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河北医学  2020, Vol. 26 Issue (1): 154-157    DOI: 10.3969/j.issn.1006-6233.2020.01.037
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黄芪对病毒性心肌炎患儿相关细胞因子及HSP70的影响
牛玲, 安新江, 徐慧, 田静, 傅鸣郁, 王庆文, 李春利, 许永茂
徐州医科大学附属徐州市儿童医院心血管内科, 江苏 徐州 221000
Effect of Astragalus Membranaceus on Cytokines and HSP70 in Children with Viral Myocarditis
NIU Ling, AN Xinjiang, XU Hui, et al
Xuzhou Children's Hospital Affiliated to Xuzhou Medical University, Jiangsu Xuzhou 221000, China
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摘要 目的:观察黄芪对病毒性心肌炎(viral myocarditis,VMC)患儿的相关细胞因子以及HSP70的影响。方法:选取我院2016年4月至2018年3月我院临床确证的70例病毒性心肌炎患儿作为研究对象,随机分为研究组38例,对照组32例。对照组选用常规治疗方法,观察组在常规治疗方法基础上口服黄芪颗粒。一周后抽取患儿的静脉血,分别检测以下指标IL-1、IL-6、IFN-γ、TNF-α、HSP70。结果:两组患儿治疗后IL-1、IL-6、IFN-γ、TNF-α较治疗前明显下降,差异有统计学意义(P<0.05);研究组患儿治疗后IL-1、IL-6、IFN-γ、TNF-α较对照组治疗后明显下降,差异有统计学意义(P<0.05);两组患儿治疗后HSP70水平较治疗前明显上升(P<0.05);研究组患儿治疗后的HSP70的水平与对照组患儿治疗后比较差异明显(P<0.05)。结论:黄芪可降低病毒性心肌炎患儿体内IL-1、IL-6、IFN-γ、TNF-α浓度,上调HSP70水平。
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关键词 小儿病毒性心肌炎黄 芪细胞因子HSP70    
AbstractObjective: To observe the effect of Astragalus membranaceus on cytokines and HSP70 in children with viral myocarditis (VMC). Methods: 70 children with viral myocarditis clinically confirmed in our hospital from April 2016 to March 2018 were selected as research objects, randomly divided into 38 cases in the research group and 32 cases in the control group. The control group used conventional treatment, observation group in the conventional treatment on the basis of oral huangqi granules. Venous blood of the children was extracted one week later, and the following indicators, il-1, il-6, ifn-gamma, tnf-alpha and HSP70, were detected respectively. Results: 1. Il-1, il-6, ifn-gamma and tnf-alpha of the children in the study group and the control group were significantly decreased after treatment compared with those before treatment (P<0.05), with statistically significant differences. Il-1, il-6, ifn-gamma and tnf-alpha of the children in the study group decreased significantly after treatment compared with that of the control group (P<0.05), with statistically significant differences. 2. HSP70 level of children in the study group and control group increased significantly after treatment compared with that before treatment; The level of HSP70 in the study group was significantly different from that in the control group (P<0.05). Conclusion: Astragalus can reduce the concentration of il-1, il-6, ifn-gamma and tnf-alpha in children with viral myocarditis, and up-regulate the level of HSP70.
Key wordsPediatric viral myocarditis    Astragalus    Cytokine    HSP70
    
基金资助:江苏省自然科学基金项目,(编号:BK20180586)
通讯作者: 安新江   
引用本文:   
牛玲, 安新江, 徐慧, 田静, 傅鸣郁, 王庆文, 李春利, 许永茂. 黄芪对病毒性心肌炎患儿相关细胞因子及HSP70的影响[J]. 河北医学, 2020, 26(1): 154-157.
NIU Ling, AN Xinjiang, XU Hui, et al. Effect of Astragalus Membranaceus on Cytokines and HSP70 in Children with Viral Myocarditis. HeBei Med, 2020, 26(1): 154-157.
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