文章摘要

丹参注射联合西咪替丁治疗小儿过敏性紫癜临床效果及对免疫功能的影响

作者: 1翟昌纯, 1覃险峰, 1贺晓燕, 1张显英
1 湖北省赤壁市妇幼保健院儿科,湖北 赤壁 437300
通讯: 翟昌纯 Email: zhaichangchun@126.com
DOI: 10.3978/j.issn.2095-6959.2016.04.022

摘要

目的:探讨丹参注射联合西咪替丁治疗小儿过敏性紫癜临床疗效及安全性。方法:采用随机数字表法将选取的86例过敏性紫癜患儿分为观察组与对照组,每组43例。给予对照组西咪替丁治疗,观察组在给予西咪替丁的基础上外加丹参注射治疗。对两组患儿治疗后临床疗效、不良反应等情况进行比较分析。结果:观察组治疗后总有效率为93.0%,较对照组76.7%明显提高,比较差异有显著统计学意义(P<0.05);治疗后,观察组患儿临床症状(皮疹、关节疼痛、消化道症状、紫癜及腹痛)消失时间均明显低于对照组,差异有显著统计学意义(P<0.05);与治疗前比较,观察组与对照组淋巴细胞CD3+、CD4+、CD9+均明显改善,差异均有统计学意义,但观察组较对照组改善更显著,差异有统计学意义(P<0.05);治疗后观察组不良反应发生率为7.0%,较对照组18.6%明显降低,比较差异有统计学意义(P<0.05);治疗后对患儿进行1年随访,观察组复发率为14.0%,较对照组39.5%明显降低,差异有显著统计学意义(P<0.05)。结论:采用丹参注射联合西咪替丁治疗小儿过敏性紫癜具有较高的临床疗效,能有效改善淋巴细胞功能紊乱状态,且疗效可靠、安全,值得在临床上进一步推广与应用。
关键词: 丹参注射液 西咪替丁 小儿 过敏性紫癜 疗效

Research about the clinical effect of danshen injection combine with cimetidine in the treatment of child’s pediatric allergic purpura and the impact on the immune function

Authors: 1ZHAI Changchun, 1QIN Xianfeng, 1HE Xiaoyan, 1ZHANG Xianying
1 Department of Pediatrics, Chibi Maternal and Child Health Care of Hubei, Chibi Hubei 437300, China

CorrespondingAuthor: ZHAI Changchun Email: zhaichangchun@126.com

DOI: 10.3978/j.issn.2095-6959.2016.04.022

Abstract

Objective: To research the clinical effect of danshen injection combined with cimetidine in the treatment of pediatric allergic purpura and evaluates the safety of it. Methods: Selected 86 cases of children with pediatric allergic purpura who came to our hospital for treatment, and they were randomly divided them into observation group and control group, 43 cases in each group. The patients in the control group were treated with cimetidine, while the patients in the observation group were treated with danshen injection on the basic of control group. Compared and analyzed the clinical effect and adverse reactions of the two groups. Results: The total clinical effect of the observation group was 93.0%, which is obviously higher than the 76.7% in the control group, the difference between two groups is statistically significant (P<0.05); after the treatment, the lost time of clinical symptoms (such as rash, joint pain, gastrointestinal symptoms, purpura, and abdominal pain) of the patients in the observation is significantly lower than that of control group, the difference between them have statistical significance (P<0.05); compared with the data before treatment, the observation group and control group in lymphocytes CD3+, CD4+, CD9+ were significantly improved, the differences were statistically significant, the observation group improved more significantly than the control group (P<0.05); after the treatment, the rate of adverse reactions of the patients in observation group is 7.0%, which is significantly lower than that of 18.6% of the control group (P<0.05); after 1 year of follow-up, the recurrence rate of the observation group is 14.0%, which is obviously lower than that of 39.5% of the control group (P<0.05). Conclusion: Applying the danshen injection combine with cimetidine in the treatment of child’s pediatric allergic purpura have great clinical effect, it can effectively improve the lymphocyte function disorder, which is y safety and worthy of application.

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