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艾灸治疗溃疡性结肠炎疗效及对肠上皮细胞HLA-DR抗原的影响
引用本文:吴焕淦,潭卫林.艾灸治疗溃疡性结肠炎疗效及对肠上皮细胞HLA-DR抗原的影响[J].针刺研究,1999,24(1):12-16.
作者姓名:吴焕淦  潭卫林
作者单位:上海市针灸经络研究所!上海200030(吴焕淦,陈汉平,施征,华雪桂 ),上海长征医院!上海200003(潭卫林 )
摘    要:临床研究共收治慢性溃疡性结肠炎 151例,随机分成隔药灸 Ⅰ组(65例)、隔药灸Ⅱ组(56例)和对照组(30例),其中隔药灸 Ⅰ组,近期痊愈率达 53.8%,总有效率为 92.3%;隔药灸 Ⅱ组,近期痊愈50.0%,总有效率为89.3%;对照组,近期痊愈率30.0%,总有效率为66.7%。其作用机理可能是通过抑制和/或消除肠上皮细胞HLA-DR抗原的表达,增加(强)T_8~+细胞数与功能,调整T淋巴细胞亚群间的比例关系而使结肠粘膜病变得以有效地纠正。

关 键 词:溃疡性结肠炎  隔药饼灸  HLA-DR抗原  T细胞亚群

Effect of Moxibustion on Ulcerative Colitis and Expression of HLA-DR Antigen on Epithelial Cell of the Colon
Abstract:151 patients with ulcerative colitis were divided randomly into herbal cake-separated moxibustion group Ⅰ (65 cases), herbal cake-separated moxibustion group Ⅱ (56 cases)and drug group (30 cases)as a control. A good clinical result was obtained. The short-term curative rate was 53. 8 per cent in herbal cake-separated moxibustion group Ⅰ,50. 0 per cent in herbal cake-separated moxibustion group Ⅱ and 30. 0 per cent in drug group. The effective mechanism of treatment may be relevant to depressing or eliminating the antigenic expression of HLA-DR in colonic epithelial cell, increasing the amount of T_8~+ cells, correcting the proportion of the subgroups of T lymphocyte, and resulting in the improvement of the injured intestinal mucosa.
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