【摘要】 观察中医激光血疗对老年肾虚脑梗塞患者Ｔ细胞亚群和体液免疫的影响。方法：对７５例老年肾虚脑梗塞患者随机分为中医激光血疗组（ＩＬＩＢ）和常规药物组（ＣＭ），治疗前后作血清Ｔ细胞亚群（ＣＤ３、ＣＤ４、ＣＤ８），免疫球蛋白（ＩｇＧ、ＩｇＡ、ＩｇＡ、ＩｇＭ）及补体（Ｃ３、Ｃ４）测定，自身比较，并与正常值相对照。结果：治疗前ＩＬＩＢ组和ＣＭ组与正常值比较，ＣＤ３、ＣＤ４、ＣＤ４／ＣＤ８比值均明显降低（Ｐ＜０．０１）；ＩｇＧ偏肾阳虚者降低，偏肾阴虚者升高（Ｐ＜０．０１），ＩｇＭ升高（Ｐ＜０．０５）；补体Ｃ３降低、Ｃ４升高（Ｐ＜０．０５，Ｐ＜０．０１）。治疗前后自身比较，ＩＬＩＢ组治疗后ＣＤ３、ＣＤ４、ＣＤ４／ＣＤ８比值明显升高（Ｐ＜０．０５，Ｐ＜０．０１），ＩｇＧ偏肾阳虚者升高、偏肾阴虚者降低（Ｐ＜０．０１），Ｃ３升高（Ｐ＜０．０５）、Ｃ４降低但无显著性差异；ＣＭ组治疗后ＣＤ３、ＣＤ４、ＣＤ４／ＣＤ８比值升高但无显著性差异（Ｐ＞０．０５），ＩｇＧ偏肾阳虚者升高，偏肾阴虚者降低（Ｐ＜０．０５），Ｃ３升高、Ｃ４降低但无显著性差异（Ｐ＞０．０５）；ＩｇＡ、ＩｇＭ则两组治疗前后自身比较均无显著性差异。结论：中医激光血疗双向调节老?更多还原

【Abstract】 To observe the effect of intravascular laser irradiation of blood (ILIB) therapy on cellular immunity, change of T-lymphocyte subsets and humoral immunity in senile cerebral infarction patients of Kidney deficiency type. Methods: Seventy-five patients were divided randomly into the ILIB group and the control group treated by conventional medicine (CM). Serum CD3, CD4, CD8, IgG, IgA, IgM, C3 and C4 levels of patients were determined before and after treatment for self-control and comparing between various groups and that of normal control. Results: Before treatment, in patients of both groups, the levels of CD3, CD4, CD4/CD8, C3 were all lower than normal levels significantly, C4 and IgM higher than normal (P<0.05, P<0.01), the level of IgG lowered in patients inclined to Kidney-Yang deficiency and raised in those inclined to Kidney-Yin deficiency (P<0.01). After treatment, in the ILIB group, CD3, CD4 and CD4/CD8 raised significantly (P< 0.05, P<0.01), IgG and C3 varied towards normal control (P<0.01, P<0.05), and C4 lgowered but without significance. In the control group, the indexes changed also toward normal but without significance except the change of IgG (P<0.05). As for IgA and IgM, marked changes were not found in both groups in comparison between before and after treatment. Conclusion: ILIB therapy could bi-directionally regulate cellular and humoral immunity in senile cerebral infarction patients of Kidney deficiency type, which was similar to the function in supplementing Qi and invigorating Kidney of Chinese herbal medicine.更多还原