再生障碍性贫血中医证候分析  

Analysis on Traditional Chinese Medicine Syndrome of Aplastic Anemia

作　　者：丁晓庆[1] 唐晓波[2] 孙海燕[1] 郭明[1] 郎海燕[1] 刘军霞[1] 李玲[1] 苏伟[1] 

机构地区：[1]北京中医药大学东方医院,北京100078 [2]北京科学技术出版社,北京100035

出　　处：《中华中医药学刊》2013年第3期694-697,共4页Chinese Archives of Traditional Chinese Medicine

摘　　要：目的:对220例再生障碍性贫血患者中医证候进行统计分析,其中重型再障和轻型再障各110例,希望通过分析对比,了解再生障碍性贫血的基本证候,并观察重型再障与轻型再障证候特点的异同,为中医治疗再生障碍性贫血提供理论依据。方法:采用病例回顾性分析方法,对220例再障患者的一般情况(性别、年龄、病程、外周血象)、症状、证候特点及可能与证候相关的因素进行统计分析。结论:①气虚、血虚、肾阳虚、肾阴虚是再生障碍性贫血的基本证候。而气血亏虚比阴阳不足更加突出,尤其是重型再障气血亏虚的临床表现更加严重,中医治疗时一定要重用益气养血药物。②热毒炽盛证候频率重型再障明显高于轻型再障,因此在日常生活中对于重型再障的感染防护要高度重视。Objective：Analysis on traditional Chinese medicine syndrome of 220 cases of patients with aplastic anemia（110 severe aplastic anemia and 110 light aplastic anemia）was made,hoping to explore basic syndromes of the aplastic anemia through the comparative analysis,to observe the similarities syndrome characteristics or differences between severe and light aplastic anemia,and to provide theoretical basis of Chinese medicine treatment for aplastic anemia.Methods：The retrospective analysis on the general conditions（sex,age,course of disease,peripheral blood）,symptoms,syndromes and factors which may be associated with the syndromes in 220 cases of aplastic anemia patients was made.Conclusion：Deficiency of Qi,deficiency of blood,deficiency of kidney-yang and deficiency of kidney-yin are basic syndromes of aplastic anemia.While the deficiency of Qi and blood is more prominent than deficiency of yin and yang,especially in the severe aplastic anemia.Drugs for supplementing Qi and nourishing blood must be reused in treatment of traditional Chinese medicine.The frequency of intense noxious heat syndrome in severe aplastic anemia was higher than that in light aplastic anemia,and in daily life infection protection for SAA should be taken seriously attention.

关 键 词：再生障碍性贫血 中医 证候 

分 类 号：R556.5[医药卫生—血液循环系统疾病]