Wang Li-ya, Wei Ying-fei, Du Hui-lan
Department of Pediatric Surgery, Hebei Provincial Children's Hospital, Shijiazhuang 050031.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2003 Oct;23(10):744-6.
To observe the effect of Shenfu injection (SFI) on recovery of intestinal function, T-lymphocyte subsets (CD4, CD8 and CD4/CD8), interleukin-2 (IL-2) and tumor necrosis factor-alpha (TNF-alpha) in children with intestinal obstruction after surgical operation.
Ninety-eight children suffering from intestinal obstruction after emergent surgical operation were divided into the SFI group (n = 50, treated with SFI after operation) and the control group (n = 48, treated with surgical operation alone). The intestinal function recovery rate (IFRR), T-lymphocyte subsets, serum levels of IL-2 and TNF-alpha in them were observed.
After being treated for 7 days, the IFRR in the SFI group was 84.0%, which was significantly higher than that in the control group (62.5%, P < 0.05). CD4, CD4/CD8 levels increased in the SFI group after treatment (P < 0.05), while in the control group, CD8 increased significantly after treatment (P < 0.05) and higher than that in SFI group (P < 0.01). IL-2 level was much higher in the SFI group after treatment than that in the control group (P < 0.05). TNF-alpha level significantly lowered in both groups (P < 0.01), and the level in the SFI group was lower than that in the control group (P < 0.05).
SFI could promote the recovery of intestinal function, improve and regulate the immune function of the children after operation for intestinal obstruction.
观察参附注射液(SFI)对肠梗阻患儿术后肠功能恢复、T淋巴细胞亚群(CD4、CD8及CD4/CD8)、白细胞介素-2(IL-2)及肿瘤坏死因子-α(TNF-α)的影响。
将98例急诊手术后肠梗阻患儿分为SFI组(n = 50,术后给予SFI治疗)和对照组(n = 48,单纯手术治疗)。观察两组患儿的肠功能恢复率(IFRR)、T淋巴细胞亚群、血清IL-2及TNF-α水平。
治疗7天后,SFI组的IFRR为84.0%,显著高于对照组(62.5%,P < 0.05)。治疗后SFI组CD4、CD4/CD8水平升高(P < 0.05),而对照组治疗后CD8显著升高(P < 0.05)且高于SFI组(P < 0.01)。治疗后SFI组IL-2水平明显高于对照组(P < 0.05)。两组TNF-α水平均显著降低(P < 0.01),且SFI组低于对照组(P < 0.05)。
参附注射液可促进肠梗阻患儿术后肠功能恢复,改善和调节其免疫功能。