Effects of serum isoenzyme and inflammatory factors by large doses of methyl prednisolone shock therapy in the treatment of patients with acute hundred withered grass poisoned
10.3969/j.issn.1005-1678.2016.11.038
- VernacularTitle:大剂量甲基强的松龙冲击疗法对急性百枯草中毒患者血清同工酶及炎症因子水平的影响
- Author:
Shaobo XU
;
Xuelan LIU
- Keywords:
acute hundred withered grass poisone;
methyl prednisolone;
isoenzyme;
inflammatory factors
- From:
Chinese Journal of Biochemical Pharmaceutics
2016;36(11):127-130
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the effects of serum isoenzyme and inflammatory factors by large doses of methyl prednisolone shocktherapy in the treatment of patients with acute hundred withered grass poisoned.Methods 46 cases of patients with acute hundred withered grass poisoned from June 2014 to October 2015 in ningbo medical center lihuili hospital were collected and randomly divided into two groups,23 cases in each group.On the base of the conventional treatment,patients in the control group were treated by blood perfusion therapy,patients in the experiment group were treated with large dose of methyl prednisolone shock therapy on the base of the control group,tested and compared the levels of serum enzyme and inflammatory factors before and after treatment,observed the clinical symptoms,clinical efficacy and adverse reactions.Results Compared with before treatment,the levels of IL-1,IL-10,TNF-αand CRP in two groups were decreased (P<0.05),levels of CK, CK-MB, TGF-β1 and HIF-1αdecreased (P<0.05);Compared with the control group,the levels of IL-1,IL-10, TNF-αand CRP in the experiment group were lower (P<0.05);CK,CK-MB,TGF-β1 and HIF-1αlevels were lower (P<0.05),after treatment from the last row of green time,the plasma PQ clearance time and length of hospital stay were shorter (P<0.05),total effective rate was higher (P<0.05).Conclusion Large doses of methyl prednisolone shock therapy in the treatment of patients with acute hundred withered grass poisone has definite clinical efficacy , can reduce the patients’serum CK,CK-MB,TGF-β1,HIF-1αand inflammatory factors levels, with higher security.
