雷公藤多苷对寻常性银屑病患者血清中白细胞介素-6、17及23水平的影响

被引:21
作者
蓝善辉
叶进
邹娴
王华珍
赵林杰
机构
[1] 慈溪市皮肤病医院皮肤科
关键词
银屑病,寻常性; 雷公藤多苷; IL-6; IL-17; IL-23;
D O I
10.16761/j.cnki.1000-4963.2017.12.017
中图分类号
R758.63 [牛皮癣(银屑病)];
学科分类号
100227 [皮肤病学];
摘要
目的:观察雷公藤多苷治疗寻常性银屑病的疗效,并检测其对患者血清中白细胞介素(IL)-6、IL-17及IL-23水平的影响,探讨雷公藤多苷治疗寻常性银屑病的作用机制。方法:采用酶联免疫吸附试验(ELISA)法检测40例寻常性银屑病患者经雷公藤多苷治疗前后血清中IL-6、IL-17及IL-23水平变化。结果:雷公藤多苷治疗寻常性银屑病8周后银屑病皮损面积及严重度指数(PASI)评分显著下降(P<0.01)。患者血清中IL-6、IL-17及IL-23水平治疗前分别为(184.16±26.19)ng/L、(7.43±2.02)ng/L和(1622.44±254.56)ng/L,治疗后分别为(136.03±16.19)ng/L、(3.07±0.67)ng/L和(824.72±141.54)ng/L,治疗前后比较,差异有统计学意义(P均<0.01),IL-17、IL-23与PASI评分呈正相关。结论:雷公藤多苷治疗寻常性银屑病疗效显著,可能通过调节Th17细胞降低血清中IL-6、IL-17及IL-23的水平发挥作用。
引用
收藏
页码:877 / 879
页数:3
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