胃苏颗粒辅助治疗中晚期胃癌化疗患者临床研究
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R735.2

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Clinical Study on Weisu Granules in Adjuvant Treatment of Patients with Advanced Gastric Cancer Undergoing Chemotherapy
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    摘要:

    目的:观察胃苏颗粒治疗中晚期胃癌化疗患者的临床疗效。方法:选择80 例中晚期胃癌患者为研 究对象,根据治疗方法的不同分为观察组与对照组各40 例。对照组给予常规化疗,观察组在对照组基础上给 予胃苏颗粒治疗,连续治疗12 周。比较2 组临床疗效及不良反应,比较2 组治疗前后CD4+、CD8+淋巴细胞比 率,CD4+/CD8+,癌症患者生命质量测定量表(EORTC QLQ-C30) 评分,随访1 年记录2 组死亡率、复发率。 结果:观察组治疗总有效率77.50%,低于对照组47.50% (P<0.05)。治疗后,2 组CD4+、CD4+/CD8+均升 高(P<0.05),CD8+降低(P<0.05),且观察组CD4+、CD4+/CD8+高于对照组(P<0.05),CD8+低于对照 组(P<0.05)。2 组消化道反应、神经毒性、骨髓抑制、肝功能损害等不良反应多为Ⅰ级/Ⅱ级,且2 组比较, 差异无统计学意义(P>0.05)。治疗后,2 组EORTC QLQ-C30 评分均升高(P<0.05),且观察组高于对照 组(P<0.05)。随访1 年,观察组复发率低于对照组(P<0.05);2 组死亡率比较,差异无统计学意义(P> 0.05)。结论:胃苏颗粒辅助治疗中晚期胃癌化疗患者能够提高临床总有效率和生活质量,改善患者免疫功 能,降低复发率,且安全性较好。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Weisu Granules in adjuvant treatment of patients with advanced gastric cancer undergoing chemotherapy. Methods: A total of 80 cases of patients with advanced gastric cancer were selected as the study objects,and were divided into the observation group and the control group according to different treatment methods,with 40 cases in each group. The control group was treated with routine chemotherapy, and the observation group was additionally treated with Weisu Granules based on the treatment of the control group. Both groups were treated for 12 weeks. The clinical effects and adverse reactions were compared between the two groups. Before and after treatment, the lymphocyte ratio of CD4 + and CD8 + , CD4 +/CD8 + , and Quality of Life Questionnaire of European Organization for Research and Treatment (EORTC QLQ- C30) scores were compared between the two groups. The mortality and recurrence rates in the two groups were recorded during 1- year follow- up. Results:The total effective rate was 77.50% in the observation group,lower than that of 47.50% in the control group (P<0.05). After treatment, CD4 + and CD4 +/CD8 + in the two groups were increased (P< 0.05),and CD8+ was decreased (P<0.05);CD4+ and CD4+/CD8+ in the observation group were higher than those in the control group (P<0.05), and CD8 + was lower than that in the control group (P<0.05). The adverse reactions including gastrointestinal reactions,neurotoxicity,myelosuppression,and liver function damage in the two groups were mostly gradeⅠorⅡ,and there was no significant difference between the two groups (P>0.05). After treatment, EORTC QLQ- C30 scores in the two groups were increased (P< 0.05),and the above score in the observation group was higher than that in the control group (P<0.05). The recurrence rate in the observation group was lower than that in the control group (P<0.05). There was no significant difference being found in the comparison of mortality between the two groups (P>0.05). Conclusion: Weisu Granules in adjuvant treatment of patients with advanced gastric cancer undergoing chemotherapy can enhance the total clinical effective rate and quality of life,improve the immune function of patients,and reduce the recurrence rate,with good safety.

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邱雷,危贵君.胃苏颗粒辅助治疗中晚期胃癌化疗患者临床研究[J].新中医,2023,55(17):165-169

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  • 在线发布日期: 2023-09-07
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