ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (6): 583-585.doi: 10.3969/j.issn.1674-3865.2016.06.010

• 临床研究 • 上一篇    下一篇

儿童过敏性紫癜临床疗效分析及随访

翟文生，张秋月   

  1. 450000 郑州，河南中医药大学第一附属医院儿科
  • 出版日期:2016-12-25 发布日期:2018-11-19
  • 通讯作者: 张秋月，E-mail:zhangqiuyue8983@163.com
  • 作者简介:翟文生(1965-)，男，医学博士，主任医师。研究方向：小儿肾脏疾病的诊断与治疗

Clinical efficacy analysis and the follow-up survey of the children with Henoch-Schonlein purpura

ZHAI Wensheng,ZHANG Qiuyue   

  1. Pediatric Department of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine,Zhengzhou 450000，China
  • Online:2016-12-25 Published:2018-11-19

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摘要： 目的：对155例儿童过敏性紫癜的临床疗效及随访结果进行分析，探讨中医药对该病的治疗。
方法：对2013年4月至2014年3月河南中医药大学第一附属医院儿科收治的155例HSP患儿临床数据进行分析。
结果：本组患儿男女比例为1.5∶1，以学龄儿童为主；多发于冬春季节；发病诱因以上呼吸道感染为主。均有典型皮肤紫癜，其中伴关节肌肉肿痛54.2%，伴消化道症状46.5%，伴肾损伤6.5%，伴肾炎13.5%。痊愈136例(87.7%)，显效13例(8.3%)，有效6例(3.9%)，无效0例；随访6个月，复发率7.1%。
结论：中医药治疗小儿过敏性紫癜临床疗效肯定，值得临床推广应用

关键词: 过敏性紫癜, 临床疗效分析, 随访, 儿童

Abstract: Objective:To analyze the clinical effects and the follow-up survey of 155 children with Henoch-Schonlein purpura(HSP),raising awareness of the disease.
Methods:To retrospectively analyze the clinical data of the 155 cases,who were treated from July 2013 to May  2014 and had been followed up for 6 months.
Results：The male to female ratio in 155 cases was 1.5 to 1; HSP occurred more commonly in winter and spring; most of patients were school-age children; upper respiratory tract infection was the most important predisposing factor.The 155 cases all had the typical skin purpura,and about 54.2% of the patients were with the joint symptoms,46.5% with the digestive tract symptoms,6.5% with renal damage, and 13.5% with nephritis. Of the 155 cases,136 cases(87.7%) were cured;13 cases(8.3%) were remarkably improved, and 6 cases(3.9%) were improved; the treatment was effective in all cases. After 6 months of follow-up, the recurrence rate was 7.1%.
Conclusion：The clinical effect of traditional Chinese medicine on HSP is positive,and it is worthy of being popularized and applied in pediatric clinics.

Key words: Henoch-Schonlein purpura(HSP), Clinical efficacy analysis, Follow-up, Children