中国医学装备
中國醫學裝備
중국의학장비
CHINA MEDICAL EQUIPMENT
2014年
9期
28-29,30
,共3页
重度贫血%益气补血膏%中医%血红蛋白
重度貧血%益氣補血膏%中醫%血紅蛋白
중도빈혈%익기보혈고%중의%혈홍단백
Severe anemia%Yiqi Buxue cream%Traditional Chinese Medicine%Hemoglobin
目的：探讨中医对减少红细胞输血作用机制，为重度贫血患者缺血缺氧症状治疗提供理论依据。方法：选择96例重度贫血患者，按照入院顺序号随机分成研究组与对照组，每组48例，研究组采用自拟中药益气补血膏治疗，对照组运用糖铁注射液治疗，比较两组治疗效果。结果：研究组的治疗总有效率为97.9%，对照组的治疗总有效率为87.5%，研究组高于对照组。研究组治疗后血红蛋白(Hb)为(106.43±13.08)g/L，对照组治疗后Hb为(98.69±14.25)g/L，两组比较差异有统计学意义(t=13.26，P＜0.05)。治疗后，研究组红细胞平均体积(MCV)、红细胞平均血红蛋白含量(MCH)及红细胞平均血红蛋白浓度(MCHC)的改善与对照组比较具有显著差异；说明两组在改善红细胞形态方面均效果明显。研究组治疗后血清铁蛋白(SF)与对照组同期比较差异有统计学意义(t=11.28，P＜0.05)。对照组出现10例胃肠道不适，研究组无1例出现不良反应。结论：自拟中药益气补血膏治疗可以明显改善缺铁性贫血血虚证的中医症状，减少红细胞输血次数及数量，临床疗效确切，不良反应少。
目的：探討中醫對減少紅細胞輸血作用機製，為重度貧血患者缺血缺氧癥狀治療提供理論依據。方法：選擇96例重度貧血患者，按照入院順序號隨機分成研究組與對照組，每組48例，研究組採用自擬中藥益氣補血膏治療，對照組運用糖鐵註射液治療，比較兩組治療效果。結果：研究組的治療總有效率為97.9%，對照組的治療總有效率為87.5%，研究組高于對照組。研究組治療後血紅蛋白(Hb)為(106.43±13.08)g/L，對照組治療後Hb為(98.69±14.25)g/L，兩組比較差異有統計學意義(t=13.26，P＜0.05)。治療後，研究組紅細胞平均體積(MCV)、紅細胞平均血紅蛋白含量(MCH)及紅細胞平均血紅蛋白濃度(MCHC)的改善與對照組比較具有顯著差異；說明兩組在改善紅細胞形態方麵均效果明顯。研究組治療後血清鐵蛋白(SF)與對照組同期比較差異有統計學意義(t=11.28，P＜0.05)。對照組齣現10例胃腸道不適，研究組無1例齣現不良反應。結論：自擬中藥益氣補血膏治療可以明顯改善缺鐵性貧血血虛證的中醫癥狀，減少紅細胞輸血次數及數量，臨床療效確切，不良反應少。
목적：탐토중의대감소홍세포수혈작용궤제，위중도빈혈환자결혈결양증상치료제공이론의거。방법：선택96례중도빈혈환자，안조입원순서호수궤분성연구조여대조조，매조48례，연구조채용자의중약익기보혈고치료，대조조운용당철주사액치료，비교량조치료효과。결과：연구조적치료총유효솔위97.9%，대조조적치료총유효솔위87.5%，연구조고우대조조。연구조치료후혈홍단백(Hb)위(106.43±13.08)g/L，대조조치료후Hb위(98.69±14.25)g/L，량조비교차이유통계학의의(t=13.26，P＜0.05)。치료후，연구조홍세포평균체적(MCV)、홍세포평균혈홍단백함량(MCH)급홍세포평균혈홍단백농도(MCHC)적개선여대조조비교구유현저차이；설명량조재개선홍세포형태방면균효과명현。연구조치료후혈청철단백(SF)여대조조동기비교차이유통계학의의(t=11.28，P＜0.05)。대조조출현10례위장도불괄，연구조무1례출현불량반응。결론：자의중약익기보혈고치료가이명현개선결철성빈혈혈허증적중의증상，감소홍세포수혈차수급수량，림상료효학절，불량반응소。
Objective: To explore the Chinese medicine to reduce red blood cell transfusion mechanism, anemia treatment and provide a theoretical basis for patients with severe hypoxic ischemic symptoms. Methods:in our hospital from 2012 May to 2013 May in our hospital were severe anemia in 96 cases, according to the order of admission, were randomly divided into study group(48 cases) and control group(48 cases), study group was treated with Chinese medicine Yiqi Buxue cream treatment, the control group using sugar iron injection treatment, treatment effects were compared between the two groups. Results:the treatment group the total effective rate was 97.9%in treatment group, the total effective rate was 87.5%, and there was significant difference between two groups(P<0.05). Study group Hb after treatment was (106.43±13.08) g/L, the control group after treatment Hb(98.69±14.25)g/L, there was significant difference between two groups(t=13.26, P<0.05). After treatment, study group MCV, MCH, MCHC improvement, compared with the control group with statistical significance;the two groups in the improvement of red blood cell morphology were obvious effect, and the study group was better than control group. Statistical significance of group SF after treatment and the control group at the same time difference(t=11.28, P<0.05). The control group had 10 cases of gastrointestinal discomfort, study group 1 cases of no adverse reaction. Conclusion:TCM symptoms of Chinese medicine Yiqi Buxue cream treatment can significantly improve the syndrome of blood deficiency of iron deficiency anemia, reduce the number and the number of red blood cell transfusion, clinical curative effect, less adverse reaction.
