effects of acupuncture are equivalent to those of the conventional drug cetirizine hydro- chloride. 展开更多
关键词 ACUPUNCTURE RHINITIS Psychologicaland emotional impairment Mind (Shen)-regula-tion Randomized controlled trial
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