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骨髓增生异常综合征去甲基化治疗后血小板减少的中药疗效探讨

贾新颜 杨文忠 沈桢巍 宗明 马建伟 丁媛媛 甘欣锦

中国中西医结合外科杂志2016,Vol.22Issue(3):249-252,4.
中国中西医结合外科杂志2016,Vol.22Issue(3):249-252,4.DOI:10.3969/j.issn.1007-6948.2016.03.011

骨髓增生异常综合征去甲基化治疗后血小板减少的中药疗效探讨

Effect of Traditional Chinese Medicine on Thrombocytopenia after Demethylation of Myelodysplastic Syndrome

贾新颜 1杨文忠 1沈桢巍 1宗明 1马建伟 1丁媛媛 1甘欣锦2

作者信息

  • 1. 上海市东方医院同济大学附属东方医院血液科 上海200120
  • 2. 上海中医药大学附属龙华医院血液科 上海 200320
  • 折叠

摘要

Abstract

Objective To study the effect of traditional Chinese medicine for thrombocytopenia patients af⁃ter the treatment of myelodysplastic Syndrome(MDS) demethylation. Methods Thirty-nine patients diagnosed with thrombocytopenia after the treatment of MDS demethylation were randomly divided into two groups. The con⁃trol group was treated with conventional methods (dicynone, single donor platelets infusion); While the traditional Chinese medicine group was treated basing on conventional methods, traditional Chinese medicine with curative effect of invigorating the kidney and reinforcing spleen and hemostasis. The purpose of the research is to detect the expression and changes of the platelet count, platelet reducing duration, serum level of IL-11, bone marrow mononuclear cells IL-11 receptor alpha gene. Results Compared with control group, after treatment of tradi⁃tional Chinese medicine for 15 days, the platelet count significantly increased to(101.3±16.2)×109/L, the plate⁃let reducing duration decreased to (12.2 ± 2.0) d,the volume of platelet transfusion decreased to 17 u. The ex⁃pression level of serum IL-11 and bone marrow mononuclear cells (IL-11 receptor alpha) gene showed no obvi⁃ous difference between the two groups. Conclusion Posttreatment of MDS demethylation combined with tradi⁃tional Chinese medicine which has invigorating the kidney, reinforcing spleen and hemostasis effect can reduce bleeding symptoms, accelerate the platelet recovery and reduce platelet transfusion.

关键词

骨髓增生异常综合征/去甲基化/中药/血小板减少

Key words

Myelodysplastic Syndrome/demethylation/traditional chinese medicine/thrombocytopenia

分类

医药卫生

引用本文复制引用

贾新颜,杨文忠,沈桢巍,宗明,马建伟,丁媛媛,甘欣锦..骨髓增生异常综合征去甲基化治疗后血小板减少的中药疗效探讨[J].中国中西医结合外科杂志,2016,22(3):249-252,4.

基金项目

浦东新区社发局资助项目(PW2013A-1) (PW2013A-1)

中国中西医结合外科杂志

OACSTPCD

1007-6948

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