温经通络散治疗肿瘤化疗患者手足综合征临床研究
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R73

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金华市中医药科学技术研究计划项目(2022KY15)


Clinical Study on Wenjing Tongluo Powder for Hand-Foot Syndrome in Cancer Patients with Chemotherapy
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    摘要:

    目的:观察温经通络散治疗肿瘤化疗患者手足综合征的临床效果。方法:选择肿瘤化疗手足综合 征患者100例,采用随机数字表法分为观察组和对照组各50例。对照组入组后予维生素B6口服,观察组在对照 组基础上予外用温经通络散浸泡,治疗14 d。评价2组临床疗效,比较2组视觉模拟评分法(VAS) 评分、中 医证候评分、手足综合征分级及生活质量(QOL) 评分。结果:观察组总有效率为94.00%,高于对照组 78.00%,差异有统计学意义(P<0.05)。治疗后,2组VAS评分较治疗前降低(P<0.05),且观察组VAS评分 低于对照组(P<0.05)。治疗后,2 组红斑、手足麻木、肿胀、干燥脱屑、灼热、瘙痒评分较治疗前降 低(P<0.05),且观察组红斑、手足麻木、肿胀、干燥脱屑、灼热、瘙痒评分明显低于对照组(P<0.05)。治 疗后,2组手足综合症分级情况较治疗前改善(P<0.05),且观察组手足综合症Ⅲ级比例低于对照组(P< 0.05)。治疗后,2 组QOL评分较治疗前升高(P<0.05),且观察组QOL评分高于对照组(P<0.05)。结论: 温经通络散治疗肿瘤化疗患者手足综合征能够改善临床症状,降低其疼痛程度,临床疗效较好,且能在一定程 度上改善患者的生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Wenjing Tongluo Powder on hand-foot syndrome in cancer patients with chemotherapy. Methods: A total of 100 cases of cancer patients with hand-foot syndrome in chemotherapy were selected and divided into the observation group and the control group according to the random number table method,with 50 cases in each group. The control group was treated with vitamin B6 orally,and the observation group was additionally treated with soaking with Wenjing Tongluo Powder based on the treatment of the control group. The treatment lasted for 14 days. Clinical effects were evaluated in the two groups. Visual Analogue Scale (VAS) scores,traditional Chinese medicine syndrome scores, hand-foot syndrome grading, and Quality of Life (QOL) scores were compared between the two groups. Results: The total effective rate was 94.00% in the observation group, higher than that of 78.00% in the control group,the difference being significant (P<0.05). After treatment,VAS scores in the two groups were decreased when compared with those before treatment (P<0.05),and VAS score in the observation group was lower than that in the control group (P<0.05). After treatment, the scores of erythema, numbness in hands and feet, swelling, dryness and peeling, burning sensation, and itching in the two groups were decreased when compared with those before treatment (P<0.05),and the scores of erythema,numbness in hands and feet,swelling,dryness and peeling,burning sensation, and itching in the observation group were significantly lower than those in the control group (P<0.05). After treatment,hand-foot syndrome grading in the two groups was improved when compared with that before treatment (P<0.05), and the Grade Ⅲ proportion of hand-foot syndrome in the observation group was lower than that in the control group (P<0.05). After treatment, QOL scores in the two groups were increased when compared with those before treatment (P<0.05),and QOL score in the observation group was higher than that in the control group (P<0.05). Conclusion:Wenjing Tongluo Powder in the treatment of hand-foot syndrome in cancer patients with chemotherapy can improve their clinical symptoms,reduce pain degree,achieve good clinical effects,and improve their quality of life to some extent.

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吴文通,钱尤,蔡衎,薛碧君,吴超洋.温经通络散治疗肿瘤化疗患者手足综合征临床研究[J].新中医,2024,56(11):152-156

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  • 在线发布日期: 2024-06-17
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