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研究氯喹非松(CPP)疗法的抗炎机理及疗效。方法:82例哮喘患儿随机分为CPP组和对照组,观察 CPP组治疗前后 PEF和 PIEO-PEF的变化,并行两组疗效比较。 60只豚鼠被分为 6组,致敏后给药并收集支气管肺泡灌洗液(BAL),行WBC和Eos计数。结果:(1)CPP组经CPP治疗后,哮喘的临床控制率为73.08%(38/52)、显效21.15%(11/52)、好转5.78%(3/52)、无效为0。对照组分别为3、11、14和2例,临床控制率两组差异有显著性(P<0.01)。CPP组治疗后PEF与PD-PEF明显升高,BHR下降(t=62.08,t=173.94,均P<0.01)。(2)BAL.液中WBC和Eos计数均提示,氯喹可代替半量泼尼松。结论:该疗法对小儿哮喘疗效满意,哮喘动物模型证实其抗炎症效应明显。
To study the anti-inflammatory mechanism and efficacy of chloroquine non-pine (CPP) therapy. Methods: Eighty-two asthmatic children were randomly divided into CPP group and control group. The changes of PEF and PIEO-PEF before and after CPP were observed, and the curative effect was compared between the two groups. Sixty guinea pigs were divided into six groups. After sensitization, bronchoalveolar lavage fluid (BAL) was collected and collected for counting WBC and Eos. Results: (1) After CPP treatment, the clinical control rate of asthma was 73.08% (38/52), 21.15% (11/52), 5.78% (3/52) Invalid The control group were 3, 11, 14 and 2 cases respectively. The clinical control rate had significant difference between the two groups (P <0.01). PEF and PD-PEF were significantly increased and BHR decreased after CPP treatment (t = 62.08, t = 173.94, all P <0.01). (2) BAL. Liquid WBC and Eos count suggest that chloroquine can replace half the amount of prednisone. Conclusion: The therapy is effective in treating pediatric asthma. The animal model of asthma confirmed its anti-inflammatory effect.