肿节风分散片联合常规化疗对非小细胞肺癌胸腔镜手术患者康复的影响
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R734.2

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Effect of Zhongjiefeng Dispersible Tablets Combined with Routine Chemotherapy on Rehabilitation of Patients Undergoing Thoracoscopic Surgery for Non-Small Cell Lung Cancer
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    摘要:

    目的:观察肿节风分散片联合常规化疗对非小细胞肺癌胸腔镜手术患者的康复效果。方法:选择接受电视辅助胸腔镜手术治疗的非小细胞肺癌(Ⅱa~Ⅱb 期) 患者70 例,按照随机数字表法分为治疗组和对照组各35 例。对照组术后给予长春瑞滨联合顺铂化疗方案治疗;治疗组在对照组化疗的基础上加用肿节风分散片治疗。2 组连续治疗12 周。比较2 组患者生活质量、临床疗效及毒副反应。结果:治疗组总有效率为80.00%,对照组为54.29%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组卡氏(KPS) 评分均较治疗前升高(P<0.05),且治疗组KPS 评分高于对照组(P<s0.05)。治疗组骨髓抑制、胃肠道反应、神经毒性、肝功能异常、肾功能异常的发生率虽较对照组低,但仅胃肠道反应发生率与对照组比较,差异有统计学意义(P<0.05)。结论:肿节风分散片联合常规化疗治疗非小细胞肺癌胸腔镜手术患者,可有效改善其生活质量,提高临床疗效,在一定程度上降低化疗毒副作用。

    Abstract:

    Abstract:Objective:To observe the rehabilitation effect of Zhongjiefeng dispersible tablets combined with routine chemotherapy on patients with non- small cell lung cancer undergoing thoracoscopic surgery. Methods:A total of 70 cases of patients with non-small cell lung cancer(at stageⅡa -Ⅱb) who received video- assisted thoracoscopic surgery were selected and divided into the treatment group and the control group according to the random number table method, with 35 cases in each group. After surgery, the control group was given chemotherapy with Changchun vinorelbine and cisplatin,and the treatment group was additionally treated with Zhongjiefeng dispersible tablets based on the chemotherapy of the control group. Both groups were treated for 12 weeks. The quality of life, clinical effects and toxicity in the two groups were compared. Results:The total effective rate was 80.00% in the treatment group and 54.29% in the control group,the difference being significant(P<0.05). After treatment,Karnofsky Performance Status (KPS) scores in the two groups were increased when compared with those before treatment(P<0.05),and the KPS score in the treatment group was higher than that in the control group(P<0.05). The incidence of myelosuppression, gastrointestinal reactions, neurotoxicity, liver dysfunction and kidney dysfunction in the treatment group was lower than that in the control group, but there was significant difference being found only in the comparison of the incidence of gastrointestinal reactions between the two groups(P< 0.05). Conclusion:The therapy of Zhongjiefeng dispersible tablets combined with routine chemotherapy for patients with non- small cell lung cancer undergoing thoracoscopic surgery can effectively improve their quality of life,enhance the clinical effect,and reduce the toxicity of chemotherapy to a certain extent.

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刘军,陈思洋,曹德根.肿节风分散片联合常规化疗对非小细胞肺癌胸腔镜手术患者康复的影响[J].新中医,2022,54(14):143-146

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  • 在线发布日期: 2022-07-21
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