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血管炎患者抗中性粒细胞胞浆抗体及中药的干预作用
引用本文:李艳,李坤,崔炎.血管炎患者抗中性粒细胞胞浆抗体及中药的干预作用[J].中国中西医结合外科杂志,2011,17(2):171-173.
作者姓名:李艳  李坤  崔炎
作者单位:1. 河南中医学院第一附属医院核医学科,郑州,450000
2. 南京大学医学院附属鼓楼医院血管外科,南京,210008
3. 河南中医学院第一附属医院周围血管科,郑州,450000
摘    要:目的:研究抗中性粒细胞胞浆抗体(ANCA)的检测对血管炎诊断的意义及中药对其影响。方法:间接免疫荧光法检测ANCA相关小血管炎(AASV)组和其他血管炎组ANCA的水平,并对AASV组患者进行通脉祛风汤治疗干预。结果:AASV组的ANCA检测阳性率明显高于其他血管炎组,通脉祛风汤能显著降低AASV疾病的ANCA的阳性率和复发率。结论:ANCA的检测对AASV的诊断具有较高的特异性,中医药对AASV有良好的干预作用。

关 键 词:抗中性粒细胞胞浆抗体  血管炎  通脉祛风汤

Determination of Antineutrophil Cytoplasmic Antibodies and Intervention of Traditional Herbs in Patients with Vasculitis
Li Yan,Li Kun,Cui Yan.Determination of Antineutrophil Cytoplasmic Antibodies and Intervention of Traditional Herbs in Patients with Vasculitis[J].Chinese Journal of Surgery of Integrated Traditional and Western Medicine,2011,17(2):171-173.
Authors:Li Yan  Li Kun  Cui Yan
Institution:Li Yan,Li Kun,Cui Yan.Department of Vascular Surgery,Gulou Hospital Affiliated to Nanjing University Medical School,Nanjing(210008),China
Abstract:Objective To study the clinical significance of antineutrophil cytoplasmic antibodies(ANCA) and the impact of traditional herbs in patients with vasculitis.Methods The serum ANCA of 38 patients with ANCA associated systemic vasculitis(AASV) and that of 22 patients with other vasculitis were detected by indirect immunofluorescence.AASV group was intervented with Tongmai Qufeng(通脉祛风) decoction.Results The positive rate of ANCA in AASV patients was significantly higher than those in other vasculitis group.Tongmai Qufeng decoction could reduce the positive rate of ANCA and recidivation rate of AASV.Conclusion The determination of serum ANCA can be used as a high specific serum maker for diagnosis of vasculitis,and traditional herbal drugs shows a beneficially therapeutic effect on AASV.
Keywords:antineutrophil cytoplasmic antibodies(ANCA)  vasculitis  herbal drugs  Tongmai Qufeng decoction  
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