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补肾泻肝法治疗慢性再生障碍性贫血的临床研究

Clinical Study on Bushen Xiegan(补肾泻肝)Prescriptions in Treating Chronic Aplastic Anemia

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【作者】 史剑慧黄振翘盛民立程文英薛志忠周永明姚楚芳

【Author】 Shi Jian-hui Huang Zheng-qiao Shen Ming-li Shanghai Institute of Radiation Medicine,Shanghai(200032) Yue Yang Hospital of Shanghai College of TCM.Shanghai

【机构】 上海医科大学放射医学研究所上海中医学院附属岳阳医院血液科上海中医学院附属岳阳医院血液科 (上海200032)研究生导师(上海200032)

【摘要】 本文以补肾泻肝法治疗36例慢性再生障碍性贫血(慢性再障)患者,总有效率达55.6%。其中脾肾阳虚19例,有效率42.1%;脾虚阴亏型17例,有效率70.6%。实验证明补肾泻肝法具有降低患者抑制性 T 细胞数量,增加 T4/T8比值,降低免疫球蛋白 M 和循环免疫复合物水平;减少白细胞介素-2产量等作用。这些结果提示调节患者细胞和体液免疫功能,消除骨髓免疫抑制,恢复造血功能可能是补肾泻肝法治疗慢性再障的重要机理。

【Abstract】 The clinical effects and mechanisms of tonifying the Kidney and purging the Liver-fire(TKPLF)therapy on 36 patients with chronic aplastic anemia(CAA)were analysed.The effective rate of 19 cases in Spleen-Kidney Yang Deficiency type(脾肾阳虚型)and 17 cases in Spleen Yin Deficiency type(脾虚阴亏型)were 42.1% and 70.6% respectively.The total effective rate was 55.6%.After the treatment,the level of IgM and circulatory immune complex(CIC)were greatly lowered(P<0.05.P<0.01).T8 and IL-2 were markedly reduced(P<0. 05,P<0.01).T4/T8 ratio was greatly elevated(P<0.05).The above results suggested that the therapeutical mechanisms of TKPLF therapy in treating the CAA patients might be accelerating the recovery of damaged hemopoietie functions by relieving the immune suppression,regulating the cellular and humoral immune function of patients.

  • 【文献出处】 中国中西医结合杂志 ,Chinese Journal of Integrated Traditional and Western Medicine , 编辑部邮箱 ,1994年S1期
  • 【分类号】R259
  • 【被引频次】2
  • 【下载频次】67
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