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[冬虫夏草菌丝体与银杏叶片联合治疗对维持性血液透析患者微炎症的影响]

[Effect of combined therapy with hypha Cordyceps and ginkgo leaf tablet on micro-inflammation in patients undergoing maintenance hemodialysis].

作者信息

Huang Ji-Cang, Li Jian-Hua, Liu Tian-Xi

机构信息

Department of Nephrology, First Hospital Affiliated to Lanzhou University, Lanzhou.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2008 Jun;28(6):502-4.

Abstract

OBJECTIVE

To investigate the status of the micro-inflammation in patients undergoing maintenance hemodialysis and the effect of combined therapy with hypha cordyceps and ginkgo leaf tablet for its prevention and treatment.

METHODS

Sixty-five patients undergoing long-term maintenance hemodialysis were randomly assigned to the treated group (33 patients) and the control group (32 patients). Patients in both groups underwent hemodialysis regularly, meanwhile, 3 capsules of Jinshuibao (each capsule containing hypha cordyceps 0.33 g) and 1 tablet of ginkgo leaf tablet (0.23 g/tablet) were additiolally given to the patients in the treated group orally, 3 times per day, and 3 months as 1 treatment course. Their serum inflammatory factors, such as high sensitive C-reactive protein (hs-CRP), interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF-alpha), which could reveal the state of microinflammation, were determined before and after treatment. And the same index was also determined in 30 healthy persons allocated in a normal control group.

RESULTS

Compared with the normal control group, the serum levels of hs-CRP (4.94 +/- 2.21 mg/L), IL-6 (0.472 +/- 0.220 microg/L) and TNF-alpha (1.748 +/- 0.724 microg/L) in the treated group were higher before treatment, these indexes decreased markedly after treatment (3.28 +/- 1.28 mg/L, 0.379 +/- 0.163 microg/L, and 1.330 +/- 0.458 microg/L, respectively, all P < 0.01), but without significant change in the control group.

CONCLUSION

Micro-inflammation reaction exists popularly in patients undergoing maintenance hemodialysis, and the combined therapy with hypha cordyceps and ginkgo leaf tablet could effectively improve this kind of micro-inflammation reaction.

摘要

目的

探讨维持性血液透析患者微炎症状态以及冬虫夏草菌丝体与银杏叶片联合治疗对其防治作用。

方法

将65例长期维持性血液透析患者随机分为治疗组(33例)和对照组(32例)。两组患者均规律进行血液透析,同时治疗组患者加服金水宝胶囊3粒(每粒含冬虫夏草菌丝体0.33 g)及银杏叶片1片(0.23 g/片),每日3次,3个月为1个疗程。分别于治疗前后检测两组患者反映微炎症状态的血清炎症因子,如高敏C反应蛋白(hs-CRP)、白细胞介素-6(IL-6)和肿瘤坏死因子α(TNF-α)。另选取30例健康人作为正常对照组,检测相同指标。

结果

治疗组治疗前血清hs-CRP(4.94±2.21 mg/L)、IL-6(0.472±0.220 μg/L)和TNF-α(1.748±0.724 μg/L)水平高于正常对照组,治疗后这些指标明显下降(分别为3.28±1.28 mg/L、0.379±0.163 μg/L和1.330±0.458 μg/L,P均<0.01),而对照组无明显变化。

结论

维持性血液透析患者普遍存在微炎症反应,冬虫夏草菌丝体与银杏叶片联合治疗可有效改善这种微炎症反应。

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