Yang Xiaoming, Liu Zhongda, Liu Xiaojing, Li Quan, Huang Hui, Zhang Zunjing
Department of Respiratory and Critical Care Medicine, Lishui Hospital of Traditional Chinese Medicine Affiliated to Zhejiang University of Traditional Chinese Medicine, Lishui, 323000, People's Republic of China.
Infect Drug Resist. 2024 Jan 26;17:275-282. doi: 10.2147/IDR.S438202. eCollection 2024.
Sangju-Yin, supplemented with some drugs, has frequently demonstrated therapeutic efficacy against colds, albeit its effect on (MP) infection remains unknown. Therefore, we aimed to elucidate the treatment efficacy and influencing factors of a Sangju cough mixture on MP infection in adults.
Between January 2021 and December 2022, 150 adult patients with MP infection at the Lishui Hospital of Traditional Chinese Medicine Affiliated with Zhejiang University of Traditional Chinese Medicine were assigned to the treatment (administered Sangju cough mixture and moxifloxacin tablets) or the control (administered moxifloxacin tablets) groups.
When compared with the control group, the treatment group exhibited significantly improved traditional Chinese medicine syndrome scores, increased CD4 T cell levels, and decreased CD8 T cell levels (all < 0.05). After 7 days of treatment, the negative conversion rate of the MP-specific immunoglobulin M (MP-IgM) antibody of the treatment group was not significantly different from that of the control group ( > 0.05); however, after 14 days of treatment, the rate was significantly higher in the treatment group ( < 0.05). The univariate regression analysis revealed that combined chronic respiratory disease, failure to take Sangju cough mixture, combined pneumonia, Nutritional Risk Screening 2002 (NRS 2002) score of at least 3 points, and age were associated with the negative conversion of the MP-IgM antibody (all < 0.05). Nevertheless, the multivariate regression model revealed that the NRS 2002 score of at least 3 points was not an independent risk factor ( > 0.05).
Sangju cough mixture can improve symptoms, accelerate the negative conversion time of MP-IgM antibody, and promote rehabilitation of the patients.
桑菊饮加用某些药物后,虽对支原体(MP)感染的作用尚不清楚,但常用于治疗感冒且疗效显著。因此,本研究旨在阐明桑菊止咳合剂对成人MP感染的治疗效果及影响因素。
2021年1月至2022年12月期间,将150例浙江中医药大学附属丽水市中医医院的成人MP感染患者分为治疗组(服用桑菊止咳合剂和莫西沙星片)和对照组(服用莫西沙星片)。
与对照组相比,治疗组的中医证候评分显著改善,CD4 T细胞水平升高,CD8 T细胞水平降低(均P<0.05)。治疗7天后,治疗组MP特异性免疫球蛋白M(MP-IgM)抗体的阴转率与对照组相比无显著差异(P>0.05);然而,治疗14天后,治疗组的阴转率显著更高(P<0.05)。单因素回归分析显示,合并慢性呼吸道疾病、未服用桑菊止咳合剂、合并肺炎、营养风险筛查2002(NRS 2002)评分至少3分以及年龄与MP-IgM抗体的阴转有关(均P<0.05)。然而,多因素回归模型显示,NRS 2002评分至少3分不是独立危险因素(P>0.05)。
桑菊止咳合剂可改善症状,加快MP-IgM抗体的阴转时间,促进患者康复。