清化湿热法治疗难治性特发性血小板减少性紫癜30例  

Clearing Heat and Resolving Dampness in Treatment of Refractory Idiopathic Thrombocytopenic Purpura in 30 Cases

作　　者：郭亚雄[1] 刘晓萍[1] 黄晶[2] 宋晓波[1] 梁漫[3] 

机构地区：[1]陕西中医学院附属医院,陕西咸阳712000 [2]宝鸡市中医医院,陕西宝鸡721001 [3]陕西中医学院第二附属医院,陕西咸阳712000

出　　处：《现代中医药》2013年第6期14-15,共2页Modern Chinese Medicine

基　　金：陕西省教育厅2011年科技计划项目(11JK0700)

摘　　要：目的观察清化湿热法治疗难治性ITP的临床疗效。方法将60例患儿按就诊顺序分为两组,对照组30例按血热妄行,脾不统血,阴虚火旺,气血两虚,气滞血瘀等型,分别选用犀角地黄汤、归脾汤、知柏地黄汤、八珍汤、桃红四物汤加减治疗。治疗组30例,采用加减三仁汤治疗。结果治疗组总有效率80%,对照组总有效率60%,两组疗效比较,差异有统计学意义(P<0.05)。结论清化湿热法治疗难治性ITP效果明显,疗效稳定,复发率低。Objective to observe the clinical efficacy of clearing heat and resolving dampness in the treatment of re- fractory ITP. Methods 60 patients were randomly divided into 2 groups, 30 cases in the control group according to blood heat, spleen failing to control blood, yin deficiency with effulgent fire, syndrome of both qi and blood deficiency, qi stag- nation and blood stasis, they were selected to Xijiao Dihuang Decoction, Guipi Decoction, Zhibai Dihuang Decoction, Ba Zhen Decoction, Taohong Siwu decoction. The treatment group of 30 cases, using modified Sanren decoction in treatment. Results the total effective rate was 80 % in treatment group, the control group was 60 %, compared the efficacy of the two groups, the difference was statistically significant （ P 〈 0.05 ）. Conclusion the treatment of clearing heat and resolving dampness method in the treatment of refractory ITP has significant effect, stable curative effect, and low recurrence rate.

关 键 词：特发性血小板减少性紫癜 三仁汤 清化湿热 

分 类 号：R554.6[医药卫生—血液循环系统疾病]