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目的:观察中药淫羊藿对维持性血液透析(MHD)患者T淋巴细胞亚群的影响。方法:将20例MHD患者随机分成2组,采用相同的MHD方式(每周3次,每次4小时)。治疗组同时每日给予淫羊藿15g,煎液20~30ml,分2次口服。2组分别于透析第1、5、9、13和25周的第1次透析前作外周血T淋巴细胞亚群CD+4、CD+8检测。结果:治疗组9周后T淋巴细胞CD+4较对照组均明显增高(P均<0.05),CD+4/CD+8比值均较对照组增高(P均<0.05);治疗组在25周内各种感染机会较对照组明显减少(P<0.05)。结论:淫羊藿能改善MHD患者细胞免疫功能,增加T淋巴辅助细胞,增强抗感染能力
OBJECTIVE: To observe the effect of herb Epimedium on T lymphocyte subsets in maintenance hemodialysis (MHD) patients. METHODS: Twenty patients with MHD were randomized into 2 groups using the same MHD method (3 times per week, 4 hours each time). The treatment group was given epimedium 15g daily, decoction 20 ~ 30ml, 2 times orally. In the two groups, peripheral blood T-lymphocyte subsets CD+4 and CD+8 were detected before the first dialysis at weeks 1, 5, 9, 13 and 25, respectively. Results: After treatment for 9 weeks, the CD4+ levels of T lymphocytes in the treatment group were significantly higher than those in the control group (P<0.05). The ratio of CD+4/CD+8 was higher than that in the control group (P<0.05). The treatment group was within 25 weeks. The chance of various infections was significantly lower than that of the control group (P<0.05). Conclusion: Epimedium can improve the cellular immune function of patients with MHD, increase T-lymphoid helper cells, and enhance anti-infective ability