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穿心莲提取物对人类免疫缺陷病毒阳性患者的免疫调节作用。

Immunomodulatory effect of Tinospora cordifolia extract in human immuno-deficiency virus positive patients.

出版信息

Indian J Pharmacol. 2008 Jun;40(3):107-10. doi: 10.4103/0253-7613.42302.

DOI:10.4103/0253-7613.42302
PMID:20040936
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2792597/
Abstract

OBJECTIVES

To assess the safety and efficacy of TCE in human immuno-deficiency virus positive patients.

MATERIALS AND METHODS

Efficacy of Tinospora cordifolia extract (TCE) in HIV positive patients was assessed in randomized double blind placebo controlled trial. 68 HIV positive participants were randomly assigned to two groups to receive either TCE or placebo for six months. After clinical examination TLC, DLC, ESR, platelet count, hemoglobin and CD4 count were done. The hematological investigations were repeated at bimonthly intervals and CD4 count was repeated at the end of the study. Patients were clinically reviewed at monthly intervals for compliance, refill and ADR monitoring. The drugs were decoded at the end of the trial.

RESULTS

TCE treatment caused significant reduction in eosinophil count and hemoglobin percentage. 60% patients receiving TCE and 20% on placebo reported decrease in the incidence of various symptoms associated with disease. Some of the common complaints reported by patients on TCE were anorexia, nausea, vomiting and weakness.

CONCLUSION

Tinospora cordifolia extract, a plant derived immunostimulant, significantly affected the symptoms of HIV. This was validated by clinical evaluation. However not all of the objective parameters studied by us, back this up. Tinospora cordifolia could be used as an adjunct to HIV/AIDS management.

摘要

目的

评估三叶鬼针草提取物(TCE)在人类免疫缺陷病毒阳性患者中的安全性和疗效。

材料与方法

采用随机双盲安慰剂对照试验评估三叶鬼针草提取物(TCE)对 HIV 阳性患者的疗效。将 68 名 HIV 阳性参与者随机分为两组,分别接受 TCE 或安慰剂治疗 6 个月。临床检查后,进行 TLC、DLC、ESR、血小板计数、血红蛋白和 CD4 计数。每隔两个月重复进行一次血液学检查,研究结束时重复进行 CD4 计数。每月对患者进行临床评估,以监测依从性、补充药物和不良反应。试验结束时对药物进行解码。

结果

TCE 治疗导致嗜酸性粒细胞计数和血红蛋白百分比显著降低。接受 TCE 治疗的 60%患者和安慰剂组的 20%患者报告称,与疾病相关的各种症状的发生率降低。一些患者在服用 TCE 后报告的常见不良反应包括食欲不振、恶心、呕吐和乏力。

结论

从植物中提取的免疫刺激剂三叶鬼针草提取物显著影响 HIV 患者的症状。这通过临床评估得到了验证。然而,我们研究的并非所有客观参数都支持这一结论。三叶鬼针草可作为 HIV/AIDS 管理的辅助药物。

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本文引用的文献

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Efficacy of Tinospora cordifolia in allergic rhinitis.匙羹藤在变应性鼻炎中的疗效。
J Ethnopharmacol. 2005 Jan 15;96(3):445-9. doi: 10.1016/j.jep.2004.09.034. Epub 2004 Nov 23.
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Can we do away with PTBD?我们能否摒弃经皮经肝胆道引流术(PTBD)?
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Quantitation of microbicidal activity of mononuclear phagocytes: an in vitro technique.单核吞噬细胞杀菌活性的定量:一种体外技术。
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Immunotherapeutic modification by Tinospora cordifolia of abdominal sepsis induced by caecal ligation in rats.印度防己对大鼠盲肠结扎诱导的腹部脓毒症的免疫治疗性调节作用
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Immunotherapy decreases antigen-induced eosinophil cell migration into the nasal cavity.免疫疗法可减少抗原诱导的嗜酸性粒细胞向鼻腔的迁移。
J Allergy Clin Immunol. 1991 Jul;88(1):27-32. doi: 10.1016/0091-6749(91)90297-2.
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Immunotherapeutic modification of Escherichia coli peritonitis and bacteremia by Tinospora cordifolia.匙羹藤对大肠杆菌性腹膜炎和菌血症的免疫治疗性修饰
J Postgrad Med. 1992 Jan-Mar;38(1):13-5.