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李晓惠,甘欣锦,季建敏,朱方,张文曦,张永健.中药配合脐血输注治疗再生障碍性贫血的临床观察[J].中国中西医结合杂志,1996,(9):522-524
中药配合脐血输注治疗再生障碍性贫血的临床观察
Clinical Observation on Aplastic Anemia Treated with Chinese Herbal Medicine Combined with Cord Blood Infusion
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DOI:
中文关键词:  再生障碍性贫血  辨证施治  脐血
英文关键词:aplastic anemia  treatment according to Syndrome Differentiation  cord blood
基金项目:
作者单位
李晓惠 南京中医药大学附属医院血液科 
甘欣锦 南京中医药大学附属医院血液科 
季建敏 南京中医药大学附属医院血液科 
朱方 南京中医药大学附属医院血液科 
张文曦 南京中医药大学附属医院血液科 
张永健 南京中医药大学附属医院血液科 
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中文摘要:
      48例再生障碍性贫血(再障)分为两组。治疗组30例采用中药配合脐血输注治疗,对照组18例采用单纯脐血输注治疗。治疗组与对照组总有效率分别为93.3%与72.2%。两组比较有显著性差异(P<0.05)。两组再障患者治疗前后骨髓粒-单系祖细胞(CFU-GM)体外培养结果表明,两组患者治疗后3个月骨髓CFU-GM增高水平接近,治疗后6个月治疗组(18例)骨髓CFU-GM持续稳定上升,而对照组(10例)治疗后6个月与治疗后3个月比较有所下降,提示治疗组骨髓造血的恢复比对照组稳定。中药配合脐血输注是中西医综合治疗再障的有效方法。
英文摘要:
      Forty-eight cases of aplastic anemia (AA) were divided into two groups: the treated group (30 cases) were treated with Chinese herbal medicine and cord blood infusion, the control group (18 cases) were treated with cord blood infusion solely. The total effective rate in the treated group and the control group was 93.3% and 72.2% respectively, the difference between two groups was significant (P<0.05). Cultures of bone marrow granulocyte-macrophage colony forming units (CFU-GM) in vitro were measured also in both groups. Results showed that 3 months after treatment, the elevation of CFU-GM in the two groups were similar to each other, but after 6 months’ treatment, level of CFU-GM in treated group elevated persistently and steadily, while in control group, it decreased slightly as compared with level at 3 months’ treatment, suggesting the recovery of bone marrow hematopoiesis of treated group was more stable than that of control group. This study indicated that combined treatment of Chinese herbal medicine and cord blood infusion is an effective method in treating AA.
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