文章摘要

阿司匹林联合人免疫球蛋白静脉注射治疗川崎病患儿的效果

作者: 1贺敏
1 青海省心脑血管病专科医院药剂科,西宁 810012
通讯: 贺敏 Email: dppyutgh@163.com
DOI: 10.3978/j.issn.2095-6959.2022.02.019

摘要

目的:分析阿司匹林、人免疫球蛋白联合治疗川崎病患者的临床疗效及对患儿血液指标、免疫功能的影响。方法:回顾性分析青海省心脑血管病专科医院2019年1月至2021年6月收治的104例川崎病患者,按治疗方法分为对照组(n=52)与观察组(n=52)。对照组采用阿司匹林治疗,观察组采用阿司匹林+人免疫球蛋白治疗。观察两组临床疗效,比较血液指标、免疫功能变化。结果:观察组患儿冠状动脉扩张率为3.85%,低于对照组的23.08%,且发热时间短于对照组,差异均有统计学意义(均P<0.05)。两组患儿的血小板上升时间、血小板上升至正常时间、血小板止血时间、住院时间差异均无统计学意义(均P>0.05);观察组患儿的血小板达峰值时间显著短于对照组(P<0.05);观察组患儿治疗后的白细胞计数(white blood cells,WBC)、C反应蛋白(C-reaction protein,CPR)水平均低于对照组,ESR、PLT水平均显著高于对照组(均P<0.05)。治疗前,两组CD3+、CD4+等指标值差异均无统计学意义(均P>0.05);治疗后,观察组上述免疫功能指标值均高于对照组,差异均有统计学意义(均P<0.05)。两组患儿不良反应发生率差异无统计学意义(P>0.05)。结论:阿司匹林联合人免疫球蛋白治疗川崎病疗效确切,能够降低冠状动脉扩张率,改善血液指标及免疫功能,值得临床推广。
关键词: 川崎病;阿司匹林;人免疫球蛋白;C反应蛋白;白细胞计数

Effect of aspirin combined with intravenous human immunoglobulin in the treatment of Kawasaki disease in children

Authors: 1HE Min
1 Department of Pharmacy, Qinghai Provincial Cardiovascular and Cerebrovascular Disease Specialist Hospital, Xining 810012, China

CorrespondingAuthor: HE Min Email: dppyutgh@163.com

DOI: 10.3978/j.issn.2095-6959.2022.02.019

Abstract

Objective: To analyze the effect of aspirin and human immunoglobulin combined therapy for Kawasaki disease.Methods: A retrospective analysis was performed on 104 patients with Kawasaki disease admitted to our hospital from January 2019 to June 2021, who were divided into a control group (n=52) and an observation group (n=52) according to treatment methods. The control group received aspirin treatment, the observation group received aspirin + human immunoglobulin treatment. The clinical efficacy, the blood indicators and immune function changes were observed. Results: The coronary artery dilation rate in the observation group was 3.85%, which was lower than that in the control group (23.08%), and fever time was shorter than that in the control group, and the difference between the 2 groups was statistically significant (P<0.05). There were no significant differences in platelet rise time, platelet rise to normal time, platelet hemostasis time and hospital stay ratio between the 2 groups (P>0.05). The peak time of platelet in observation group was significantly shorter than that in the control group (P<0.05). White blood cells (WBC) and C-reaction protein (CPR) in the observation group were lower than those in the control group after the treatment, and platelet (PLT) and erythrocyte sedimentation rate (ESR) indexes were significantly higher than those in the control group (P<0.05). Before the treatment, there was no significant difference in CD3+, CD4+ and other indexes between the 2 groups (P>0.05). After the treatment, the above immune function indexes in the observation group were higher than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the 2 groups (P>0.05). Conclusion: Aspirin combined with human immunoglobulin in the treatment of Kawasaki disease is effective, which can reduce the coronary artery dilation rate, and improve blood indicators and immune function level.
Keywords: Kawasaki disease; aspirin; immunoglobulin; C-reaction protein; white blood cells

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