干扰素联合化疗对耐药肺结核临床症状及免疫功能的影响
DOI:
作者:
作者单位:

作者简介:

通讯作者:

基金项目:

成都市科技攻关项目(10GGYB644SF-0214)


Effect of interferon combined with chemotherapy on the clinical symptoms and immune function of patients with drug resistant tuberculosis
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
    摘要:

    【摘要】 目的 探究干扰素联合化疗对耐药肺结核患者临床症状及免疫功能的影响。方法 选取我院2014年8月~2016年1月收治的肺结核患者80例,按照完全随机法分为观察组和对照组,每组各40例。对照组给予患者常规化疗治疗,观察组在对照组基础上给予γ-干扰素治疗,治疗持续6个月。比较两组患者的治疗效果,并对治疗3个月、6个月的痰菌转阴率、病灶吸收情况,及治疗前后的免疫功能变化及临床不良反应发生情况进行比较。结果 观察组治疗有效率为94.7% (36/38)高于对照组73.0% (27/37),差异具有统计学意义(P<0.05);与治疗前相比,两组患者治疗3个月和6个月的痰菌转阴率、病灶吸收情况均显著得到改善,但观察组改善作用更加明显,差异有统计学意义(P<0.05);治疗6个月后,两组患者CD3+、CD4+ 及CD4+/CD8+水平均显著升高,CD8+水平显著降低,差异有统计学意义(P<0.05),两组患者CD3+、CD4+ 及CD4+/CD8+水平比较观察组升高更显著(P<0.05),而两组治疗后CD8+差异无统计学意义 (P>0.05)。两组治疗过程中,不良反应发生率比较差异无统计意义(P>0.05)。 结论 采用干扰素联合化疗治疗耐药肺结核疗效显著,能有效改善患者痰菌转阴和病灶吸收情况,调节患者免疫功能,提高临床疗效,且不良反应发生率较低,值得临床推广和应用。

    Abstract:

    【Abstract】 ObjectiveTo explore the effects of interferon combined with chemotherapy on the clinical symptoms and immune function of patients with drug resistant tuberculosisMethods 80 patients with pulmonary tuberculosis were randomly divided into observation group and control group, 40 cases in each group. The control group was given conventional chemotherapy treatment. The observation group was given interferon therapy. The sputum negative conversion rate, focus absorption, the changes of immune function and clinical adverse reactions were observed. Results The observation group treatment effective rate (36/38,947%) was significantly higher than that of the control group (27/37,730%) (P<005). Compared with that before treatment, the sputum negative conversion and absorption of lesions were significantly improved, but those of the observation group more significantly improved than that of control group (P<005). CD3+, CD4+ and CD4+ /CD8+ after 6 months of treatment were significantly increased. CD8+ was significantly decreased (P<005). CD3+, CD4+ and CD4+ /CD8+ of observation group were significantly higher than that of control group (P<005). There was no significant difference of CD8+ between the two groups after the treatment (P>005). The incidence of adverse reactions of the two groups were not statistically significant (P>005). Conclusion The use of interferon combined with chemotherapy in the treatment of drug resistant tuberculosis can effectively improve the patient's sputum conversion and focus absorption, regulate immune function, improve clinical efficacy.

    参考文献
    相似文献
    引证文献
引用本文
分享
文章指标
  • 点击次数:
  • 下载次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2017-06-20
您是第位访问者
版权所有:《西部医学》编辑部     蜀ICP备18038379号-4
地址:四川省成都市武侯区小天竺街75号财富国际18F-1号    邮政编码:610041
电话:028-85570072/85588403    E-mail:xbyxqk@163.com
技术支持:北京勤云科技发展有限公司