圣愈汤加味治疗原发免疫性血小板减少症气不摄血证疗效观察-《西部中医药》

文章信息/Info

Title:: Clinical Observation on Modified Shengyu Decoction in the Treatment of Primary Immune Thrombocytopenia of Qi Failing to Control Blood Pattern

作者:: 王永¹, 黄志惠², 孙海清³, 白玉盛²; 1.蒙城县第一人民医院，安徽蒙城 233500
2.新疆医科大学附属中医医院新疆乌鲁木齐 830000
3.蒙城县中医院，安徽蒙城 233500

Keywords:: primary immune thrombocytopenia; failing to control blood; platelet count; decoction

摘要:: 目的观察圣愈汤加味治疗原发免疫性血小板减少症（primary immune thrombocytopenia，ITP）气不摄血证的疗效。方法将66例ITP气不摄血证患者根据随机数字表法分为对照组与治疗组各33例。对照组予常规内科治疗措施，治疗组在对照组基础上予圣愈汤加味治疗，两组均治疗12周。比较两组患者血小板计数、气不摄血证单项症状评分及临床疗效。结果治疗后两组患者血小板计数均升高，且治疗组升高更明显（P＜0.01）；两组患者气不摄血证单项症状评分均降低，且治疗组降低更明显（P＜0.01）；治疗组总有效率［96.97%（32/33）］高于对照组［78.79%（26/33）］（P＜0.05）。结论常规内科治疗联合圣愈汤加味治疗ITP气不摄血证疗效优于常规内科治疗，能升高血小板水平，改善中医证候。

Abstract:: ObjectiveTo observe therapeutic effects of modified Shengyu decoction in the treatment of primary immune thrombocytopenia (ITP) of Qi failing to control blood pattern. MethodsAll 66 patients were allocated to the control group and the treatment group according to random number table method with 33 cases in each group. The control group was treated with conventional therapy of internal medicine, and the treatment group took modified Shengyu decoction on the foundation of the therapy that the control group accepted, and both groups were treated for 12 weeks. To compare platelet count, the scores of single symptom of Qi failing to control blood pattern and clinical effects between both groups. ResultsAfter the treatment, platelet count was increased in the two groups, and the increase of the treatment group was more noticeable (P<0.01); the scores of single symptom of Qi failing to control blood pattern were reduced in the two groups, and the decrease of the treatment group was more evident (P<0.01); total effective rate of the treatment group was [96.97%(32/33)], higher than [78.79%(26/33)] of the control group (P<0.05). ConclusionConventional therapy of internal medicine combined with modified Shengyu decoction is better than only Western medicine in the treatment of ITP of Qi failing to control blood pattern, which could increase the levels of platelet and improve TCM syndromes.