福建中医药2024,Vol.55Issue(3) :51-55.DOI:10.13260/j.cnki.jfjtcm.2024.03013

加味小蓟饮子联合透明质酸钠治疗宫颈癌放疗后急性放射性膀胱炎疗效观察

Effect of Modified Xiaoji Yinzi Decoction Combined with Sodium Hyaluronate in Treatment of Acute Radiation Cystitis after Radiotherapy for Cervical Cancer

张伟平 陈慧军 黄章铖 许庆辉 郑伟杰 余梓 翁剑飞
福建中医药2024,Vol.55Issue(3) :51-55.DOI:10.13260/j.cnki.jfjtcm.2024.03013

加味小蓟饮子联合透明质酸钠治疗宫颈癌放疗后急性放射性膀胱炎疗效观察

Effect of Modified Xiaoji Yinzi Decoction Combined with Sodium Hyaluronate in Treatment of Acute Radiation Cystitis after Radiotherapy for Cervical Cancer

张伟平 1陈慧军 1黄章铖 1许庆辉 1郑伟杰 1余梓 1翁剑飞1
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作者信息

  • 1. 福建中医药大学附属第二人民医院,福建 福州 350003
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摘要

目的 观察加味小蓟饮子联合透明质酸钠治疗宫颈癌放疗后急性放射性膀胱炎的临床疗效.方法 选取2020年9月—2023年9月就诊于福建中医药大学附属第二人民医院泌尿外科宫颈癌放疗后急性放射性膀胱炎患者60例,按随机数字表法分为对照组和观察组各30例,最终完成54例,对照组完成26例,观察组完成28例.对照组采用单纯透明质酸钠膀胱灌注治疗,每周1次,连续3周为1个疗程;观察组在对照组的基础上加用加味小蓟饮子内服治疗.观察2组临床疗效,比较2组治疗前后尿红细胞数量、中医证候积分、膀胱黏膜充血情况、膀胱区疼痛视觉模拟评分法(VAS)评分和膀胱过度活动症患者自我评价量表(OABSS)评分等指标变化,并通过肝肾功能变化评估安全性.结果 观察组临床总效率89.29%,高于对照组69.23%(P<0.05).与治疗前比较,2组治疗后中医证候积分、尿红细胞数量、膀胱黏膜充血程度、膀胱区疼痛VAS评分、膀胱功能OABSS评分均有改善(P<0.05);观察组在改善中医证候积分、尿红细胞数量、膀胱区疼痛VAS评分、尿失禁评分方面均优于对照组(P<0.05).2组治疗前肝肾功能均处于正常水平,治疗后2组肝肾功能差异无统计学意义(P>0.05).结论 加味小蓟饮子联合透明质酸钠治疗可有效改善宫颈癌放疗后急性放射性膀胱炎患者血尿和膀胱过度活动症状,减轻膀胱区疼痛,且治疗期间肝肾功能未见异常.

Abstract

Objective:To observe the clinical efficacy of Modified Xiaoji Yinzi Decoction combined with sodium hyaluronate in treatment of acute radiation cystitis after radiotherapy for cervical cancer.Methods:A total of 60 patients with acute radiation cystitis after cervical cancer radiotherapy who were admitted to the urology department of the Second Affiliated People's Hospital of Fujian University of Traditional Chinese Medicine from September 2020 to September 2023 were divided into observation group and control group by random number table method,with 30 cases in each group.Finally,54 cases were completed in the study,26 cases in the control group,28 cases in the observation group.The control group was treated with bladder perfusion of sodium hyaluronate once a week for 3 weeks as a course of treatment;the observation group was treated with modified Xiaoji Yinzi Decoction combined with bladder perfusion of sodium hyaluronate,The curative effect between the two groups was compared,the number of urine routine red blood cells,the TCM syndrome scores,the congestion of bladder mucosa,the bladder pain assessment,and the over active blad-der symptom score(OABSS)before and after treatment were observed,and the safety of treatment was evaluated.by liver and renal function.Results:The total clinical efficiency of the observation group was 89.29%,which was higher than that of the control group 69.23%(P<0.05).Compared with those before treatment,the TCM syndrome scores,the number of urine routine red blood cells,the congestion of bladder mucosa,the bladder pain assessment,and the OABSS were significantly improved(P<0.05).The improvement of the TCM syndrome scores,the number of urine routine red blood cells,the bladder pain assessment and the score of urinary incon-tinence in the observation group were better than the control group(P<0.05).No liver and renal function impairment was observed between the two groups before and after treatment(P>0.05).Conclusion:Modified Xiaoji Yinzi Decoction combined with sodium hyaluronate is effective in improving the symptoms of hematuria,overactive bladder and alleviating bladder pain,and there was no liver and renal function impairment in the period of treatment.

关键词

急性放射性膀胱炎/宫颈癌/放疗/血淋/加味小蓟饮子

Key words

acute radiation cystitis/Cerrical Cancer/radiotherapy/blood dripping/modified Xiaoji Yinzi Decoction

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基金项目

福建省卫生健康委卫生健康省级补助专项-财政专项(2023)(C2023001)

出版年

2024
福建中医药
福建省中医药学会 福建中医药大学

福建中医药

影响因子:0.518
ISSN:1000-338X
参考文献量20
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