加味半夏泻心汤联合FOLFOX 方案治疗结直肠癌临床研究
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R735.34

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Clinical Study on Modified Banxia Xiexin Tang Combined with FOLFOX Scheme for Colorectal Cancer
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    摘要:

    目的:观察加味半夏泻心汤联合FOLFOX(奥沙利铂+亚叶酸钙+氟尿嘧啶) 方案化疗治疗寒热错杂证结直肠癌患者的临床疗效。方法:将78 例寒热错杂证结直肠癌患者,随机分为对照组及试验组各39 例。待住院患者复查相关指标正常后,对照组给予西医常规手段加FOLFOX 方案化疗,试验组在对照组基础上给予加味半夏泻心汤治疗。比较2 组治疗前后中医证候积分、卡氏(KPS) 评分、血清癌胚抗原(CEA)、血清炎性因子干扰素-γ(INF-γ)、白细胞介素-2(IL-2)、白细胞介素-6(IL-6)的水平及治疗后总有效率、不良反应发生率。结果:与同组治疗前比较,治疗后2 组中医证候积分及血清CEA、INF-γ、IL-2、IL-6 水平均降低(P<0.05),KPS 评分升高(P<0.05);与对照组治疗后比较,试验组治疗后中医证候积分及血清CEA、INF-γ、IL-2、IL-6 水平均较低(P<0.05),KPS 评分较高(P<0.05)。治疗后试验组总有效率为94.87%,高于对照组79.49% (P<0.05);治疗后试验组总不良反应发生率为12.82%,低于对照组58.97%(P<0.05)。结论:加味半夏泻心汤联合FOLFOX 化疗方案治疗寒热错杂证结直肠癌患者,可通过下调血清炎性因子INF-γ、IL-2、IL-6 及CEA 水平,改善患者肝肾功能,提高临床疗效且更安全。

    Abstract:

    Abstract: Objective: To observe the clinical effect of modified Banxia Xiexin tang combined with FOLFOX scheme (oxaliplatin, calcium folinate, and fluorouracil) for patients with colorectal cancer with syndrome of cold- heat complex. Methods:A total of 78 cases of patients with colorectal cancer with syndrome of cold-heat complex were randomly divided into the control group and the experiment group,39 cases in each group. After the related indexes of hospitalized patients were normal in the reexamination, the control group was given routine treatments of western medicine and FOLFOX scheme,and the experiment group was additionally treated with modified Banxia Xiexin tang based on the treatment of the control group. Before and after treatment,scores of Chinese medicine syndrome and Karnofsky(KPS),as well as the levels of carcinoembryonic antigen(CEA),inflammatory factor interferon-γ(INF-γ),interleukin-2(IL-2),and interleukin-6(IL-6) in serum were compared between the two groups. After treatment, the total effective rate and the incidence of adverse reactions were compared between the two groups. Results: When compared with those before treatment in the same group,Chinese medicine syndrome scores,as well as levels of CEA,INF- γ,IL- 2 and IL- 6 in serum in the two groups were decreased after treatment(P<0.05), and scores of KPS were increased(P<0.05). After treatment, when compared with those in the control group,Chinese medicine syndrome scores,as well as levels of CEA,INF- γ,IL- 2 and IL- 6 in serum in the experiment group were lower(P<0.05), and score of KPS was higher(P<0.05). After treatment, the total effective rate was 94.87% in the experiment group, higher than that of 79.49% in the control group(P<0.05). After treatment,the total incidence of adverse reactions was 12.82% in the experiment group,lower than that of 58.97% in the control group(P<0.05). Conclusion: In the treatment of patients with colorectal cancer with the syndrome of cold- heat complex,the therapy of modified Banxia Xiexin tang combined with FOLFOX scheme can more safely improve the liver and the kidney function,enhance clinical effect by down-regulating levels of INF-γ,IL-2,IL-6,and CEA in serum.

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赵黎明,刘明胜,舒正方.加味半夏泻心汤联合FOLFOX 方案治疗结直肠癌临床研究[J].新中医,2021,53(14):117-120

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  • 在线发布日期: 2021-07-24
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