ZHU Qianze, HU Xiaomei, WANG Hongzhi, et al. Qinghuang Powder Capsule ( 青黄散胶囊) as the Main Method in Treating 150 Cases of Myelodysplastic Syndrome,a Retrospective Analysis[J]. Journal of Traditional Chinese Medicine2018, 59(4): 303-306.
ZHU Qianze, HU Xiaomei, WANG Hongzhi, et al. Qinghuang Powder Capsule ( 青黄散胶囊) as the Main Method in Treating 150 Cases of Myelodysplastic Syndrome,a Retrospective Analysis[J]. Journal of Traditional Chinese Medicine2018, 59(4): 303-306.DOI: 10.13288/j.11-2166/r.2018.04.009.
Qinghuang Powder Capsule ( 青黄散胶囊) as the Main Method in Treating 150 Cases of Myelodysplastic Syndrome,a Retrospective Analysis
Objective To retrospectively analyze clinical curative effect of Qinghuang Powder Capsule as the main method in treating patients with myelodysplastic syndrome. Methods One hundred and fifty cases of myelodysplastic syndrome were collected. All patients have used Qinghuang Powder Capsule for at least 24 months( 0. 3 g daily
taken after dinner)
at the same time combining with orally taking androgen and decoction for tonifying kidney and spleen. Peripheral blood hemoglobin( HGB)
platelet count( PLT)
and neutrophil count( ANC) of patients after being treated for 3
6
9
16
24
30 and 40 months were observed. The case number and time of each index acquiring hematology progress were evaluated. The time it took for each index of patients with different risk factors and bone marrow hyperplasia degree to acquire hematology progress were compared; and the improvement of anemia and erythrocyte infusion condition in the 40 th month of treatment was recorded. Results There were 150 patients who completed the 24-month treatment
of which 136 completing 30-month treatment
and 118 completing 40-month treatment. In 150 cases
the number of patients whose HGB
PLT and ANC before treatment lower than normal was 115
129 and 56 cases respectively. During 40-month treatment
hematology progress rate of patients with abnormal HGB were higher and hematology progress time was shorter than those with abnormal PLT and ANC( P < 0. 05)
while the difference between patients with abnormal PLT and ANC was not statistically significant( P > 0. 05). There was no significant difference in time took for each index improvementbetween patients with different risk to acquire hematological progress( P > 0. 05). The time took for PLT improvement of patients with low proliferative to acquire hematological progress was significantly longer than that of non-hypoproliferative patients( P < 0. 05). Through Person correlation test
the patients with erythrocyte infusion dependence were significantly reduced as treatment time stretched( r =-0. 92
P < 0. 05). Conclusion Qinghuang Powder Capsule as the main method treating myelodysplastic syndrome could obviously improve HGB
PLT
ANC in peripheral blood
and improved HGB more significantly. Its onset time was short and could work for a long time.
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