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目的:观察血液稀释疗法结合调气和血汤治疗高原红细胞增多症的临床疗效。方法:选择我院高原红细胞增多症患者55例,随机分为对照组和观察组,对照组给予单纯西医治疗;观察组在西医治疗的基础上采用血液稀释疗法结合调气和血汤治疗。于治疗前和治疗后3个月检测患者血红蛋白、红细胞压积、红细胞数。结果:两组患者治疗后血红蛋白,红细胞压积,红细胞数都有所下降,与治疗前比较,差异有显著性,P<0.05,观察组与治疗组在治疗后比较差异有显著性,P<0.05。同时观察组的总有效率为82.76%,治疗组总有效率为76.92%,两组比较差异有显著性,P<0.05。结论:在西医治疗基础上采用血液稀释疗法结合调气和血汤治疗高原红细胞增多症疗效确切,值得推广。
Objective: To observe the clinical effect of hemodilution combined with Tiaogan and Xue Tang in the treatment of high altitude polycythemia. Methods: Fifty-five patients with high altitude polycythemia in our hospital were randomly divided into control group and observation group. The control group was treated with Western medicine alone. The observation group was treated by hemodilution combined with qi and Xue Tang on the basis of western medicine treatment. Before treatment and 3 months after treatment, hemoglobin, hematocrit and red blood cell count were measured. Results: The hemoglobin, hematocrit and erythrocyte number decreased after treatment in both groups, with significant difference (P <0.05) before treatment, there was significant difference between the observation group and the treatment group after treatment (P < 0.05. At the same time, the total effective rate of the observation group was 82.76%, and the total effective rate of the treatment group was 76.92%. There was significant difference between the two groups (P <0.05). Conclusion: It is worth to popularize the therapeutic effect of hemodilution combined with Tiaogan and Xue Tang in the treatment of high altitude polycythemia on the basis of Western medical treatment.