1. 中国中医科学院广安门医院
2. 云南省艾滋病关爱中心
3. 柳州医学高等专科学校
4. 广西中医学院附属瑞康医院
5. 云南省中医中药研究院
6. 云南省文山壮族苗族自治州中医医院
纸质出版:2012
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[1]王阶,林洪生,李勇,汤艳莉,潘菊华,吴欣芳,刘杰,黄世敬,樊移山,秦海洸,梁健,方路,李广文,洪立珠,卓燊,邓鑫,段呈玉,张祖英,谭云鹏.免疫2号方对艾滋病免疫重建不全患者临床症状、体征的影响[J].中医杂志,2012,53(11):923-926.
WANG Jie1, LIN Hongsheng1, LI Yong1, et al. Effect of Mianyi No.2 Formula on the Symptoms and Signs of HIV/AIDS Patients with Insufficient Immune Reconstitution[J]. Journal of Traditional Chinese Medicine2012, 53(11): 923-926.
[1]王阶,林洪生,李勇,汤艳莉,潘菊华,吴欣芳,刘杰,黄世敬,樊移山,秦海洸,梁健,方路,李广文,洪立珠,卓燊,邓鑫,段呈玉,张祖英,谭云鹏.免疫2号方对艾滋病免疫重建不全患者临床症状、体征的影响[J].中医杂志,2012,53(11):923-926. DOI: 10.13288/j.11-2166/r.2012.11.012.
WANG Jie1, LIN Hongsheng1, LI Yong1, et al. Effect of Mianyi No.2 Formula on the Symptoms and Signs of HIV/AIDS Patients with Insufficient Immune Reconstitution[J]. Journal of Traditional Chinese Medicine2012, 53(11): 923-926. DOI: 10.13288/j.11-2166/r.2012.11.012.
目的观察中药免疫2号方对艾滋病高效逆转录抗病毒治疗(HAART)后免疫重建不全患者临床症状、体征的影响。方法选择艾滋病HAART治疗1年以上
免疫重建不全患者253例
随机分为对照组(126例)和治疗组(127例)
最终完成随访233例
其中治疗组116例
对照组117例。对照组采用安慰剂(每次6.2g
每天2次)联合HAART治疗[齐多夫定(AZT)300mg+拉米夫定(3TC)150mg+奈韦拉平(NVP)200mg
每日2次];治疗组在HAART治疗基础上+免疫2号方(每次6.2g
每日2次)。6个月后比较两组患者治疗前后CD4+细胞绝对计数、免疫重建有效率、症状体征积分及症状体征改善率的变化。结果治疗组免疫重建有效率为34.48%
对照组为21.37%
治疗组明显优于对照组(P<0.05);两组治疗后3个月、6个月CD4+细胞绝对计数均较治疗前明显上升(P<0.05或P<0.01);与对照组同时间点比较
治疗后6个月治疗组CD4+绝对计数上升幅度明显大于对照组(P<0.05);治疗6个月后
两组各项症状、体征均有所改善甚至消失
治疗组在改善患者乏力、肌肉关节痛、皮肤瘙痒、气短等症状时疗效明显优于对照组(P<0.05)。结论免疫2号方能够提高患者CD4+细胞绝对计数
提高免疫重建有效率
改善部分临床症状、体征。
Objective To observe the effect of Mianyi No.2 Formu la(formula 2 for immune reconstitution) on the immune reconstitution and relief of symptoms and s igns for human immunodeficiency virus/acquired immune deficiency syndrome(HIV/A IDS) patients with infufficient immune reconstitution after highly active antiretroviral treatment(HAART).Methods Totally 253 HIV/AIDS patien ts with insufficient immune reconstitution after HAART for above one year were randomized into treatment group(126 cases) and the control group(127 cases).There were 116 cases in the treat ment group and 117 cases in the control group completed the follow-up.Both gro ups were given HAART combined treatment including Zidovudine 300mg
Lamivudine 150mg and Nevirapine 200mg
twice each day.Mianyi No.2 Formula and placebo was added in the treatment group and the control group respectively.Six months later
the cluster of diff erentiation 4(CD4) counts
the effective rate of immune reconstitution and the scores and relief rates of symptoms and signs were observed in both gro ups before and after the treatment.Results The effecti ve rate of immune reconst itution was 34.48% and 21.37% in the treatment group and the control group respe ctively
with significant difference(P<0.05).Comparing in gro up
CD4 counts were significantly increased in both groups after 3 mont hs or 6 months of treatment(P<0.05 or P<0.01).Comparing with the control group at the same time point
CD4 counts increased more significantly in the treatment group after 6 months of treatment(P<0.05).The symptoms and sig ns we re relieved in both groups after 6 months of treatment.The treatment group was superior to the control group in relieving fatigue
muscle joint pain
itching a nd shortness of breath(P<0.05).Conclusion Mianyi No.2 Formula could increase CD4 counts
improve the effective rate of immune reconstitution and rel ieve symptoms and signs.
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