首页|半夏厚朴汤加减联合黛力新治疗痰气郁结型肿瘤相关性抑郁的临床疗效观察

半夏厚朴汤加减联合黛力新治疗痰气郁结型肿瘤相关性抑郁的临床疗效观察

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[目的]探讨半夏厚朴汤加减联合黛力新治疗痰气郁结型肿瘤相关性抑郁(cancer-related depression,CRD)的临床疗效.[方法]将64例痰气郁结型肿瘤相关性抑郁患者随机分为治疗组和对照组,每组各32例.对照组给予黛力新口服治疗,治疗组在对照组的基础上联合半夏厚朴汤加减治疗,疗程为4周.观察2组患者治疗前后Karnofsky功能状态(KPS)评分、抑郁自评量表(SDS)评分和中医证候积分的变化情况,并评价2组患者的KPS评分改善疗效和中医证候疗效.[结果](1)KPS评分改善疗效方面,治疗4周后,治疗组的总有效率为90.63%(29/32),对照组为78.13%(25/32),组间比较,治疗组的KPS评分改善疗效明显优于对照组(P<0.01).(2)中医证候疗效方面,治疗4周后,治疗组的总有效率为87.50%(28/32),对照组为40.63%(13/32),组间比较,治疗组的中医证候疗效明显优于对照组(P<0.05).(3)KPS评分方面,治疗后,治疗组患者的KPS评分较治疗前明显升高(P<0.05),对照组患者的KPS评分较治疗前有升高趋势,但差异无统计学意义(P>0.05);组间比较,治疗组对KPS评分的升高作用明显优于对照组(P<0.05).(4)SDS评分方面,治疗后,2组患者的SDS评分均较治疗前降低(P<0.05),且治疗组对SDS评分的降低作用明显优于对照组(P<0.05).(5)中医证候积分方面,治疗后,2组患者的中医证候积分均较治疗前降低(P<0.05),且治疗组对中医证候积分的降低作用明显优于对照组(P<0.05).[结论]半夏厚朴汤加减联合黛力新治疗痰气郁结型肿瘤相关性抑郁临床疗效显著,可有效改善患者的抑郁情绪和生活质量,其疗效优于单纯黛力新治疗.
Clinical Observation of Modified Banxia Houpu Decoction Plus Deanxit for the Treatment of Cancer-Related Depression of Phlegm Blended with Qi Type
Objective To investigate the clinical efficacy of modified Banxia Houpu Decoction plus Deanxit for the treatment of cancer-related depression(CRD)of phlegm blended with qi type.Methods Sixty-four CRD patients with phlegm blended with qi type were randomly divided into the treatment group and the control group,with 32 patients in each group.The control group was given oral use of Deanxit,and the treatment group was treated with modified Banxia Houpu Decoction plus Deanxit orally.The course of treatment covered 4 weeks.The changes of Karnofsky Performance Status(KPS)scores,self-rating depression scale(SDS)scores,and traditional Chinese medicine(TCM)syndrome scores in the two groups were observed before and after the treatment.Moreover,the efficacy for improving KPS scores and TCM syndrome efficacy in the two groups were also evaluated.Results(1)After 4 weeks of treatment,the total effective rate for improving KPS scores in the treatment group was 90.63%(29/32),and that in the control group was 78.13%(25/32).The intergroup comparison showed that the efficacy for improving KPS scores in the treatment group was significantly superior to that in the control group(P<0.01).(2)In terms of the efficacy of TCM syndromes,after 4 weeks of treatment,the total effective rate for improving TCM syndrome scores in the treatment group was 87.50%(28/32),and that in the control group was 40.63%(13/32),and the efficacy of TCM syndromes in the treatment group was significantly superior to that in the control group(P<0.05).(3)After treatment,the KPS scores in the treatment group were significantly increased compared with those before treatment(P<0.05),and the KPS scores in the control group tended to increase compared with those before treatment,but the difference was not statistically significant(P>0.05).The intergroup comparison showed that the effect on increasing KPS scores in the treatment group was significantly superior to that in the control group(P<0.05).(4)After treatment,the SDS scores in the two groups were lower than those before treatment(P<0.05),and the effect on lowering SDS scores in the treatment group was significantly superior to that in the control group(P<0.05).(5)After treatment,the TCM syndrome scores of the two groups were lower than those before treatment(P<0.05),and the effect on lowering TCM syndrome scores in the treatment group was significantly superior to that in the control group(P<0.05).Conclusion Modified Banxia Houpu Decoction plus Deanxit exerts certain effect for the treatment of CRD of phlegm blended with qi type.The combined therapy can effectively improve the depression mood and quality of life of the patients,and its efficacy is superior to that of Deanxit alone.

Banxia Houpu DecoctionDeanxitcancer-related depression(CRD)phlegm blended with qi typeclinical efficacyquality of life

黄中登、熊继玲、陈高峰、李寿杰

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广州中医药大学,广东广州 510405

广东省第二中医院肿瘤科,广东广州 510095

半夏厚朴汤 黛力新 肿瘤相关性抑郁 痰气郁结型 临床疗效 生活质量

广东省中医药局科研项目

20231032

2024

广州中医药大学学报
广州中医药大学

广州中医药大学学报

CSTPCD
影响因子:1.055
ISSN:1007-3213
年,卷(期):2024.41(1)
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