Objective:To investigate the effects of Astragalus Injection on inflammatory factors, chemokines, renal function and humoral immunity in patients with pulmonary tuberculosis. Methods:80 patients with pulmonary tuberculosis who were treated in the department of respiratory medicine in our hospital from October 2015 to October 2017 were randomly divided into control group and observation group, 40 cases in each group. Patients in the control group were given levofloxacin treatment;and patients in the observation group were given astragalus injection combined with levofloxacin treatment. Before and after treatment, procalcitonin (PCT), interferon-γ (INF-γ), monocyte chemoattractant protein-1 (MCP-1), macrophage inflammatory protein-1α (MIP-1 ), blood urea nitrogen (BUN), serum creatinine (SCr), uric acid (UA) and immunoglobulin (IgA, IgM, IgG) levels were measured and compared between the patients in the two groups.Result: After treatment, the levels of PCT, INF-γ, MCP-1 and MIP-1 in serum of the patients in the two groups were significantly decreased, and the levels of IgA, IgM and IgG were significantly increased. The changes of the PCT, INF-γ, MCP-1, MIP-1 , IgA, IgM and IgG of patients in the observation group were significantly stronger than those in the control group (P<0.05). After treatment, the levels of BUN, SCr and UA in serum of patients in the two groups increased significantly. The serum levels of above indexes of patients in the observation group were significantly lower than those in the control group (P<0.05).Conclusion: Astragalus injection can significantly relieve the inflammatory state of patients with pulmonary tuberculosis, reduce the level of chemokines, enhance the renal function and immune function of patients. It has good clinical efficacy.
Application Form of Medical Research Project Plan of Sichuan.Project No:S16040.
Corresponding author:Xu-Kun Chen,Department of Internal Medicine,Mianyang Orthopaedic Hospital,Mianyang,621000,Sichuan Province,China.