242例原发免疫性血小板减少症患者中医证型分布特点及中医治疗进展  

The Distribution Characteristics of Traditional Chinese Medicine Syndrome Types and the Progress of Traditional Chinese Medicine Treatment in 242 Patients with Primary Immune Thrombocytopenia

作　　者：范华 杨淑莲 王茂生 孟予诚 FAN Hua;YANG Shulian;WANG Maosheng;MENG Yucheng(Langfang Traditional Chinese Medicine Hospital,Langfang 065000,Hebei,China)

机构地区：[1]廊坊市中医医院,河北廊坊065000

出　　处：《实用中医内科杂志》2023年第9期121-124,共4页Journal of Practical Traditional Chinese Internal Medicine

基　　金：河北省中医药管理局中医药科研计划项目(2016067)。

摘　　要：原发免疫性血小板减少症(primary immune thrombocytopenia, ITP)是血液疾病中最为常见的出血性疾病之一,目前西医多是采用激素类药物治疗,虽然对病情有一定的缓解作用,但效果多是暂时的,且复发率高,副作用明显。因此,建议尽早采用中医辨证疗法,从根源上调理患者的机体免疫,针对疾病发病机制辨证治疗,稳定提升血小板数目,调节机体免疫以达到平衡状态。笔者通过对原发免疫性血小板减少症(ITP)患者的临床症候进行横断面流行病学调查,获得原发免疫性血小板减少症患者的一般情况、症状、体征、舌象、脉象以及部分实验室检查指标,初步建立原发免疫性血小板减少症中医证候信息数据库,按辨病与辨证相结合的方法,分析其中医证候特点及分布规律,从病证结合的角度,为该病的辨证论治研究提供参考数据,以提高本病的中医临床诊治水平。Primary Immune Thrombocytopenia(ITP)is one of the most common hemorrhagic diseases in blood diseases.At present,western medicine is mostly treated with hormone drugs.Although it has a certain relief effect on the condition,the effect is mostly temporary,and the recurrence rate is high,and the side effects are obvious.Therefore,it is suggested to adopt tradi-tional Chinese medicine dialectical therapy as soon as possible to regulate the immune system of patients from the root,treat pa-tients dialectically for the pathogenesis of the disease,steadily increase the number of platelets,and regulate the immune system to achieve a balanced state.We through the primary immune thrombocytopenia(ITP)in patients with clinical symptoms were cross-sectional epidemiological investigation,the general situation of primary immune thrombocytopenia patients,symptoms,signs,tongue and pulse condition and some of the laboratory examination indexes of syndromes was preliminarily established pri-mary immune thrombocytopenia information database.According to the method of combining disease differentiation with syndrome differentiation,the characteristics and distribution of traditional Chinese medicine syndromes were analyzed to provide reference data for the study of syndrome differentiation and treatment of this disease,so as to improve the level of traditional Chinese medi-cine clinical diagnosis and treatment of this disease.

关 键 词：原发免疫性血小板减少症 中医证型 分布规律 

分 类 号：R255.7[医药卫生—中医内科学]