百令胶囊对2型糖尿病肾病患者细胞免疫功能的影响
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Effects of Bailing Capsule on the Cellular Immune Function of Type 2 Diabetic Nephropathy Patients
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    摘要:

    目的 探讨百令胶囊对2型糖尿病肾病患者外周血淋巴细胞亚群分布的影响。方法 108例患者随机分为治疗组和对照组,每组54例,另选择40例健康体检者作为健康组。对照组予常规治疗,治疗组加服百令胶囊,12周为一疗程。测定主要生物化学指标,流式细胞术检测患者T细胞(CD3+、CD3+CD4+、CD3+CD8+)、B细胞(CD3-CD19+)、NK细胞(CD3-CD16+CD56+)、NKT细胞(CD3+CD16+CD56+)分布水平,并与健康组比较。结果 两组治疗后血清胱抑素C(CysC)、24 h尿蛋白定量显著降低(P<0.05),且治疗组降低更为明显(P<0.05)。治疗前两组患者淋巴细胞亚群分布与健康组相比均有显著性差异(P<0.05),即存在细胞免疫功能紊乱;治疗后,对照组淋巴细胞亚群分布无明显改变,治疗组CD3+T细胞亚群、CD3+CD4+T细胞亚群和CD3+CD8+T细胞亚群、CD3-CD16+CD56+NK细胞亚群及CD3+CD16+CD56+NKT细胞亚群比例上升,CD3-CD19+B细胞亚群比例下降,CD4+/CD8+比值明显降低(P<0.05),且与对照组相比均有显著性差异(P<0.05)。结论 百令胶囊可明显改善2型糖尿病肾病患者细胞免疫功能紊乱。

    Abstract:

    Aim To explore the impact of Bailing capsule on the cellular immune function of type 2 diabetic nephropathy patients. Methods 108 patients with type 2 diabetic nephropathy were randomly divided into treatment group and control group, and 40 cases of healthy person were classified as healthy group. Patients in the control group were treated with conventional therapy, and patients in the treatment group received Bailing capsule additionally. All of them were treated for 12 weeks. The main biochemical indicators were detected. The levels of T cells (CD3+, CD3+CD4+, CD3+CD8+), B cells (CD3-CD19+), NK cells (CD3-CD16+CD56+), and NKT cells (CD3+CD16+CD56+) were detected by flow cytometry. Results After treatment, serum CysC and 24 h urinary protein decreased greatly (P<0.05), and those of the treatment group decreased more obviously (P<0.05). As far as the peripheral blood lymphocyte subsets distribution was concerned, there were obvious differences between healthy group and type 2 diabetic nephropathy patients. After treatment, the lymphocyte subsets distribution in control group did not change obviously in the treatment group, CD3+, CD3+CD4+, CD3+CD8+, CD3-CD16+CD56+, CD3+CD16+CD56+ cell percentage increased, CD3-CD19+ cell percentage and the ratio of CD4+/CD8+ decreased (P<0.05), and there were significant differences between the treatment group and the control group (P<0.05). Conclusion Bailing capsule can regulate the cellular immune dysfunction of type 2 diabetic nephropathy.

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王 青.百令胶囊对2型糖尿病肾病患者细胞免疫功能的影响[J].中国动脉硬化杂志,2013,21(12):1124~1126.

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  • 收稿日期:2013-07-25
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