Yin Min, Zhang Hui, Xu Xinchun, Chen Yiping
Shanghai Xuhui Central Hospital, Shanghai 200031, China.
Zhongguo Zhong Yao Za Zhi. 2011 Aug;36(16):2294-6.
To observe the impact of Sanjin tablet on the T lymphocyte subsets of the peripheral blood of female patients with recurrent urinary tract infection, to reveal the immune pharmacological mechanism of its prevention and treatment of the disease.
A randomized, controlled and open trial was adopted. The 68 patients were divided into treatment group (30 cases) and control group (28 cases). Two groups were both treated with conventional sensitive antibiotics, the treatment group took Sanjin tablet in addition. After bacteria in the urine were negative, the treatment group took maintenance therapy with Sanjin tablet for 3 months, the control group took appropriate low-dose antibiotics maintenance treatment for 3 months. The peripheral blood T lymphocyte levels before and after treatment, time from the initial treatment to the bacterial culture of urine was negative of the two groups, and the recurrence rate of urinary tract infection in 3 months after discontinuation of the two groups were observed.
After treatment, the CD3+, CD4+ T cells and CD4+/CD8+ in peripheral blood of the treatment group were enhanced compared with untreated and the control group (P < 0.05). Time from the initial treatment to the bacterial was negative and the recurrence rate of the treatment group were significantly better than the control group (P < 0.01).
Effective treatment with Sanjin tablet to the recurrent urinary tract infection of female patients will probablely through the mechanism of improving the cell-mediated immunity levels to achieve the effect of shortening the course of treatment and to reducing the recurrence rate.
观察三金片对复发性尿路感染女性患者外周血T淋巴细胞亚群的影响,揭示其防治该病的免疫药理机制。
采用随机、对照、开放试验。将68例患者分为治疗组(30例)和对照组(28例)。两组均采用常规敏感抗生素治疗,治疗组加服三金片。尿细菌转阴后,治疗组用三金片维持治疗3个月,对照组用适当低剂量抗生素维持治疗3个月。观察两组治疗前后外周血T淋巴细胞水平、首次治疗至尿细菌培养转阴时间以及停药后3个月尿路感染复发率。
治疗后,治疗组外周血CD3+、CD4+T细胞及CD4+/CD8+较治疗前及对照组升高(P<0.05)。治疗组首次治疗至细菌转阴时间及复发率明显优于对照组(P<0.01)。
三金片有效治疗女性复发性尿路感染可能是通过提高细胞免疫水平的机制来达到缩短疗程、降低复发率的效果。