补肾中药内外合治法治疗慢性再生障碍性贫血的临床观察  

Clinical Observation on Internal-External Treatment of Kidney-tonifying Herbal Medicine for Chronic Aplastic Anemia

作　　者：戴媺[1] 陈志雄[1] 

机构地区：[1]广州市中医医院,广州510130

出　　处：《广州中医药大学学报》2005年第4期269-272,共4页Journal of Guangzhou University of Traditional Chinese Medicine

摘　　要：[目的]观察补肾中药治疗慢性再生障碍性贫血(简称慢性再障)的效果及其对免疫功能的调节作用。[方法]将29例患者随机分为观察组(15例)和西药组(14例),观察组在常规西药治疗基础上采用补肾中药内外合治法(口服活髓片和中药煎剂,外贴活髓膏)治疗,西药组只采用常规西药治疗,两组均以3个月为1个疗程,一般治疗在2个疗程以上。观察两组疗效,治疗前及治疗2个疗程后外周血象和免疫指标的变化。[结果]观察组总有效率为80.0%,西药组总有效率为42.9%,观察组疗效优于西药组(P<0.05)。统计结果显示,治疗后观察组外周血象较西药组上升幅度大(P<0.05);治疗后血清中白细胞介素2(IL-2)、白细胞介素6(IL-6)、白细胞介素2受体(sIL-2R)、肿瘤坏死因子(TNF-α)等免疫指标均有回降(与治疗前比较,P<0.05或P<0.01),其中血清IL-2、sIL-2R含量已达正常组水平(P>0.05)。[结论]以补肾为原则治疗慢性再障患者取得较好的疗效,可能与其调节免疫功能的作用有关。[Objective] To observe the therapeutic effect of kidney-tonifying herbal medicine for chronic aplastic anemia (CAA) and its effect in regulating immune function. [Methods] Twenty-nine cases of CAA were randomized into 2 groups: group A (n = 15) was treated with routine western medicine plus Huosui Tablets and kidney-tonifying decoction for oral use, and Huosui Ointment for external application; group B (n = 14) was treated with routine western medicine only. Three months constituted one treatment course and the two groups were treated for over 2 courses. After treatment, the therapeutic effect was assessed and the changes of peripheral blood counting and immune function indexes were compared with those before treatment. [Results] After treatment, the total effective rate was 80.0% in group A and 42.9% in group B, the difference being significant (P < 0.05) ; peripheral blood counting was obviously increased in group A compared with group B ( P < 0.05); immune function indexes such as serum interleukin-2 (IL-2) , interleukin-6 (IL-6) , serum interleukin-2 receptor (sIL-2R) and tumor necrosis factor a (TNF-α) were decreased in group A as compared with those before treatment (P < 0.05 or P < 0.01) ; of the immune function indexes, IL-2 and sIL-2R level returned to normal, but the difference was insignificant (P >0.05) . [Conclusion] Kidney-tonifying herbal medicine is effective for the treatment of CAA and its therapeutic effect may be related to the regulation of immune function.

关 键 词：贫血 再生障碍性/中药疗法 活髓片/治疗应用 活髓膏/治疗应用 补肾 

分 类 号：R556.5[医药卫生—血液循环系统疾病]