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目的:观察中西医结合疗法对特发性血小板减少性紫癜(ITP)患者的临床疗效。方法:将60例患者随机分为治疗组和对照组各30例,对照组根据病情轻重给予糖皮质激素静点或口服,并配合对症支持疗法。治疗组在对照组治疗方法的基础上加用中药犀角地黄汤加减,3个月为1个疗程,2个疗程结束后观察疗效。结果:两组患者总体疗效的比较,治疗组总有效率100%,对照组总有效率86.67%。差异显著(P<0.05),两组患远期疗效者比较,治疗组总有效率90.0%,对照组总有效率86.67%。差异显著(P<0.05)。结论:采用中医辨证口服汤药配合西医治疗特发性血小板减少性紫癜,毒副作用小,且远期疗效优越,值得推广使用。
Objective: To observe the clinical efficacy of integrated traditional Chinese and western medicine on patients with idiopathic thrombocytopenic purpura (ITP). Methods: Sixty patients were randomly divided into treatment group and control group, 30 cases in each group. Patients in control group were given glucocorticoid intravenously or orally according to the severity of the disease and with symptomatic supportive therapy. Treatment group in the control group based on the treatment of traditional Chinese medicine plus rhino decoction decoction, 3 months for a course of treatment, two courses after the end of treatment. Results: The overall efficacy of two groups of patients, the total effective rate was 100% in the treatment group, the control group, the total effective rate 86.67%. (P <0.05). The long-term efficacy of the two groups were compared, the total effective rate was 90.0% in the treatment group, the total effective rate was 86.67% in the control group. The difference was significant (P <0.05). Conclusion: The Chinese medicine dialectical oral medicine combined with Western medicine treatment of idiopathic thrombocytopenic purpura, small side effects, and long-term curative effect, it is worth promoting the use of.