难治性血小板减少性紫癜中医证型分布规律及相关因素调查

Retrospective Study on Distribution Rules of TCM Syndrome and Correlated Factors of Refractory Idiopathic Thrombocytopenic Purpura

目的探索难治性血小板减少性紫癜(RITP)中医证型分布规律,以及不同证型和性别、年龄、实验室指标的相关性,以期揭示该病中医证候的本质,指导临床实践。方法对75例RITP住院患者临床证型、性别、年龄、实验室指标进行回顾性调查,对所获得的相关数据进行统计学分析。结果气虚血瘀是RITP患者的主要证型,其次为阴虚证型。与其他证型患者相比,气虚血瘀型患者年龄大、病程长、病情严重。结论RITP中医治疗应重点针对气虚血瘀病机,基本治疗原则为益气活血。

Objective To explore the syndrome distribution laws of refractory idiopathic thrombocytoperdc purpura （RITP）, and the relevance between various syndromes and gender, age, laboratory indicators, to reveal the essence of TCM syndrome and provide a reasonable and standard TCM treatment principle. Methods TCM syndrome, gender, age and laboratory indicators of 75 cases of RITP were studied retrospectively and analized statistically. Results Qi deficiency and blood stasis is the major syndrome, and Yin deficiency is the secondary syndrome. Compare with others, the patients with qi deficiency and blood stasis syndrome were older, and had longer disease courses and more severe conditions. Conclusion One of TCM intervention treatment principles for RITP is invigorating qi and yin, promoting blood circulation and removing blood stasis.