首页|四仙颗粒治疗化疗后血小板减少的疗效观察

四仙颗粒治疗化疗后血小板减少的疗效观察

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目的:抗肿瘤的化疗药物大多会引起患者骨髓造血功能障碍,往往导致治疗不能按时、按量进行,影响化疗效果。血小板下降是骨髓功能被抑制的表现之一,目前虽然皮下注射"白介素-11"、"TPO"对提升血小板疗效肯定,但因价格昂贵等原因,在临床上受到一定的限制。而采用口服的、价格较为低廉的药物来有效治疗化疗后血小板减少的报道甚少。本研究探讨笔者自拟中药"四仙颗粒"对化疗后血小板减少的治疗效果。方法:2015 年 2 月~2016年12 月共观察 65 例化疗后血小板减少患者。其中治疗组 33 例,除常规对症治疗外,还每天分 3 次服用"四仙颗粒"1 剂,连服 2 周。对照组 32 例,仅行常规对症治疗,观察 2 周。结果:治疗组显效率 21。2%,有效率51。5%,总有效率 73。7%;对照组显效率 12。5%,有效率 37。5%,总有效率 25。0%,两组比较,有显著性差异(P<0。01)。结论:"四仙颗粒"能有效提升化疗后下降的血小板水平。
Efficacy of Sixian Granules in the Treatment of Thrombocytopenia After Chemotherapy
PURPOSE:Most of the anti-tumor chemotherapy drugs can cause hematopoietic dysfunction of bone marrow in patients,which often leads to treatment that cannot be performed on time and according to the amount,which affects the effect of chemotherapy.Thrombocytopenia is one of the manifestations of inhibition of bone marrow function.Although subcutaneous injec-tion of"interleukin-11"and"TPO"is effective in improving platelets,it is clinically limited due to high price.There are few re-ports of effective treatment of thrombocytopenia after chemotherapy with oral,relatively inexpensive drugs.This study explored treatment effect of the author's self-made Chinese medicine"Sixian Granule"on thrombocytopenia after chemotherapy.METH-ODS:A total of 65patients with thrombocytopenia after chemotherapy were observed from February 2015to December 2016.Among them,33patients who whtook 1dose of"Sixian Granules"3times a day for 2weeks in addition to conventional symptomatic treat-ment were in the treatment group.In the control group,32patients were treated with conventional symptomatic treatment for 2weeks.RESULTS:The significant efficiency of the treatment group was 21.2%,the effective rate was 51.5%,and the total ef-fective rate was 73.7%.The significant efficiency of the control group was 12.5%,the effective rate was 37.5%,and the total ef-fective rate was 25.0%.There was significant difference between the two groups(P<0.01).CONCLUSION:"Sixian Granule"can effectively increase the decreased platelet level after chemotherapy.

tumorchemotherapythrombocytopeniatraditional Chinese medicine

汤利萍、向生霞、谢刚、潘燕

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四川省中西医结合医院肿瘤科,四川 成都 610041

四川省第二中医医院,四川 成都 610031

肿瘤 化学疗法 血小板减少 中药

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(7)