中医辨证施治过敏性紫癜142例回顾性研究

发布时间：2018-06-21 04:34

本文选题：紫癜风 + 辨证施治　；参考：《黑龙江中医药大学》2017年硕士论文

【摘要】：目的:回顾性分析黑龙江中医药大学附属第一医院血液病科142例过敏性紫癜(Henoch-Schonlein purpura,HSP)住院病例,总结HSP中医证型分布情况、西医分型特点,并通过辨证分型论治来探讨中医药治疗HSP的临床疗效。切实为此类病患的临床治疗提供客观依据,为本病的深入研究提供真实有效的参考。方法:通过对我院血液病科2013年1月至2015年12月应用中医辨证施治HSP住院病例进行数据整合。回顾性分析患者各证、各型的数量及中医证候积分,记录疗前与疗后的尿常规变化,并作出分析。结果:1.中医证型:血热风盛型86例,阴虚火旺型38例,气不摄血型16例,湿热蕴结型2例。中医证型总有效率为97.89%。2.西医分型:单纯皮肤型19例,关节型15例,腹型7例,肾型50例,混合型51例。临床总有效率为95.78%。3.治疗前后尿常规变化情况:治疗前尿蛋白(-)56例,尿蛋白(+-)33例,尿蛋白(1 +)31例,尿蛋白(2+)14例,尿蛋白(3+)8例;治疗后尿蛋白(-)102例,尿蛋白(+-)16例,尿蛋白(1 +)13例,尿蛋白(2+)11例,尿蛋白(3+)0例。治疗前隐血(-)66例,隐血(+-)28例,隐血(1 +)26例,隐血(2+)12例,隐血(3+)10例;治疗后隐血(-)105例,隐血(+-)13例,隐血(1 +)11例,隐血(2+)11例,隐血(3 +)2例。4.治疗前后临床证候积分:治疗前为8.58±2.72,治疗后为2.23±1.53。结论:1.中医辨证施治过敏性紫癜疗效肯定,能明显改善患者的临床证候。2.中医辨证施治过敏性紫癜对肾脏损伤有良好的治疗作用。
[Abstract]:Objective: to analyze retrospectively 142 cases of Henoch-Schonlein purpura HSPs in the Department of Hematology, the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine, and to summarize the distribution of TCM syndrome types of HSP and the characteristics of Western medicine classification. The clinical effect of traditional Chinese medicine on HSP was discussed by syndrome differentiation and treatment. To provide the objective basis for the clinical treatment of this kind of patients, and to provide a true and effective reference for the further study of this disease. Methods: from January 2013 to December 2015, the hospitalized cases of HSP were treated with TCM syndrome differentiation. The changes of urine routine before and after treatment were recorded and analyzed retrospectively. The result is 1: 1. TCM syndromes: 86 cases of blood heat and wind type, 38 cases of Yin deficiency and fire flourishing type, 16 cases of qi not taking blood type, 2 cases of damp-heat accumulation type. The total effective rate of TCM syndromes is 97.89. 2. Western medicine classification: simple skin type 19 cases, articular type 15 cases, abdominal type 7 cases, kidney type 50 cases, mixed type 51 cases. The total clinical effective rate was 95.78.3. The changes of urine routine before and after treatment were as follows: before and after treatment, there were 56 cases of urinary proteinuria, 33 cases of urinary protein, 31 cases of proteinuria, 14 cases of proteinuria, 8 cases of proteinuria, 102 cases of urinary protein, 16 cases of urinary protein, 13 cases of urinary protein. There were 11 cases with proteinuria and 3 cases with proteinuria. Before treatment, there were 66 cases of occult blood, 28 cases of occult blood, 26 cases of occult blood, 12 cases of occult blood, 10 cases of occult blood, 105 cases of occult blood, 11 cases of occult blood, 211 cases of occult blood, 2 cases of occult blood. The clinical syndrome score before and after treatment was 8.58 卤2.72 before treatment and 2.23 卤1.53 after treatment. Conclusion 1. TCM syndrome differentiation treatment of allergic purpura is effective, can significantly improve the clinical symptoms of patients. 2. The treatment of Henoch-Schonlein purpura by differentiation of symptoms and signs has a good therapeutic effect on renal injury.
【学位授予单位】：黑龙江中医药大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R259

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