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目的：探索中西医结合治疗 ＭＤＳ的新途径。方法：将ＭＤＳ—ＲＡＥＢ（ＲＡＥＢ—Ｔ）４８例随机分为中西医结合组 ３８例（ＲＡＥＢ２８例，ＲＡＥＢ—Ｔ１０例）和对照组 １０例（ＲＡＥＢ６例，ＲＡＥＢ—Ｔ４例）。中西医结合组用再障生血片及天赐丸口服，并联合小剂量Ａｒａ—ｃ静滴或肌注。时照组仅单用 Ａｒａ—ｃ治疗。结果：中西医结合组总有效率 ７３．６％，对照组总有效率５０．０％，两组有显著性差异（Ｐ＜０．０５）。结论：再障生血片及天赐丸不仅能增强扶正功能，提高免疫力，而且有提高抑制、杀伤病变白细胞的能力。联合Ａｒａ—ｃ 更能提高疗效，减轻Ａｒａ—ｃ的毒副作用。
Objective: To explore a new way to treat MDS with integrated traditional Chinese and western medicine. Methods: Forty-eight cases of MDS-RAEB (RAEB-T) were randomly divided into two groups: 38 cases of RAEB-T10 (RAEB-T10 cases) and 10 cases of control group (RAEB-T4 cases). Integrative Medicine group with aplastic anemia tablets and Tianci pills oral, combined with low-dose Ara-c intravenous infusion or intramuscular injection. Shizhao group only with Ara-c treatment. Results: The total effective rate of TCM-WM combination group was 73.6%, while that of control group was 50.0%. There was significant difference between the two groups (P <0.05). Conclusion: Aplastic Sputum and Tianci Wan can not only enhance righting and strengthening function, improve immunity, but also improve the ability of inhibiting and killing diseased leukocytes. Combination of Ara-c can improve the efficacy and reduce the toxic side effects of Ara-c.