Abstract:Objective: To study the effect of pidotimod in treatment of children with hand-foot disease and its effects on T lymphocyte subsets and inflammatory factors. Methods: 800 children with hand-foot-mouth disease admitted to Xi'an Children's Hospital were divided into observation group and control group according to the order of admission, 400 cases in each group. The control group was treated with ribavirin, and the observation group was treated with pidotimod. The herpes elimination time, body temperature return time, hospital stay, T-lymphocyte subsets, inflammatory factors, and immunoglobulin were compared between the two groups. Results: The herpes elimination time, normal body temperature return time, and length of stay in the observation group were significantly less than those in the control group (P<0.05). Before treatment, there was no significant difference in the CD3+, CD4+, CD8+, and ratios of CD4+/CD8+ cells between the two groups (P>0.05). After treatment, the CD3+, CD4+, CD8+, and ratios of CD4+/CD8+ cells in the observation group were significantly higher than those in the control group(P<0.05). Before treatment, there was no significant difference in the levels of IL-6, IL-10, IL-1β and TNF-α between the two groups (P>0.05). After treatment, the levels of IL-6, IL-1β and TNF-α in the observation group were significantly lower than the control group (P<0.05), IL-10 levels were significantly higher than the control group (P<0.05). Before treatment, the levels of IgA, IgG, and IgM in the two groups were not significantly different (P>0.05). The IgA and IgG levels in the observation group were significantly higher than those in the control group (P<0.05). Conclusion: Pidotimod adjuvant therapy can effectively improve T lymphocyte immune function and inflammatory factors in children with hand-foot and mouth disease, and promote the recovery of children disease, with good clinical efficacy.
张进军,吴胜会,刘科贝. 匹多莫德辅助治疗对手足口病患儿T淋巴细胞亚群和炎症因子的影响[J]. 河北医学, 2018, 24(12): 1973-1977.
ZHANG Jinjun, WU Shenghui, LIU Kebei. Effect of Pidotimod Adjuvant Therapy on T lymphocyte Subsets and Inflammatory Factors in Children with Hand Foot Mouth Disease. HeBei Med, 2018, 24(12): 1973-1977.
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