1. 中国中医科学院广安门医院
2. 中国人民解放军第三〇三医院
3. 首都医科大学
4. 北京中医药大学东直门医院
纸质出版:2015
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[1]褚娜利,张新华,吴志奎,程艳玲,王蕾,王荣新,王文娟,方素萍,柴立民,黄有文,李敏,尹晓林,张冲,刘咏梅,周亚丽,黄洁.益髓生血颗粒治疗β-地中海贫血281例临床研究[J].中医杂志,2015,56(09):759-763.
CHU Nali, ZHANG Xinhua, WU Zhikui, et al. Clinical Research of Yisui Shengxue Keli( 益髓生血颗粒) Treating 281 β-Thalassemia Patients[J]. Journal of Traditional Chinese Medicine2015, 56(9): 759-763.
[1]褚娜利,张新华,吴志奎,程艳玲,王蕾,王荣新,王文娟,方素萍,柴立民,黄有文,李敏,尹晓林,张冲,刘咏梅,周亚丽,黄洁.益髓生血颗粒治疗β-地中海贫血281例临床研究[J].中医杂志,2015,56(09):759-763. DOI: 10.13288/j.11-2166/r.2015.09.010.
CHU Nali, ZHANG Xinhua, WU Zhikui, et al. Clinical Research of Yisui Shengxue Keli( 益髓生血颗粒) Treating 281 β-Thalassemia Patients[J]. Journal of Traditional Chinese Medicine2015, 56(9): 759-763. DOI: 10.13288/j.11-2166/r.2015.09.010.
目的评价益髓生血颗粒治疗β-地中海贫血(简称β-地贫)的临床疗效。方法采用益髓生血颗粒治疗β-地贫患者281例
其中重型β-地贫患者63例[其中重型β-地贫复合血红蛋白E
简称重型(β+E)地贫18例
单纯重型β-地贫45例]
中间型β-地贫218例[其中中间型β-地贫复合血红蛋白E
简称中间型(β+E)地贫患者35例
单纯中间型β-地贫183例]
疗程3个月
比较281例患者治疗前后血红蛋白(Hb)、红细胞(RBC)、网织红细胞(Ret)、胎儿血红蛋白(Hb F)的变化
对其中147例β-地贫患者治疗前后的中医证候(面色萎黄、头晕目眩、心慌心悸、动则气喘、倦怠乏力、食少纳呆)进行量化评分
并观察临床疗效。结果治疗后四种类型的β-地贫患者Hb、RBC、Hb F水平与治疗前比较均明显提高(P<0.01);除重型(β+E)地贫患者Ret水平无明显变化(P>0.05)外
单纯重型β、中间型(β+E)、单纯中间型β-地贫患者的Ret水平与治疗前比较均明显升高(P<0.01)。治疗后中间型β-地贫患者面色萎黄、头晕目眩、心慌心悸、动则气喘、倦怠乏力、食少纳呆的中医证候量化评分与治疗前比较明显降低(P<0.01);重型β-地贫患者倦怠乏力、食少纳呆、心慌心悸、动则气喘的中医证候量化评分与治疗前比较明显降低(P<0.05或P<0.01)。281例β-地贫患者中有效213例
占75.80%;其中45例单纯重型β-地贫中有效34例
占75.56%;18例重型(β+E)中有效16例
占88.89%;183例单纯中间型β-地贫中有效131例
占71.58%;35例中间型(β+E)中有效32例
占91.43%。结论益髓生血颗粒对不同类型的β-地贫均有显著疗效
患者的临床症状改善与血液指标提高相一致。
Objective To evaluate the clinical effect of Yisui Shengxue Keli on patients of β-thalassemia.Methods Yisui Shengxue Keli was adopted to treat 281 β-thalassemia patients
including β-thalassemia major 63 cases( hemoglobin E / β-thalassemia major 18 cases and simple β-thalassemia major 45 cases) and β-thalassemia intermedia 218 cases( hemoglobin E / β-thalassemia intermedia 35 cases and simple β-thalassemia intermedia 183cases). Each patient was treated for 3 months. Hemoglobin( Hb)
red blood cells( RBC)
reticulated corpuscles( Ret) and fetal hemoglobin( Hb F) of 281 patients before and after treatment were compared. Quantify and score traditional Chinese medicine( TCM) syndrome( sallow complexion
dizziness
palpitation
asthma when moving
lassitude
anorexia) of 147 β-thalassemia patients before and after treatment
and observe the clinical effect.Results After treatment
Hb
RBC and Hb F of four types β-thalassemia patients increased evidently( P < 0. 01);Ret of hemoglobin E / β-thalassemia major patients had no obvious change( P > 0. 05); while Ret of simple β-thalassemia major
hemoglobin E / β-thalassemia intermedia and simple β-thalassemia intermedia patients increased evidently( P < 0. 01). Quantization score of TCM symptoms including sallow complexion
dizziness
palpitation
asthma when moving
lassitude and anorexia) of β-thalassemia intermedia patients decreased obviously( P < 0. 01); the palpitation
asthma when moving
lassitude and anorexia scores of β-thalassemia major patients decreased significantly( P <0. 05 or P < 0. 01). Among 281 patients
effective cases were 213
accounting for 75. 80% including 34 effective cases in 45 patients of simple β-thalassemia major
accounting for 75. 56%; 16 effective cases in 18 patients of hemoglobin E / β-thalassemia major
account for 88. 89%; 131 effective cases in 183 patients of β-thalassemia intermedia
accounting for 71. 58%; 32 effective cases in 35 patients of Hemoglobin E / β-thalassemia intermedia
accounting for91. 43%. Conclusion Yisui Shengxue Keli had significant therapeutic effect on different types of β-thalassemia.Improvements of patients’ clinical symptoms consist with the changes of blood indexes.
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