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消银汤对血热型银屑病患者疗效及外周血T-bet/GATA3平衡的影响
引用本文:汪五清,王峰,高志祥,卜晓琳,顾军.消银汤对血热型银屑病患者疗效及外周血T-bet/GATA3平衡的影响[J].中国中西医结合皮肤性病学杂志,2012,11(2):74-77.
作者姓名:汪五清  王峰  高志祥  卜晓琳  顾军
作者单位:1. 复旦大学附属华山医院南汇分院皮肤科 上海201300
2. 第二军医大学附属长海医院皮肤科 上海200433
基金项目:上海市卫生局科研基金资助课题(项目编号2008182);上海市卫生局中医药科研基金资助课题(项目编号2010L090A);上海市自然科学基金资助课题(项目编号11ZR1433100)
摘    要:目的从消银汤对血热型银屑病患者疗效及血清中T-bet/GATA3平衡影响,探讨消银汤治疗银屑病的作用机制。方法观察30例寻常性银屑病患者治疗前后银屑病面积和严重程度指数(PASI)评分、中医辨证评分的变化及外周血中T-bet、GATA3及T-bet/GATA3水平变化,并对其与皮损严重度作相关分析。结果银屑病患者外周血T-bet及T-bet/GATA3分别为0.14±0.07、5.55±0.97,明显高于健康对照者(P0.05);银屑病患者外周血GATA3为0.15±0.06,明显低于健康对照者(P0.05)。经药物治疗后T-bet、T-bet/GATA3较治疗前明显下降(P0.05),而GATA3水平治疗后与治疗前改变不明显。T-bet/GATA3与银屑病皮损严重程度呈正相关。结论消银汤对血热型银屑病患者疗效满意,可显著降低患者血清T-bet、T-bet/GATA3水平。

关 键 词:消银汤  银屑病  T-bet/GATA3

Clinical Effects of Xiaoyin Tang in Treating Psoriasis of Blood-heat Type and Its Impact on T-bet/GATA3
WANG Wuqing , WANG Feng , GAO Zhixiang , BU Xiaolin , GU Jun.Clinical Effects of Xiaoyin Tang in Treating Psoriasis of Blood-heat Type and Its Impact on T-bet/GATA3[J].Chinese J of Dermatovenerology Integr Tradit and West Med,2012,11(2):74-77.
Authors:WANG Wuqing  WANG Feng  GAO Zhixiang  BU Xiaolin  GU Jun
Institution:1.Huashan Nanhui Hospital Affiliated to Fudan University,Shanghai 201300,China;2.First Affiliated Hospital of the Second Military Medical University,Shanghai 200433,China
Abstract:Objective To explore the clinical effects of Xiaoyin Tang in treating psoriasis of blood-heat type and its impact on T-bet/GATA3.Methods The difference in PASI indexes,scores of syndrome differentiation,the T-bet/GATA3 ratio in serum in 30 patients with psoriasis of the blood-heat type was observed before and after treatment.Results There was significant difference in the T-bet/GATA3 ratio,in serum before and after treatment(P<0.05).PASI indexes and the T-bet/GATA3 ratio in patients with psoriasis were positively correlated(P<0.05).Conclusion Xiaoyin Tang is effective in treating psoriasis of blood-heat type,partly by decreasing the level of T-bet in serum and regulating the ratio of T-bet/GATA3.
Keywords:Xiaoyin Tang  psoriasis  T-bet/GATA3
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