目的探索芪术肺纤汤治疗特发性肺间质纤维化(idiopathic pulmonary fibrosis,IPF)患者的临床疗效。方法纳入40例2019年10月1日至2021年12月31日于中国中医科学院广安门医院就诊及住院的IPF患者,随机分为试验组和对照组各20例,对照组患...目的探索芪术肺纤汤治疗特发性肺间质纤维化(idiopathic pulmonary fibrosis,IPF)患者的临床疗效。方法纳入40例2019年10月1日至2021年12月31日于中国中医科学院广安门医院就诊及住院的IPF患者,随机分为试验组和对照组各20例,对照组患者口服乙酰半胱氨酸胶囊加百令胶囊,试验组患者在此基础上加用芪术肺纤汤,治疗3个月后观察2组患者肺功能、6分钟步行距离(six-minute walk distance,6MWD)、静息状态血氧饱和度(oxygen saturation,SpO_(2))、圣乔治呼吸问卷(the Saint George's respiratory questionnaire,SGRQ)评分、血清涎液化糖链抗原6(krebs von den lungen-6,KL-6)水平、高分辨CT(high-resolution ct,HRCT)半定量评分变化。结果治疗后试验组患者一氧化碳弥散量占预计值的百分比(carbon monoxide diffusing capacity/predict value,DLCO%)明显高于对照组,差异有统计学意义(P<0.01);治疗后试验组SGRQ总分、症状评分、疾病影响评分、血清KL-6和HRCT半定量评分均低于对照组,差异有统计学意义(P<0.05);肺功能分级和HRCT半定量评分呈正相关性(r=0.849,P<0.01)。结论芪术肺纤汤能够延缓IPF患者的肺纤维化进展,值得临床推广应用。展开更多
The aim of this paper is to observe the effect of the Feixian Recipe on pulmonary fibrosis in rats.A rat model with pulmonary fibrosis was established by intra-tracheal injection of bleomycin.On days 14,28 and 45,the ...The aim of this paper is to observe the effect of the Feixian Recipe on pulmonary fibrosis in rats.A rat model with pulmonary fibrosis was established by intra-tracheal injection of bleomycin.On days 14,28 and 45,the contents of laminin,collagen Ⅰ and collagen Ⅲ in lung tissue homogenate in the model group,the sham operated group,the Feixian group and the prednisone group were measured.The contents of laminin and collagen Ⅰ and Ⅲ were decreased significantly by the Feixian Recipe.Feixian Recipe has a significant therapeutic effect on bleo-mycin-induced pulmonary fibrosis in rats.展开更多
目的探讨肺纤方通过调控高迁移率族蛋白1(high mobility group protein 1,HMGB1)/Toll蛋白受体2(toll protein receptor 2,TLR2)信号通路对特发性肺纤维化的抑制作用。方法选取健康雄性SD大鼠80只,分为对照组16只和造模组64只。造模组...目的探讨肺纤方通过调控高迁移率族蛋白1(high mobility group protein 1,HMGB1)/Toll蛋白受体2(toll protein receptor 2,TLR2)信号通路对特发性肺纤维化的抑制作用。方法选取健康雄性SD大鼠80只,分为对照组16只和造模组64只。造模组采用博来霉素气管注射法建立特发性肺纤维化模型,对照组给予等量生理盐水气管注射。造模成功后,将造模组大鼠随机分为模型组、肺纤方低、高浓度组及泼尼松组,各16只。模型组和对照组分别给予生理盐水10 mL/kg,1次/d,灌胃给药;肺纤方低、高浓度组分别给予0.72、2.9 g/mL肺纤方药液10 mL/kg,1次/d,灌胃给药;泼尼松组给予1.0 mg/mL醋酸泼尼松溶液10 mL/kg,1次/d,灌胃给药。所有大鼠均连续给药4周。对大鼠肺纤维化程度、血清血小板衍生生长因子(platelet-derived growth factor,PDGF)、转化生长因子-β1(transforming growth factor-β1,TGF-β1)及肺泡灌洗液炎症因子水平、肺组织HMGB1、TLR2蛋白表达水平进行检测。结果治疗后,与模型组比较,各组大鼠肺纤维化程度评分较低,肺泡灌洗液肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)、白细胞介素-6(interleukin-6,IL-6)、白细胞介素-1β(interleukin-1β,IL-1β)水平较低,血清PDGF、TGF-β1水平较低,肺组织HMGB1、TLR2蛋白表达水平较低,且肺纤方低浓度组>泼尼松组>肺纤方高浓度组,差异有统计学意义(P<0.05)。结论肺纤方能明显减轻特发性肺纤维化模型大鼠肺纤维化程度,降低血清细胞因子PDGF、TGF-β1水平,抑制肺部炎症反应,且药物浓度越高效果越明显,其作用可能与下调HMGB1/TLR2信号通路活性有关。展开更多
文摘目的探索芪术肺纤汤治疗特发性肺间质纤维化(idiopathic pulmonary fibrosis,IPF)患者的临床疗效。方法纳入40例2019年10月1日至2021年12月31日于中国中医科学院广安门医院就诊及住院的IPF患者,随机分为试验组和对照组各20例,对照组患者口服乙酰半胱氨酸胶囊加百令胶囊,试验组患者在此基础上加用芪术肺纤汤,治疗3个月后观察2组患者肺功能、6分钟步行距离(six-minute walk distance,6MWD)、静息状态血氧饱和度(oxygen saturation,SpO_(2))、圣乔治呼吸问卷(the Saint George's respiratory questionnaire,SGRQ)评分、血清涎液化糖链抗原6(krebs von den lungen-6,KL-6)水平、高分辨CT(high-resolution ct,HRCT)半定量评分变化。结果治疗后试验组患者一氧化碳弥散量占预计值的百分比(carbon monoxide diffusing capacity/predict value,DLCO%)明显高于对照组,差异有统计学意义(P<0.01);治疗后试验组SGRQ总分、症状评分、疾病影响评分、血清KL-6和HRCT半定量评分均低于对照组,差异有统计学意义(P<0.05);肺功能分级和HRCT半定量评分呈正相关性(r=0.849,P<0.01)。结论芪术肺纤汤能够延缓IPF患者的肺纤维化进展,值得临床推广应用。
基金supported by Beijing Municipal Science&Technology Commission(No.Y0204003041011).
文摘The aim of this paper is to observe the effect of the Feixian Recipe on pulmonary fibrosis in rats.A rat model with pulmonary fibrosis was established by intra-tracheal injection of bleomycin.On days 14,28 and 45,the contents of laminin,collagen Ⅰ and collagen Ⅲ in lung tissue homogenate in the model group,the sham operated group,the Feixian group and the prednisone group were measured.The contents of laminin and collagen Ⅰ and Ⅲ were decreased significantly by the Feixian Recipe.Feixian Recipe has a significant therapeutic effect on bleo-mycin-induced pulmonary fibrosis in rats.