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目的:观察中药制剂升白和胃饮在环磷酰胺( C T X)治疗系统性红斑狼疮( S L E)时对机体保护作用。方法:升白和胃饮和 C T X 治疗 S L E 30 例(治疗组),单用 C T X 治疗 S L E28 例(对照组),观察全部病例的疗效、治疗前后的肝功能变化、外周血象变化及用药时的胃肠道反应。结果:升白和胃饮加 C T X 治疗组疗效优于单用 C T X 对照组( P< 005),且治疗组肝功能下降不明显,外周血象下降较轻,与对照组比较差异均有显著意义( P< 005),且胃肠反应显著低于对照组。结论: C T X 治疗 S L E 时加用升白和胃饮,能很好地拮抗 C T X 的副作用,并显著地提高了疗效。
OBJECTIVE: To observe the protective effect of traditional Chinese medicine Libai and Heweiyin on cyclophosphamide (C T X) in the treatment of systemic lupus erythematosus (S L E). METHODS: Shengbai Heweiyin and C T X were treated with S L E in 30 patients (treatment group) and C T X alone in 28 patients with S L E (control group). The curative effect, changes in liver function before and after treatment were observed. Peripheral blood changes and gastrointestinal reactions during medication. Results: The efficacy of Shengbaiheweiyin plus C T X treatment group was better than that of C T X control group alone (P < 0. 05), and the liver function of the treatment group was not significantly decreased, and the peripheral blood drop was lighter than that of the control group. The difference was significant (P < 0 05), and the gastrointestinal response was significantly lower than that of the control group. Conclusions: The use of Shengbai Heweiyin in the treatment of S L E with C T X can antagonize the adverse effects of C T X and significantly improve the therapeutic effect.