中医综合疗法联合化学药物治疗方案干预大肠癌术后患者临床研究
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R735.3+4

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Clinical Study on Therapy of Chinese Medicine Comprehensive Treatment Combined with Chemical Medicine in the Intervention for Postoperative Patients with Colorectal Cancer
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    摘要:

    目的:观察中医综合疗法联合化学药物治疗方案干预大肠癌术后气虚血瘀证患者的临床疗效。方法:将78例大肠癌术后气虚血瘀证患者随机分为观察组和对照组各39例。对照组于术后第4周进行CapeOX化疗方案的治疗及常规护理。观察组在对照组基础上进行中医综合疗法治疗,包括益气化瘀汤内服、隔姜灸及中医情志护理。2组均连续治疗3月。比较2组治疗前后的卡氏(KPS)评分、气虚血瘀证评分和生活质量核心量表(EORTC QLQ-C30)V3.0评分。结果:治疗后,对照组KPS评分较治疗前减少(P<0.05),观察组KPS评分较治疗前增加(P<0.05);治疗2月和3月,观察组的KPS评分均高于对照组(P<0.05)。对照组气虚症状(气短、乏力、神疲和脉弱)评分均较治疗前升高(P<0.05),观察组气虚症状评分与血瘀症状(皮下瘀斑,刺痛、痛处固定和脉络瘀血)评分均较治疗前降低(P<0.05);观察组各症状评分均低于对照组(P<0.05)。对照组恶心呕吐、疲劳、疼痛评分均较治疗前升高(P<0.05),角色、躯体、情绪及社会功能4个功能领域评分均较治疗前下降(P<0.05)。观察组恶心呕吐与角色、躯体、情绪功能评分较治疗前升高(P<0.05),疼痛、社会功能评分均较治疗前降低(P<0.05)。观察组恶心呕吐、疲劳、疼痛评分均低于对照组(P<0.05),角色、躯体、情绪功能评分均高于对照组(P<0.05)。2组社会功能和认识功能评分比较,差异均无统计学意义(P<0.05)。结论:中医综合疗法联合化学药物治疗方案可有效缓解大肠癌术后气虚血瘀证患者的临床症状,提高生活质量,促进患者康复。

    Abstract:

    Objective:To observe the clinical effect of therapy of Chinese medicine comprehensive treatment combined with chemical medicine in the intervention for patients with colorectal cancer with qi deficiency and blood stasis syndrome after operation.Methods:Divided 78 cases of patients with colorectal cancer with qi deficiency and blood stasis syndrome after operation into the observation group and the control group randomly,39 cases in each group.The control group received the chemotherapy regimen of CapeOX and routine nursing measures on the 4thweek after operation,while the observation group additionally received the Chinese medicine comprehensive treatment based on the treatment of the control group,including oral administration of Yiqi Huayu tang,moxibustion on ginger and Chinese medicine nursing on emotions.Both groups continuously received treatment for three months.Compared scores of Karnofsky's performance scoring(KPS),qi deficiency and blood stasis syndrome and EORTC quality of life questionnaires(EORTC QLQ-C30,version 3.0).Results:After treatment,scores of KPS in the control group were decreased when compared with those before treatment(P<0.05),while scores of KPS in the observation group were increased when compared with those before treatment(P<0.05).After control and three months of treatment,scores of KPS in the observation group were higher than those in the control group(P<0.05).Scores of symptoms of qi deficiency as shortness of breath,hypodynamia,spiritlessness and weak pulses in the control group were increased when compared with those before treatment(P<0.05).Scores of symptoms of qi deficiency and blood stasis as subcutaneous ecchymosis,stabbing pain,fixed pain,blood stasis in collateral channels in the observation groupwere decreased when compared with those before treatment(P<0.05).Every scores of symptoms in the observation group were lower than those in the control group(P<0.05).Scores of nausea and vomiting,fatigue and pain in the control group were increased when compared with those before treatment(P<0.05),while scores of the four functional fields as role,body,emotion and social function were decreased when compared with those before treatment(P<0.05).Functional scores of nausea and vomiting,role,body and emotion in the observation group were increased when compared with those before treatment(P<0.05),while scores of pain and social function were decreased when compared with those before treatment(P<0.05).Scores of nausea and vomiting,fatigue and pain in the observation group were lower than those in the control group(P<0.05),while functional scores of role,body and emotion were higher than those in the control group(P<0.05).No significant difference was found in the comparisons of social function and cognitive function between the two groups(P<0.05).Conclusion:The therapy of Chinese medicine comprehensive treatment combined with chemical medicine can improve the clinical symptoms and quality of life of the patients with colorectal cancer with qi deficiency and blood stasis syndrome after operation,and promote the rehabilitation of the patients.

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邹建峰,金纯.中医综合疗法联合化学药物治疗方案干预大肠癌术后患者临床研究[J].新中医,2018,50(5):151-154

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  • 在线发布日期: 2018-05-03
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