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“调肝扶脾法”介入艾曲波帕治疗免疫性血小板减少症减撤促稳验案3则

Three cases of “regulating the liver and strengthening the spleen” intervention with eltrombopag in the treatment of immune thrombocytopenia

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【作者】 刘巧萍苏浩杰李达

【Author】 LIU Qiaoping;SU Haojie;LI Da;The Second Clinical Medical College,Guangzhou University of Chinese Medicine;Department of Hematology,Guangdong Provincial Hospital of Traditional Chinese Medicine;

【通讯作者】 李达;

【机构】 广州中医药大学第二临床医学院广东省中医院血液科

【摘要】 原发性免疫性血小板减少症(ITP)是一种常见的出血性疾病。目前,血小板受体激动剂代表药物——艾曲波帕临床应用日益广泛,尽管在一定程度上改善了ITP患者的预后和生存质量,但药物依赖、耐药、费用昂贵等相关问题逐渐凸显,从而寻求中药治疗以减撤促稳。中医“调肝扶脾法”介入艾曲波帕治疗能够起到协同增效作用,促进病情稳定,值得总结关注。文章分享3则典型病案,以期进一步提升临床疗效。

【Abstract】 Primary immune thrombocytopenia(ITP) is a common hemorrhagic disease. At present,the representative drug of platelet receptor agonist-eltrombopag has become more and more widely used in clinical practice. Although the prognosis and quality of life of ITP patients have been improved to a certain extent,the problems related to drug dependence,drug resistance and economic cost have gradually become prominent,so as to seek traditional Chinese medicine(TCM) to reduce withdrawal and promote stability. “Regulating the liver and strengthening the spleen ”intervention in the syndrome differentiation and treatment of eltrombopag can help increase efficiency and promote the stability of the disease. This phenomenon is worthy of summary and attention. Three typical cases were shared to further improve the clinical efficacy.

【基金】 2017年全国名老中医药专家传承工作室建设项目(国中医药人教函[2018]134号)
  • 【文献出处】 天津中医药大学学报 ,Journal of Tianjin University of Traditional Chinese Medicine , 编辑部邮箱 ,2023年03期
  • 【分类号】R259
  • 【下载频次】21
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