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中国防痨杂志 ›› 2007, Vol. 29 ›› Issue (3): 255-257.

• 论著 • 上一篇    下一篇

乌体林斯和胸腺肽两种免疫调节剂辅助治疗初治涂阳肺结核的近期疗效观察

刘建强;李秀武;李香兰;朱桂云;姚智燕;贾晨光   

  1. 河北省胸科医院 石家庄 050041
  • 出版日期:2007-03-10 发布日期:2007-11-03
  • 基金资助:
    河北省科技攻关计划项目(No.052761773)

To compare the therapeutic effect of thymic peptide and Mycobacterium Phlei in treating initial smear positive tuberculosis patient

Liu Jianqiang,Li Xiuwu,Li Xianglan,et al   

  1. Hebei Chest Hospital,Shijiazhuang 050041,China
  • Online:2007-03-10 Published:2007-11-03

摘要: 目的观察和评价乌体林斯和胸腺肽对初治涂阳肺结核的辅助治疗作用。方法将150例初治肺结核患者随机分为3组,每组50例,第一组为常规抗结核药物+胸腺肽,第二组为常规抗结核药物+乌体林斯,第三组为单纯抗结核药物。分别在治疗前、治疗后1、2个月末X线胸片显示病变吸收情况、痰菌的阴转情况以及测定患者外周血T淋巴细胞亚群和NK细胞的变化。结果治疗1个月末3组病变吸收和痰涂片阴转率没有明显差异;治疗2个月末,胸腺肽组和乌体林斯组病变吸收率和痰涂片阴转率均明显高于对照组;治疗后3组CD3、CD4升高,CD8降低,CD4/CD8升高,NK细胞降低,且胸腺肽、乌体林斯2组程度均明显高于对照组。结论乌体林斯和胸腺肽能明显改变肺结核患者的细胞免疫功能,加快病变的吸收及痰菌的阴转速度,两种免疫辅助药物疗效相当。

关键词: 乌体林斯, 胸腺肽, 肺,结核, T淋巴细胞亚群, NK细胞

Abstract: Objective To observe and evaluate the therapeutic effect of thymic peptide and Mycobacterium Phlei in treating initial smear positive tuberculosis patient. Methods 150 initial smear prositive tuberculosis patients were divided into three groups,named group A,group B and group C randomly.There are 50 patients in each group.Group A was treated with anti-tuberculosis drugs and thymic peptide;Group B was treated with anti-tuberculosis drugs and Mycobacterium Phlei;and Group C was simply treated with anti-tuberculosis drugs.The quantity of T leukomonocyte subgroup and NK-cell in peripheral blood were calculated,the change of the absorption of the focus and sputum conversion were observed before the treatment,after one month and two-month treatment. Results There was no difference for the absorption of the focus and sputum conversion rate among the three groups after one month treatment.The absorption of the focus and sputum conversion rate in group A and B were higher than group C after two-month treatment.The quantity of CD3 and CD4 increased,CD8 declined,CD4/CD8 increasesd,and NK-cell declined in three groups.The effect of group A and B were better than group C. Conclusion Thymic peptide and Mycobacterium Phlei can improve tuberculosis patients’ cellular immune function obviously,accelerate sputum conversion rate of mycobacterium tuberculosis patients,and the absorption of focus.However,there is no different between group A and B.

Key words: Mycobacterium Phlei, Thymic peptide, Pulmonary tuberculosis, T leukomonocyte subgroup, NK-cell