首页|人免疫球蛋白联合泼尼松治疗原发免疫性血小板减少症患者的效果

人免疫球蛋白联合泼尼松治疗原发免疫性血小板减少症患者的效果

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目的:观察人免疫球蛋白联合泼尼松治疗原发免疫性血小板减少症患者的效果.方法:选取 2021 年 1 月至 2023 年 1 月该院收治的 76 例原发免疫性血小板减少症患者进行前瞻性研究,按照随机数字表法分为研究组与对照组各 38 例.对照组采用醋酸泼尼松片治疗,研究组在对照组基础上联合人免疫球蛋白治疗,比较两组临床疗效、炎性指标[血清C反应蛋白(CRP)、降钙素原、白细胞计数(WBC)]水平和不良反应发生率.结果:研究组治疗总有效率为 94.74%,明显高于对照组的 78.95%,差异有统计学意义(P<0.05);治疗2周后,两组CRP、降钙素原和WBC水平低于治疗前,且研究组低于对照组,差异均有统计学意义(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:人免疫球蛋白联合泼尼松治疗原发免疫性血小板减少症患者可提高治疗总有效率,降低炎性指标水平,效果优于单纯泼尼松治疗.
Effects of human immunoglobulin combined with Prednisone in treatment of patients with primary immune thrombocytopenia
Objective:To observe effects of human immunoglobulin combined with Prednisone in treatment of patients with primary immune thrombocytopenia.Methods:A prospective study was conducted on 76 patients with primary immune thrombocytopenia admitted to this hospital from January 2021 to January 2023.According to the random number table method,they were divided into study group and control group,38 cases in each group.The control group was treated with Prednisone acetate tablets,while the study group was treated with human immunoglobulin on the basis of that of the control group.The clinical efficacy,the inflammatory factor[serum C-reactive protein(CRP),serum procalcitonin,white blood cell count(WBC)]levels,and the incidence of adverse reactions were compared between the two groups.Results:The total effective rate of the study group was 94.74%,which was significantly higher than 78.95%of the control group,and the difference was statistically significant(P<0.05).After 2 weeks of treatment,the levels of CRP,procalcitonin and WBC in the two groups were lower than those before the treatment,those in the study group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusions:Human immunoglobulin combined with Prednisone in the treatment of the patients with primary immune thrombocytopenia can improve the total effective rate of treatment and reduce the levels of inflammatory factors.Moreover,it is superior to single Prednisone treatment.

Human immunoglobulinPrednisonePrimary immune thrombocytopeniaInflammationAdverse reaction

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平顶山市第一人民医院药学部急诊药房,河南 平顶山 467000

人免疫球蛋白 泼尼松 原发免疫性血小板减少症 炎性 不良反应

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(10)
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