Liu Shan-xi, Jiang Lin, Liu Yi-guo, He Yue-qin, Liang Xin, Kong Wei-wei, Chen Jing
Shanxi YiDa Institute of Hematopathy, Xi'an, 710061, China.
Chin J Integr Med. 2007 Jun;13(2):141-4. doi: 10.1007/s11655-007-0141-6.
To observe the effect of Xueyou Mixture (, XYM) on blood coagulation factors and its safety in treating hemophilia.
To the randomly selected 65 inpatients of hemophilia, XYM was administered accompanied with intravenous dripping of liver cell growth factor 60-100 mg once a day to protect the liver, with no blood products like concentrated VIII and FIX factors or blood plasma given. The treatment lasted for 3 weeks. The short-term efficacy and adverse reactions were observed. The long-term efficacy in patients was observed in a follow-up study of 6-12 months after they were discharged from the hospital but continuously took XYM orally.
The short-term markedly effective rate in the patients was 95.38% (62/65). After they were treated for 3 weeks, the level of FVIII factor activity increased in 56 patients of type A from (3.32+/-2.21) % to (4.18+/-2.23) %, and in 9 of type B from (4.92+/-1.81) % to (5.64+/-1.96) %. Compared with that before treatment, the difference was significant in both of them (P<0.01). No obvious adverse reaction was found in the treatment period. The follow-up study showed that in 22 patients of type A, the FVIII factor activity ratio increased from (3.25+/-2.11) % to (6.31+/-2.16) %, (8.36+/-1.05) %, and (16.38+/-2.71) % in the 2nd, 3rd and 6th month after discharge respectively, all showing significant difference to that before treatment (P<0.01); and in 4 patients of type B, it increased from (4.15+/-2.26) % to 7.8% and 11.6% (mean value) in the 2nd and 6th month respectively.
XYM could raise the activity of factors VIII and IX in patients with hemophilia, and the degree of the rise is related with the duration of the therapy, with no obvious adverse reaction, which strikes out a new path and new train of thinking for the treatment of the disease by nonblood preparation.
观察血友合剂(XYM)对血友病患者凝血因子的影响及其安全性。
随机选取65例血友病住院患者,给予血友合剂,同时每日静脉滴注60 - 100mg肝细胞生长因子保肝,不给予浓缩Ⅷ、Ⅸ因子或血浆等血液制品。治疗持续3周,观察近期疗效及不良反应。出院后继续口服血友合剂,随访6 - 12个月,观察患者远期疗效。
患者近期显效率为95.38%(62/65)。治疗3周后,56例A型患者FVIII因子活性水平由(3.32±2.21)%升至(4.18±2.23)%,9例B型患者由(4.92±1.81)%升至(5.64±1.96)%,两者与治疗前比较差异均有统计学意义(P<0.01)。治疗期间未发现明显不良反应。随访结果显示,22例A型患者出院后第2、3、6个月FVIII因子活性比值分别由(3.25±2.11)%升至(6.31±2.16)%、(8.36±1.05)%、(16.38±2.71)%,均与治疗前比较差异有统计学意义(P<0.01);4例B型患者出院后第2、6个月分别由(4.15±2.26)%升至7.8%和11.6%(均值)。
血友合剂可提高血友病患者Ⅷ、Ⅸ因子活性,且升高程度与疗程有关,无明显不良反应,为非血液制剂治疗该病开辟了新途径和新思路。