神经药理学报 ›› 2022, Vol. 12 ›› Issue (6): 35-39.DOI: 10.3969/j.issn.2095-1396.2022.06.006

• 研究论文 • 上一篇    下一篇

金银花口服液联合奥司他韦治疗小儿手足口病的疗效及对患儿炎症因子和免疫功能的影响

陈炳峰,林锋   

  1. 1 福建省泉州市惠安县医院感染科,泉州,362100,中国  2 福建医科大学附属第一医院神经内科,福州,350005,中国
  • 出版日期:2022-12-26 发布日期:2023-08-30
  • 作者简介:陈炳峰,主治医师;研究方向:感染科;E-mail:Chen18759161781@126.com
  • 基金资助:
    福建省科技创新联合基金项目(No.2018Y9079)

Efficacy of Honeysuckle Oral Liquid Combined with Oseltamivir in the Treatment of Hand-foot-mouth Disease in Children and Its Effect on Inflammatory Factors and Immune Function

CHEN Bin-feng,LIN Feng   

  1. ⒈ Department of Infection,Hui ‘an County Hospital,Quanzhou,362100,China  ⒉ Department of Neurology,The First Affiliated Hospital of Fujian Medical University,Fuzhou,350005,China
  • Online:2022-12-26 Published:2023-08-30

摘要:

目的:探讨金银花口服液联合奥司他韦治疗小儿手足口病(hand-foot-mouth disease,HFMD)的疗效及 对患儿炎症因子和免疫功能的影响。方法:HFMD 患儿86 例随机分组为对照组与试验组,每组43 例。对照组 予以奥司他韦治疗,试验组予以金银花口服液联合奥司他韦治疗,两组均连续治疗7 d。观察两组疗效和不良反 应,记录两组症状改善时间,比较两组治疗前和治疗后血清炎症因子肿瘤坏死因子-α(tumor necrosis factor-α, TNF-α)、白细胞介素-6(interleukin-6,IL-6)和免疫功能指标免疫球蛋白M(immunoglobulin M,IgM)、IgA、IgG。 结果:试验组治疗总有效率为90.70%,与对照组的74.42% 相比显著增高(P<0.05)。治疗后,与对照组进行比较, 试验组退热、皮疹消退和口腔溃疡消退时间均显著缩短(P<0.05)。治疗后,试验组血清IgM、IgA、IgG 水平显著 增高(P<0.05),血清TNF-α、IL-6 水平显著降低(P<0.05)。两组不良反应发生率对比无统计学差异(P>0.05)。 结论:金银花口服液联合奥司他韦治疗小儿HFMD 疗效显著,能够有效促进症状缓解,改善机体免疫功能,降低 炎症水平。

关键词: 手足口病, 奥司他韦, 金银花口服液, 免疫功能, 炎症

Abstract:

Objective:To investigate the efficacy of honeysuckle oral liquid combined with oseltamivir in the treatment of hand-foot-mouth disease (HFMD) in children and its effect on inflammatory factors and immune function. Methods:A total of 86 children with HFMD were randomly divided into control group and experimental group,with 43 cases in each group. The control group was treated with oseltamivir,and the experimental group was treated with honeysuckle oral liquid combined with oseltamivir. Both groups were treated continuously for 7 days. The efficacy and adverse reactions of the two groups were observed. The symptom improvement time of the two groups was recorded. The serum inflammatory factors tumor necrosis factor-α( TNF-α),interleukin-6( IL-6) and immune function indexes immunoglobulin (IgM),IgA,IgG were compared between the two groups before and after treatment. Results:The total effective rate of treatment in the experimental group was 90.70 %,which was significantly higher than 74.42% in the control group (P<0.05). After treatment,compared with the control group,the disappearance time of fever,rash and oral ulcer in the experimental group were significantly shortened (P<0.05). After treatment,the levels of serum IgM,IgA and IgG in the experimental group were significantly increased(P<0.05).,and the levels of serum TNF-α and IL-6 were significantly decreased (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion:Jinyinhua Oral Liquid combined with oseltamivir is effective in the treatment of HFMD in children,which can effectively promote symptom relief,improve immune function and reduce inflammation.

Key words: hand-foot-mouth disease, oseltamivir, honeysuckle oral liquid, immune function, inflammation