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中药联合激素治疗突发性耳聋的疗效及其对外周血 T 细胞亚群反应性的影响。

Efficacy of Extract Combined with Hormones in the Treatment of Sudden Deafness and Its Effect on the Reactivity of Peripheral Blood T Cell Subsets.

机构信息

Otolaryngology-Wide Head and Neck Surgery Department, The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine, Changsha, 410007 Hunan, China.

出版信息

Comput Math Methods Med. 2022 Sep 26;2022:2903808. doi: 10.1155/2022/2903808. eCollection 2022.

Abstract

This work was aimed at exploring the efficacy of extract combined with hormones in the treatment of sudden deafness and the influence on the reactivity of peripheral blood T cell subsets (PBTCSs). In this work, 64 patients with sudden deafness who were treated in The First Affiliated Hospital of Hunan University of Traditional Chinese Medicine from August 2019 to August 2022 were selected as the research objects. The patients were randomly divided into a hormone group (treatment with prednisone acetate, = 34) and a combination group (treatment with Ginkgo-Damole combined with prednisone acetate, = 30). After the two groups of patients were treated in different ways, their efficacy, symptom improvement, changes in blood rheology, and PBTCSs were compared. The total effective rates (TERs) of the hormone group and the combination group were 76.32% and 95.73%, respectively ( < 0.05). The fibrinogen contents of the patients in the combination group were obviously lower than those in the hormone group after 5 d, 7 d, and 10 d of treatment ( < 0.05). The high blood viscosity (HBV) values of patients in the combination group at 5 d, 7 d, and 10 d after treatment were greatly lower than those in the hormone group ( < 0.05). The low blood viscosity (LBV) values after 3 d, 7 d, and 10 d of treatment in the combined group were much lower in contrast to those in the hormone group ( < 0.05). The CD3+, CD4+, and CD4+/CD8+ in peripheral blood in the combination group were sharply higher while the CD8+ in the combined group was lower in contrast to the hormone group ( < 0.05). There was no visible difference in the incidence of adverse reactions between the two groups of patients after treatment ( > 0.05). In conclusion, the combined application of extract and hormones could effectively improve the abnormal hemorheological indexes of patients with sudden deafness and effectively relieve the imbalance of PBTCSs, which was safe.

摘要

本研究旨在探讨银杏达莫联合激素治疗突发性聋的疗效及其对外周血 T 细胞亚群(PBTCSs)反应性的影响。选取 2019 年 8 月至 2022 年 8 月在湖南中医药大学第一附属医院治疗的突发性聋患者 64 例作为研究对象,采用随机数字表法分为激素组(醋酸泼尼松龙治疗,n = 34)和联合组(银杏达莫联合醋酸泼尼松龙治疗,n = 30)。两组患者分别采用不同方法治疗后,比较其疗效、症状改善情况、血液流变学变化及 PBTCSs。激素组和联合组的总有效率分别为 76.32%和 95.73%( < 0.05)。治疗后 5、7、10 d,联合组患者的纤维蛋白原含量明显低于激素组( < 0.05)。治疗后 5、7、10 d,联合组患者的高切全血黏度(HBV)值明显低于激素组( < 0.05)。治疗后 3、7、10 d,联合组患者的低切全血黏度(LBV)值明显低于激素组( < 0.05)。与激素组相比,联合组患者外周血 CD3+、CD4+、CD4+/CD8+明显升高,而 CD8+明显降低( < 0.05)。两组患者治疗后不良反应发生率比较差异无统计学意义( > 0.05)。综上所述,银杏达莫联合激素的应用可有效改善突发性聋患者的异常血液流变学指标,有效缓解 PBTCSs 的失衡,且安全性较高。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dc32/9529436/feadb59145c2/CMMM2022-2903808.001.jpg

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