补肾生血解毒复方联合环孢素软胶囊治疗再生障碍性贫血临床研究
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R551.3

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Clinical Study on Bushen Shengxue Jiedu Compound Combined with Cyclosporin Soft Capsules for Aplastic Anemia
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    摘要:

    目的:观察补肾生血解毒复方联合环孢素软胶囊治疗再生障碍性贫血(AA) 的临床疗效。方法:选取50 例AA 患者,随机分为观察组和对照组,每组25 例。2 组均给予环孢素软胶囊治疗,观察组在此基础上给予补肾生血解毒复方治疗,30 d 为1 个疗程,2 组均治疗2 个疗程。比较2 组临床疗效及不良反应;比较2 组治疗前后中医证候评分、CD4+ T 细胞亚群水平、血常规和骨髓增生程度。结果:观察组总有效率为96.00%,高于对照组的68.00%(P<0.05)。治疗后,2 组心悸、头晕、周身乏力、盗汗、出血及形寒肢冷评分均较治疗前降低(P<0.05),观察组上述中医证候评分均低于对照组(P<0.05)。治疗后,2 组CD4+CD25+、CD4+CD25+FoxP3+、CD4+IFN-γ+及CD4+Th17 水平均较治疗前升高(P<0.05),观察组CD4+CD25+、CD4+CD25+FoxP3+、CD4+IFN-γ+及CD4+Th17 水平均高于对照组(P<0.05)。治疗后,2 组白细胞计数、红细胞计数、血红蛋白及血小板计数水平均较治疗前升高(P<0.05),观察组红细胞计数、血红蛋白水平均高于对照组(P<0.05);2 组白细胞计数、血小板计数水平比较,差异均无统计学意义(P>0.05)。治疗后,观察组骨髓增生程度优于对照组(P<0.05)。2 组均无严重不良反应发生。结论:补肾生血解毒复方联合环孢素软胶囊治疗AA,可以有效缓解患者的症状,提高其免疫功能,改善血常规指标和骨髓增生程度,且安全性高。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Bushen Shengxue Jiedu Compound combined with cyclosporin soft capsules on aplastic anemia(AA). Methods: A total of 50 cases of AA patients were randomly divided into the observation group and the control group,25 cases in each group. The two groups were treated with cyclosporine soft capsules,and the observation group was additionally treated with Bushen Shengxue Jiedu prescription based on the treatment of the control group. Both groups were treated for two courses, 30 days being a course. Clinical effect and adverse reactions were compared between the two groups. The Chinese medicine syndrome scores,level of CD4+ T cell subsets,blood routine and bone marrow hyperplasia were compared between the two groups before and after treatment. Results:The total effective rate was 96.00% in the observation group,higher than that of 68.00% in the control group(P<0.05). After treatment,the scores of palpitation, dizziness, fatigue, night sweat, bleeding and cold limbs in both groups were decreased when compared with those before treatment(P<0.05);the above scores of Chinese medicine syndrome in the observation group were lower than those in the control group(P<0.05). After treatment,the levels of CD4+CD25+,CD4+CD25+Foxp3+,CD4+ IFN-γ+ and CD4+Th17 were increased in both groups when compared with those before treatment(P<0.05),and the above levels in the observation group were higher than those in the control group(P<0.05). After treatment,the WBC count,RBC count,hemoglobin levels and platelet count in both groups were increased when compared with those before treatment(P< 0.05),and the RBC count and the hemoglobin level in the observation group were higher than those in the control group(P< 0.05); there was no significant difference in WBC count and platelet count between the two groups(P>0.05). After treatment, the degree of bone marrow hyperplasia in the observation group was better than that in the control group(P< 0.05). No serious adverse reactions occurred in both groups. Conclusion:The therapy of Bushen Shengxue Jiedu Compound combined with cyclosporine soft capsules for AA can effectively relieve the symptoms of patients, improve their immune function and blood routine indexes and bone marrow hyperplasia degree,with high safety.

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张畅英.补肾生血解毒复方联合环孢素软胶囊治疗再生障碍性贫血临床研究[J].新中医,2021,53(18):106-110

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  • 在线发布日期: 2021-09-24
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