| 78 | 9 | 25 |
| 下载次数 | 被引频次 | 阅读次数 |
目的:研究N-乙酰半胱氨酸(NAC)对缓解期肺心病的抗氧化和免疫调节作用。方法:38例肺心病缓解期患者予NAC 600 mg.po,qd,共6mo。比较治疗前和治疗后1,3,6mo血清MDA,CD3,CD4,CD8水平,并与健康志愿者(对照组)比较。结果:与对照组比较肺心病缓解期MDA明显升高(P<0.05),而CD4显著降低(P<0.01);经NAC治疗后MDA、CD4分别于1,3mo月恢复正常。结论:NAC能降低肺心病缓解期患者的过氧化物水平,捉高免疫力,有可能减少急性加重的发生。
Abstract:AIM: To study the effect of anti-oxidation and immunity adjustment of N-acetylcysteine (NAC) on patients in remission stage with cor pulmonales. METHODS: Thirty-eight patients in remission stage with cor pulmonales were treated with NAC 600 mg, pa, qd, and the serum MBA, CD3, CD4, CD8 contents between treat group before and after 1, 3, 6 mo after treatment as well as control group was com- pared, to observe frequency of the exacerbation in 6 mo. RESULTS: Serum MDA content was higher (P< 0.05), CD4 content was lower (P<0. 01) in patients in remission stage with cor pulmonales than that in control group; content of MDA and CD4 returned to normal level after 1st, 3rd month with NAC treat- ment. The frequency of the exacerbation was decreased significantly. CONCLUSION: NAC can reduce the lipid peroxide, improve the immunity function and decrease the frequency of the exacerbation in patients with cor pulmonales in remission stage.
[1]陈平.慢性肺原性心脏病患者血浆丙二醛及红细胞超氧化物歧 化酶活性测定.中华结核和呼吸杂志,1999.14(5):271
[2]叶应妩.王毓三.全国临床检验操作规程(第2版).南京:东南 大学出版社,1997:381
[3]齐凤菊,周玫,陈瑗,等.血浆丙二醛含量的测量方珐-改良的 八木国夫法.第一军医大学学报,1986,6(2):152
[4] Rahman I, MacNee W. Oxidative stress and regulation of glu-tathione in lung inflammation. Eur Respir J, 2000, 16(3): 534
[5] Romero FJ, Bosch-Morell F, Romero MJ, et al. Lipid perox-idation products and antioxidants in human disease. EnvironHealth Perspect. 1998. 106 (Suppl 5): 1229
[6] Van Herwaarden CLA, Bast A, Dekhuijzen PNR. The role ofN-acetylcysteine in the treatment of chronic obstructive pul-monary disease. Netherlands J Med, 1995, 47(2): 45
[7] Lissoni P, Barni S, Rovelli F, et al. The biological significanceof soluble IL-2 receptor in solid tumor. Eur J Cancer. 1990, 26(1): 33
[8] Muller F. Svardal AM. Nordoy I. et al. Virological and im-munological effects of antioxidant treatment in patients withHIV infection. Eut J Clin Invest. 2000, 30(10): 905
基本信息:
DOI:10.19577/j.cnki.issn10074406.2001.05.002
中图分类号:R541.5
引用信息:
[1]毕筱刚,李建国,周凤丽,张天托,张扣兴.N-乙酰半胱氨酸对缓解期肺心病的抗氧化和免疫调节作用[J].中国临床药学杂志,2001(05):275-276.DOI:10.19577/j.cnki.issn10074406.2001.05.002.
2001-10-25
2001-10-25