Abstract:Objective: To study the effects of high dose of vitamin E plus ultra - micro - heparin on oxidative stress and microinflammatory state in children with henoch-schonlein purpura. Methods: 114 children with Henoch-Schonlein purpura were enrolled in this study from August 2012 to January 2016. All children were divided into control group (n = 57 cases) and study group (n = 57 cases) according to the digital table method. The control group of children with conventional treatment of allergic purpura method, the study group of children in the control group based on the use of large doses of vitamin E and ultra-micro heparin. Results: After treatment, all the indexes of the study group decreased significantly (P <0.05), and there was significant difference between the two groups (P <0.05). All patients had no obvious abnormality of coagulation time, bleeding time and platelet count before and after treatment, and all children treated with heparin had no severe allergic reaction and side effects. All the children's blood lipids, Hb, ALB, etc. were no significant abnormalities, all large doses of vitamin E in children with no significant thrombosis, bleeding and other side effects. The total effective rate in the control group was 78.9%, significantly lower than the total effective rate of the study group was 96.5% (P <0.05). In the control group, 14 out of 57 patients had nephritis and the incidence of HSPN was 24.6%. In the study group, 4 patients had nephritis, and the incidence of HSPN was 7.0%. The incidence of HSPN in the control group was significantly higher than that in the study group (χ2 = 5.377, P <0.05). Conclusion: The synergistic effect of ultra-micro-heparin plus high dose of vitamin E on different pathogenesis of HSP can significantly reduce the incidence of HSP nephropathy and improve the micro-inflammatory state and oxidative stress state of HSP.
朱丽. 大剂量维生素E加超微量肝素对过敏性紫癜患儿氧化应激及微炎症状态的影响[J]. 河北医学, 2018, 24(3): 378-382.
ZHU Li. Effects of High-dose Vitamin E Plus Ultra-heparin on Oxidative Stress and Microinflammatory state in Children with Henoch-schonlein Purpura. HeBei Med, 2018, 24(3): 378-382.
[1] 张霞,丁樱,于文静,等.儿童过敏性紫癜肾脏损伤发生的相关因素分析[J].中医学报,2013,9(12):1361~1362. [2] 唐人,熊剑勇,刘丹,等.低分子肝素对老年胃癌根治术患者的氧化应激反应及肾功能的影响[J].中国生化药物杂志,2014,12(3):74~77. [3] 张保恒.玉屏风散联合小剂量低分子肝素对儿童过敏性紫癜患儿氧化应激状态及早期肾损害影响的研究[J].临床和实验医学杂志,2015,14(13):1070~1073. [4] Luo S,Liang G,Zhang P,et al.Aberrant histone modifications in peripheral blood mononuclear cells from patients with Henoch-Schonlein purpura[J].Clin Immunol,2013,146(3):165~175. [5] Piram M,Mahr A.Epidemiology of immunoglobulin A vasculitis(Henoch-Schonlein):current state of knowledge[J].Curr Opin Rheumatol,2013,25(2):171~178. [6] 袁芳,金燕樑.儿童过敏性紫癜研究进展[J].临床儿科杂志,2013,31(3):287~290. [7] 宇丽,汤玉霞,牛霞,等.儿童过敏性紫癜饮食影响因素分析[J].安徽医科大学学报,2015,50(9):1305~1307. [8] 洪山,黄星原,陈娇娇,等.奥美拉唑联合孟鲁司特治疗儿童过敏性紫癜的临床观察[J].数理医药学杂志,2015,3(6):873~875. [9] 崔佳丽,刘秀珍,张巨平.孟鲁司特佐治儿童过敏性紫癜的临床效果及对血清IL-6、IL-8、IL-12和IL-18的影响[J].中国急救医学,2015,35(12):151~152. [10] 曹芳,邓芳,董扬,等.血清胱抑素C水平在儿童过敏性紫癜肾损害评价中的意义[J].安徽医科大学学报,2014,49(10):1517~1520. [11] Shlipak M G,Massushita K,Arnlov J,et al.Cystatin C versus creatinine in determining risk based on kidney function[J].N Engl Med,2013,369(10):932~943.