1. 古塞奇尤单抗联合消疕汤对寻常型银屑病的治疗效果 及对血细胞衍生炎症指标影响.
- Author
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张 兰, 郭玉冰, 王 星, 董玉婷, and 王玉珍
- Subjects
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ASPARTATE aminotransferase , *CYSTATIN C , *ALKALINE phosphatase , *KIDNEY physiology , *BLOOD cells - Abstract
Objective: To explore the therapeutic effect of combination of Gusegzumab and Xiaobi Tang on psoriasis vulgaris and its impact on blood cell derived inflammatory markers. Methods: 86 patients with psoriasis vulgaris admitted to our hospital from October 2020 to October 2023 were selected. They were divided into an observation group and a matched group, with 43 patients in each group. The matched group received treatment with Gusegzumab, while the observation group received treatment with Gusegzumab combined with Xiaobi Tang. Compare the clinical efficacy of two groups of patients, including changes in blood cell derived inflammation indicators, changes in Th17/Treg cell levels, and changes in liver and kidney function before and Post-treatment. Results: The total effective rate of the observation group was higher than that of the matched group(P<0.05); Pretherapy, there was no difference in the levels of NLPR, dNLR, AISI, SII, SIRI, MLR, PLR, and NLR between the two groups of patients(P>0.05). Post-treatment, the levels in both groups of patients decreased. The observation group was lower than the matched group(P<0.05); Pretherapy, there was no difference in Treg, Th17, and Th17/Treg between the two groups of patients(P>0.05). Post-treatment, there were differences between the two groups, and between the observation group and the matched group(P<0.05); There was no difference in the expression levels of liver function related indicators such as alkaline phosphatase(ALP), glutamic pyruvic transaminase(ALT), glutamic oxaloacetic transaminase (AST), blood creatinine (Scr), urea nitrogen (BUN), and cystatin C (CysC), as well as renal function related indicators between the two groups of patients Pretherapy(P>0.05), Post-treatment, there was no change in liver function related indicators such as ALP, ALT, and AST in the two groups of patients. The observation group showed a decrease in renal function related indicators such as SCr, BUN, and CysC, and the observation group was lower than the matched group (P<0.05). Conclusion: The combination of Gusegzumab and Xiaobi Tang has a significant therapeutic effect on psoriasis vulgaris, and can reduce the level of blood cell derived inflammatory indicators in the body. The anti-inflammatory response may be related to the combination therapy further regulating the Th17/Treg balance, and increasing Xiaobi Tang treatment does not cause significant damage to the patient's liver function, which can improve the level of renal function. [ABSTRACT FROM AUTHOR]
- Published
- 2024
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