扶阳益肾方辅助治疗卵巢癌临床研究
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R737.71

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Clinical Study on Fuyang Yishen Prescription in Assisted Therapy of Ovarian Cancer
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    摘要:

    目的:观察扶阳益肾方治疗卵巢癌化疗后的临床疗效。方法:将 70 例卵巢癌患者根据入院顺序采用奇偶数字法分为研究组 (35 例) 和对照组 (35 例);对照组采用 TC 化疗方案 (紫杉醇注射液+注射用卡铂) 治疗,研究组在对照组的基础上加用扶阳益肾方治疗。3 个周期为 1 个疗程,1 个疗程后比较 2 组中医证候积分疗效、免疫指标 [T 淋巴细胞亚群 (CD3+、CD4+、CD8+、CD4+/CD8+)] 及肿瘤标志物 [癌胚抗原 (CEA)、糖类抗原 199 (CA-199)、糖类抗原 125 (CA-125)] 水平变化。结 果:研究组中医证候总有效率为 65.71%,对照组为 42.86%,2 组比较,差异有统计学意义 (P<0.05)。治疗后,研究组免疫指标 CD3+、CD4+、CD4+/CD8+均较治疗前及对照组升高 (P<0.05),CD8+较治疗前及对照组降低 (P<0.05);对照组 CD3+、CD4+、CD4+/CD8+均较治疗前降低(P<0.05),CD8+较治疗前升高(P<0.05)。治疗后,2 组 CEA、CA-199、CA-125 水平均较治疗前降低(P<0.05),且研究组各项指标均低于对照组(P<0.05)。结论:扶阳益肾方辅助化疗治疗卵巢癌可显著增强患者免疫力,提高对化疗的耐受性,降低肿瘤标志物水平。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Fuyang Yishen prescription in Chinese medicine for ovarian cancer after chemotherapy. Methods: A total of 70 cases of ovarian cancer patients who received gynecological treatment were investigated. According to the order of admission,the patients were divided into the study group and the control group by applying the odd- even method,35 cases in each group. The control group was treated with TC chemotherapy(paclitaxel injection and carboplatin for injection),and the study group was additionally treated with Fuyang Yishen prescription on the basis of the control group. Three cycles were a course of treatment. After one course of treatment,the changes in Chinese medicine syndrome score for evaluating the curative effect,immune indexes [T lymphocyte subsets(CD3 +,CD4 +,CD8 +, CD4+/CD8+)],and tumor markers [carcinoembryonic antigen(CEA),carbohydrate antigen 199(CA-199),carbohydrate antigen 125(CA-125)] were compared between the two groups. Results:The total effective rate of Chinese medicine syndrome was 65.71% in the study group and 42.86% in the control group,the difference being significant(P<0.05). After treatment,the immune indexes CD3+,CD4+,CD4+/CD8+ in the study group were increased when compared with those before treatment and those in the control group(P<0.05),and CD8+ was decreased when compared with that before treatment and that in the control group(P<0.05);CD3+,CD4+,CD4+/CD8+ in the control group were lower than those before treatment(P<0.05),and CD8+ was increased when compared with that before treatment(P<0.05). After treatment,the levels of CEA,CA-199,and CA-125 in both groups were decreased when compared with those before treatment(P<0.05). and the indexes in the study group were lower than those in the control group(P<0.05). Conclusion:Fuyang Yishen Prescription in the assisted therapy of ovarian cancer can significantly improve the immune function and tolerance to chemotherapy,and reduce the levels of tumor markers.

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茅菲,侯克刚,蒋维洪.扶阳益肾方辅助治疗卵巢癌临床研究[J].新中医,2021,53(1):105-108

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  • 在线发布日期: 2021-01-11
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