中药艾灵颗粒对HIV/AIDS患者免疫重建的影响

目的 拟通过对艾滋病感染／艾滋病（HIV／AIDS）患者进行益气活血中药的干预，初步探索益气活血中药艾灵颗粒治疗艾滋病的可能作用机理。方法 21例HIV／AIDS患者采用益气活血中药艾灵颗粒（主要由女贞子、黄芩、黄芪、土鳖虫等组成）治疗，每次20g，每日2次，疗程4个月，记录治疗前后症状、体征积分，以流式细胞技术检测其T细胞亚群（CD3、CD4、CD8）、白细胞介素-2（IL-2），以RT-PCR法测定病毒栽量，并检测安全性指标（ALT、Cr、体重）。结果 治疗后症状、体征积分较治疗前下降，其中乏力、纳呆、自汗、皮疹差异有显著性（P〈0．05），有效率为61．9％；CD4计数和IL-2分别由治疗前的（308．29±150．66）个/μl和（13．19±5．93）ng／L升高为治疗后的（336．50±148．94）个/μl和（15．144-5．14）ng／L（P〈0．05），病毒载量虽有下降，但差异无显著性；安全性指标（ALT、Cr、体重）均保持稳定（P〉0．05）。结论 益气活血中药艾灵颗粒可显著改善艾滋病患者的症状，提高免疫功能，并在一定程度上抑制HIV的复制，或使其处于稳定状态，且未见明显毒副反应。

Effects of Ailing Granule on Immuno-reconstruction in HIV/AIDS Patients

OBJECTIVE: To explore the possible mechanism of Ailing Granule (AG, a Chinese herbal preparation for nourishing Qi and activating blood circulation) in intervening HIV/AIDS. METHODS: Twenty-one HIV/AIDS patients were orally administered with AG (mainly composed of Fructus Ligustri lucidi, Radix Scutellariae, Radix Astragalus and Eupolyphaga et polyphage) by 20g, twice a day for 4 months. Their symptoms and signs were scored, T cell subgroup (CD3, CD4, CD8) and interleukin-2 (IL-2) were detected with flow-cytometry, and viral load determined with RT-PCR, as well as some indexes for safety evaluation, including ALT, Cr and BW were observed before and after treatment. RESULTS: After treatment, the symptom and sign score of patients lowered, among them the scores of fatigue, anorexia, spontaneous sweating and skin rash reduced with difference statistically (P < 0.05); the total effective rate was 61.9%; CD4 count and IL-2 level increased from 308.29 +/- 150.66/microl and 13.19 +/- 5.93 ng/L to 336.50 +/- 148.94/micro1 and 15.14 +/- 5.14 ng/L respectively( P < 0.05); while the viral load lowered but showed no significant difference. All the indexes of safety measured kept unwavering during treatment(P > 0.05). CONCLUSION: AG could significantly alleviate the symptoms of HIV/AIDS patients, improve their immune function, inhibit HIV reproduction to a certain extent or keep it stable. No obvious toxic or adverse reaction was seen.