[1]王海南,孙艳舫,杨淑莲,等.益气养阴方治疗骨髓抑制期气阴两虚型急性白血病临床研究[J].陕西中医,2022,(4):465-468.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.013]
 WANG Hainan,SUN Yanfang,YANG Shulian,et al.Clinical efficacy and safety of Yiqi Yangyin recipe in the treatment of acute leukemia with Qi and Yin deficiency in the period of myelosuppression[J].,2022,(4):465-468.[doi:DOI:10.3969/j.issn.1000-7369.2022.04.013]
点击复制

益气养阴方治疗骨髓抑制期气阴两虚型急性白血病临床研究

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2022年4期
页码:
465-468
栏目:
临床研究
出版日期:
2022-04-05

文章信息/Info

Title:
Clinical efficacy and safety of Yiqi Yangyin recipe in the treatment of acute leukemia with Qi and Yin deficiency in the period of myelosuppression
作者:
王海南孙艳舫杨淑莲李迎巧吕春颖关旭鸥刘海英王会朋
(廊坊市中医医院血液病科,河北 廊坊 065000)
Author(s):
WANG HainanSUN YanfangYANG ShulianLI YingqiaoLYU ChunyingGUAN XuouLIU HaiyingWANG Huipeng
(Langfang Hospital of Traditional Chinese Medicine,Langfang 065000,China)
关键词:
气阴两虚型急性白血病 益气养阴方 骨髓抑制期 血肌酐 尿素氮 安全性
Keywords:
Acute leukemia with deficiency of both Qi and Yin Yiqi Yangyin recipe Bone marrow suppression period Blood creatinine Blood urea nitrogen Safety
分类号:
R 733.71
DOI:
DOI:10.3969/j.issn.1000-7369.2022.04.013
文献标志码:
A
摘要:
目的:探讨益气养阴方治疗处于骨髓抑制期气阴两虚型急性白血病的临床疗效、安全性。方法:收集300例骨髓抑制期气阴两虚型急性白血病患者,按随机数字表法分为两组,对照组150例予以常规西药治疗,观察组150例通过益气养阴方治疗,比较两组的中医症状评分、疗效、血常规指标、安全性。结果:观察组治疗后面色苍白、乏力气短、腰膝酸软、反复低热症状评分均比对照组低(P<0.05); 观察组的总有效率97.33%比对照组90.67%高(P<0.05); 观察组治疗后白细胞(WBC)、血红蛋白(Hb)及血小板(PLT)计数均高于对照组(P<0.05); 观察组治疗后丙氨酸转氨酶(ALT)、天冬氨酸转氨酶(AST)、血肌酐(Cr)、血尿素氮(BUN)与治疗前及对照组比较,差异均无统计学意义(P>0.05)。结论:益气养阴方治疗处于骨髓抑制期的气阴两虚型急性白血病临床疗效显著,可有效改善患者血常规指标,且对肝肾功能影响小,安全性较好。
Abstract:
Objective:To investigate the clinical efficacy and safety of Yiqi Yangyin recipe in treating acute leukemia with deficiency of both Qi and Yin during myelosuppression stage.Methods:300 cases of acute leukemia patients with Qi and Yin deficiency during myelosuppression were collected,randomly divided into two groups according to the random number table method.150 cases in the control group were treated with conventional western medicine,and 150 cases in the observation group were treated with Yiqi Yangyin recipe.The traditional Chinese medicine symptom scores and efficacy,blood routine indicators,and safety were compared between the two groups.Results:In the observation group,the symptoms of paleness,fatigue,shortness of breath,score waist and knees,and repeated low fever symptoms after treatment were lower than the control group(P<0.05).In the observation group,the total effective rate was 97.33%,which was higher than 90.67% in the control group(P<0.05).In the observation group,the white blood cell(WBC),hemoglobin(Hb)and platelet(PLT)counts after treatment were higher than the control group(P<0.05).In the observation group,the levels of alanine aminotransferase(ALT),aspartate aminotransferase(AST),blood creatinine(Cr),and blood urea nitrogen(BUN)between the control group and after treatment were no significant difference(P>0.05).Conclusion:Yiqi Yangyin recipe has a significant clinical effect in treating acute leukemia with deficiency of both Qi and Yin in myelosuppression stage.It can effectively improve the patient's blood routine indexes,and has little effect on liver and kidney function,and has ideal safety.

