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本研究动态检测了益肾健脾中药对老年虚证的T细胞亚群、可溶性白细胞介素-2受体(SIL-2)及红细胞免疫等指标的影响,并以健康献血员为对照。结果:老年虚证组T淋巴细胞亚群CD_3、CD_4显著降低,CD_8显著增加,故CD_4/CD_8显著下降(P<0.01);SIL-2R显著增高(P<0.01);红细胞免疫指标红细胞C_3b受体花环率(RBC-C_3bRR)显著降低,红细胞免疫复合物花环率(RBC-ICR)增高(P<0.01)。进而分析发现老年虚证组CD_4/CD_8与SIL-2R呈负相关(r=-0.572,P<0.01),而与RBC-C_3bRR呈正相关(r=0.435,P<0.02)。经益肾健脾治疗后,虚象减轻,免疫指标改善,呈相对应负性改变(P<0.01与P<0.05),但与正常对照比较,除红细胞免疫指标接近正常外,其余仍低于正常(P<0.01),且上述相关性消失。提示益肾健脾对免疫功能有显著改善作用,但仍低于正常。
This study dynamically detected the effects of yishenjianpi herbs on T-cell subsets, soluble interleukin-2 receptor (SIL-2), and red blood cell immunity in elderly patients with deficiency syndromes, and compared them with healthy blood donors. RESULTS: The CD3 and CD4 levels of the T-lymphocyte subsets in the elderly deficiency group were significantly decreased, and the CD8 was significantly increased. Therefore, the CD4/CD8 ratio was significantly decreased (P<0.01); the SIL-2R was significantly higher (P<0.01); The red blood cell C_3b receptor rosette rate (RBC-C_3bRR) was significantly decreased, and the red blood cell immune complex rosette rate (RBC-ICR) was increased (P<0.01). Further analysis revealed that CD_4/CD_8 was negatively correlated with SIL-2R in the elderly deficiency syndrome group (r=-0.572, P<0.01), but positively correlated with RBC-C_3bRR (r=0.435, P<0. 02). After treatment with yin and spleen, the imaginary image was relieved and the immune index was improved, showing a corresponding negative change (P<0.01 and P<0.05). However, compared with the normal control, except that the red blood cell immune index was close to normal, The rest was still lower than normal (P < 0.01), and the above correlation disappeared. It suggests that replenishing kidney and spleen has a significant improvement in immune function, but it is still lower than normal.