紫仙丹联合双嘧达莫治疗小儿过敏性紫癜的疗效及其对尿免疫球蛋白G、β2微球蛋白水平的影响
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国家中医药管理局科技项目(2023ZYLCYJ05-05);


Curative effect of Zixiandan combined with dipyridamole and its influences on levels of urine immunoglobulin G and β2 microglobulin in children with Henoch-Schonlein purpura
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    摘要:

    目的:探讨紫仙丹联合双嘧达莫治疗小儿过敏性紫癜的疗效及其对尿免疫球蛋白G、β2微球蛋白水平的影响。方法:选取80例过敏性紫癜患儿为研究对象,按照治疗方案不同分为对照组和观察组,每组各40例。对照组患者给予常规综合治疗+双嘧达莫治疗;观察组患者在对照组基础上联用紫仙丹治疗,疗程均为7~14 d。比较两组患者临床疗效、中医证候积分、症状恢复时间、肾功能、不良反应发生情况。结果:观察组患者治疗有效率高于对照组(95.00%vs.72.50%,P<0.05)。治疗后,观察组患者中医证候评分均低于对照组(P<0.05);蛋白尿消失时间、紫癜缓解时间、住院时间、关节症状消失时间及腹痛缓解时间短于对照组(P<0.05);尿β2-MG与IgG水平低于对照组(P<0.05)。两组患者不良反应发生率比较,差异无统计学意义(P>0.05)。结论:紫仙丹联合双嘧达莫能改善过敏性紫癜患儿中医症状,降低肾损伤,促进恢复进程,疗效确切。

    Abstract:

    Objective:To explore the curative effect of Zixiandan combined with dipyridamole and its influences on levels of u-rine immunoglobulin G and β2 microglobulin in children with Henoch-Schonlein purpura.Methods:According to different treatment methods,80 children with Henoch-Schonlein purpura were divided into control group(n=40,routine comprehensive treatment+dipy-ridamole)and observation group(n=40,Zixiandan on basis of control group),the course of treatment was 7~14 days.Clinical cura-tive effect,scores of TCM syndromes,recovery time of symptoms,renal function and adverse reactions were compared between the two groups.Results:The effective rate of treatment was higher in observation group than in control group(95.00%vs.72.50%,P<0.05).After treatment,scores of TCM syndromes were lower in observation group than control group(P<0.05),disappearance time of lbuminuria,remission time of purpura,length of hospital stay,disappearance time of joint symptoms and remission time of ab-dominal pain were shorter in observation group(P<0.05),levels of urine β2-MG and IgG were lower in observation group(P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion:Zixiandan combined with dipyridamole can improve TCM symptoms,reduce renal injury and promote recovery process in children with Henoch-Schonlein purpura,which has significant curative effect.

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张莉莉;尚莉丽;崔何晴;.紫仙丹联合双嘧达莫治疗小儿过敏性紫癜的疗效及其对尿免疫球蛋白G、β2微球蛋白水平的影响[J].川北医学院学报,2025,40(5):573-576.

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  • 在线发布日期: 2025-07-09
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