参考文献/References:

[1] 白燕妮,于方方,付菊芳.住院急性白血病患者生活质量影响因素分析与对策[J].护士进修杂志,2019,34(5):461-464.
[2] 滕 志,雷 秦.去甲氧柔红霉素联合阿糖胞苷对急性髓系白血病患者生存质量及毒副作用的影响[J].陕西医学杂志,2019,48(4):115-117.
[3] Abdulrahman A,Mohammed E,Abdullah A,et al.Frequency of pathogenic/likely pathogenic germline variants in cancer-related genes among children with acute leukemia in Saudi Arabia[J].Pediatric Blood & Cancer,2020,67(7):28340-28342.
[4] 张 梅,张 岩,田莉萍,等.益肾生血汤防治急性髓系白血病化疗后骨髓抑制临床研究[J].国际中医中药杂志,2021,43(3):237-241.
[5] 张之南.血液病诊断及疗效标准[M].3版.北京:科学出版社,2007:184-205.
[6] 张泽绪,徐 健,孙晶波.重组人粒细胞刺激因子对肿瘤化疗后骨髓抑制作用分析[J].北华大学学报:自然科学版,2019,20(2):201-204.
[7] 朱文峰.中医诊断学[M].北京:中国中医药出版社,2002:8-9.
[8] 国家食品药品监督管理局.中药新药临床研究指导原则[S].北京:中国医药科技出版社,2005:345-347.
[9] 杨玉婷,赵梓亦,辜海英,等.扶正抗癌饮经验方防治成人急性髓系白血病化疗后骨髓抑制的临床研究[J].世界中医药,2019,14(2):430-433.
[10] 王艳芝,谭榜云,李 琳,等.急性白血病患者化疗后骨髓抑制期血浆凝血因子Ⅷ水平及其对出血事件的影响[J].中华血液学杂志,2020,41(1):59-63.
[11] 崔 雪,崔建娇,丛玉珠,等.四种检验方法不同组合对急性髓系白血病和骨髓增生异常综合征的诊断价值研究[J].陕西医学杂志,2021,50(6):738-741.
[12] 许崇艳,马志强,牛占恩.八珍汤对急性白血病化疗后骨髓抑制的疗效观察及部分机制探析[J].世界中医药,2019,14(8):2077-2082.
[13] 祝 龙,詹其林,王飞娟,等.益气养阴方灌胃在白血病大鼠中的作用机制及对白血病抑制因子影响的研究[J].中华中医药学刊,2020,38(5):220-222.
[14] 魏大荣,熊 燕,郑邦本,等.升白方治疗化疗后患者骨髓抑制的疗效观察[J].中国肿瘤临床与康复,2019,26(8):61-64.
[15] Wang N,Desai A,Ge B,et al.Prognostic value of hypoalbuminemia at diagnosis in de novo non-M3 acute myeloid leukemia[J].Leukemia and Lymphoma,2019,61(1):1-9.
[16] 肖晨汐,周召武.银连含漱液联合碳酸氢钠治疗急性髓系白血病化疗后骨髓抑制期口腔真菌感染临床研究[J].国际中医中药杂志,2019,41(11):1197-1200.
[17] 成 娟,朱明霞,马海珍,等.贞芪扶正颗粒联合化疗治疗急性白血病疗效观察[J].西部中医药,2019,32(7):102-105.
[18] 高 飞,王 璐,刘 锋,等.地西他滨联合小剂量HAG方案治疗老年急性髓系白血病疗效研究[J].陕西医学杂志,2018,47(2):231-234.
[19] 朱 玲,钱雅玉.益气养阴法治疗2型糖尿病及对胰岛素抵抗作用机制的研究进展[J].陕西中医,2017,38(9):1313-1314.
[20] 祝 龙,詹其林,王飞娟,等.益气养阴方灌胃在白血病大鼠中的作用机制及对白血病抑制因子影响的研究[J].中华中医药学刊,2020,38(5):220-222.

相似文献/References:

[1]胡天祺,杨梦琪,杨 红,等.益气养阴方对卵巢癌术后患者化疗不良反应及生存质量的影响[J].陕西中医,2021,(4):434.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.007]
 HU Tianqi,YANG Mengqi,YANG Hong,et al.Effect of Yiqi Yangyin recipe on the adverse reaction effects and quality of life in patients with ovarian cancer undergoing chemotherapy[J].,2021,(4):434.[doi:DOI:10.3969/j.issn.1000-7369.2020.04.007]

备注/Memo

备注/Memo:
基金项目:河北省科技计划项目(16277781D); 河北省廊坊市科技计划项目(2016013036)
更新日期/Last Update: 2022-04-08