雷公藤多甙联合醋酸泼尼松+硫酸羟基氯喹治疗系统性红斑狼疮
Clinical Study of Glucosidorum Tripterygll Totorum Combined with Prednisone Acetate and Hydroxychloroquine Sulfate in Treatment of Systemic Lupus Erythematosus
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摘要: 目的 探讨雷公藤多甙联合醋酸泼尼松+硫酸羟基氯喹治疗系统性红斑狼疮 (SLE) 的效果.方法将82例SLE患者采用随机数字表法分为对照组 (n=41) 和观察组 (n=41) , 对照组给予醋酸泼尼松+硫酸羟基氯喹治疗, 观察组在对照组基础上给予雷公藤多甙治疗, 4周为1个疗程, 共3个疗程.评估疗效及药物不良反应, 治疗前后发放SLE疾病活动指数评分 (SLE-DAI) 评估系统性红斑狼疮活动程度, 测定血脂指标[三酰甘油 (TG) 、总胆固醇 (TC) 、高密度脂蛋白胆固醇 (HDL-C) 、低密度脂蛋白胆固醇 (LDL-C) ]、补体C3、免疫球蛋白G (IgG) 、抗双链DNA (ds-DNA) 、白介素8 (IL-8) 、白介素10 (IL-10) 水平.结果 观察组治疗有效率为92.50%高于对照组的73.17% (P<0.05) ;观察组治疗后SLE-DAI评分低于对照组 (P<0.05) , 观察组治疗后TC、TG、LDL-C低于对照组, HDL-C高于对照组 (P<0.05) ;观察组IgG、抗ds-DNA低于对照组, 补体C3高于对照组 (P<0.05) ;观察组治疗后IL-8、IL-10低于对照组 (P<0.05) ;观察组不良用药反应发生率为56.10%与对照组的43.90%比较, 差异无统计学意义 (P>0.05) .结论 雷公藤多甙联合醋酸泼尼松+硫酸羟基氯喹治疗SLE可降低炎性、血脂水平, 调节免疫机制, 效果确切, 患者均耐受.Abstract: Objective To investigate the effect of glucosidorum tripterygll totorum combined with prednisone acetate and hydroxychloroquine sulfate in the treatment of systemic lupus erythematosus (SLE) . Me thods Eighty-two patients with SLE were divided into the control group (n=41) and the observation group (n=41) by the random number table method. The control group was treated with prednisone acetate combined with hydroxychloroquine sulfate. On the basis of treatment for the control group, the observation group was treated with glucosidorum tripterygll totorum. Four weeks was taken as 1 course of treatment and they were given 3 courses of treatment. Curative effect and adverse drug reactions were evaluated. The SLE disease activity index score was to evaluate the degree of lupus before and after treatment. The levels of blood lipid indexes [triglycerides (TG) , total cholesterol ( TC) , high density lipoprotein cholesterol ( HDL-C) , low density lipoprotein cholesterol (LDL-C) ], complement C3, immunoglobulin G (Ig G) , anti-double stranded DNA (ds-DNA) , interleukin 8 (IL-8) and interleukin 10 (IL-10) were determined. Re s ults The effective rate of the observation group was higher than that of the control group (92.50% vs 73.17% ) , P < 0.05. After treatment, the SLE-DAI score, levels of TC, TG, LDL-C, Ig G, anti-ds-DNA, IL-10 and IL-8 in the observation group were lower than those in the control group while levels of HDL-C and complement C3 were higher than those in the control group (all P < 0.05) . There was no significant difference in the incidence of adverse drug reactions between the two groups (56.10% vs 43.90% ) , P > 0.05. Conclusion The application of glucosidorum tripterygll totorum combined with prednisone acetate and hydroxychloroquine sulfate in the treatment of SLE can reduce the inflammatory and blood lipid levels and regulate immune mechanism. The effect is exact and patients can tolerate.
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