首页|滋肾润肺方辅助化疗治疗中晚期肺癌气阴两虚证患者的临床疗效

滋肾润肺方辅助化疗治疗中晚期肺癌气阴两虚证患者的临床疗效

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[目的]探讨滋肾润肺方联合化疗治疗中晚期肺癌气阴两虚证患者的疗效.[方法]两院收治的80例中晚期肺癌气阴两虚证患者,随机分为化疗组与联合组,每组40例.化疗组采用常规肺癌化疗方案,联合组在此基础上同时给予滋肾润肺方口服.比较两组患者的疗效、疾病进展时间(TTP)、1年存活率、1年无进展生存(PFS)率,治疗前后中医症状积分、卡氏评分(KPS)改善情况,骨髓抑制发生情况.[结果]联合组治疗总有效率(RR)为 37.5%(15/40)、疾病控制率(DCR)为 82.5%(33/40),化疗组 RR 为 27.5%(11/40)、DCR为70.0%(28/40),两组比较差异均无统计学意义(P>0.05).化疗组TTP为6.5(4.2~8.4)个月,1年存活率为 30.0%(12/40),1 年 PFS 率为 85.0%(34/40);联合组 TTP 为 7.2(5.5~9.3)个月,1 年存活率 35.0%(14/40),1年PFS率为87.5%(35/40),两组比较差异均无统计学意义(P>0.05).与治疗前比较,两组治疗后中医症状积分均明显降低,且观察组各项指标下降更显著(P<0.05).治疗后,联合组KPS评分稳定率为90.00%(36/40),明显高于化疗组的70.00%(28/40)(P<0.05).联合组骨髓抑制的总发生率为17.5%(7/40),低于化疗组的42.5%(17/40)(P<0.05).[结论]滋肾润肺方联合化疗可有效改善患者的生活质量,且能降低骨髓抑制的发生率.
The Effect of Zishen Runfeifang in Combined with Chemotherapy on Clinical Efficacy with Ad-vanced Lung Cancer Exhibiting Both Qi and Yin Deficiencies
[Objective]To explore the efficacy of Zishen Runfeifang in combined with chemotherapy in pa-tients with advanced lung cancer exhibiting both Qi and Yin deficiencies.[Methods]Eighty patients with ad-vanced lung cancer exhibiting both Qi and Yin deficiencies,who received treatment in our two hospitals,were randomly divided into a chemotherapy group and a combination group,with 40 patients in each group.The chemotherapy group received conventional lung cancer chemotherapy,while the combination group received Zishen Runfeifang orally in addition to the chemotherapy.The efficacy,time to disease progression(TTP),1-year survival rate,1-year progression-free survival(PFS)rate,improvements in Traditional Chinese Medicine symptom scores,and Karnofsky Performance Scale(KPS)scores before and after treatment,as well as the occurrence of bone marrow suppression,were compared between the two groups.[Results]The total effective rate(RR)in the combination group was 37.5%(15/40)and the disease control rate(DCR)was 82.5%(33/40),whereas the chemotherapy group had an RR of 27.5%(11/40)and a DCR of 70.0%(28/40).The differ-ences between the groups were not statistically significant(P>0.05).The TTP in the chemotherapy group was 6.5(4.2-8.4)months,with a 1-year survival rate of 30.0%(12/40),and a 1-year PFS rate of 85.0%(34/40);the combination group had a TTP of 7.2(5.5-9.3)months,a 1-year survival rate of 35.0%(14/40),and a 1-year PFS rate of 87.5%(35/40).The differences between the two groups were not statistically significant(P>0.05).Compared to before treatment,both groups showed a significant reduction in Tradi-tional Chinese Medicine symptom scores after treatment,with more significant reductions in the combination group(P<0.05).After treatment,the stability rate of KPS scores in the combination group was 90.00%(36/40),significantly higher than the 70.00%(28/40)in the chemotherapy group(P<0.05).The total occur-rence rate of bone marrow suppression in the combination group was 17.5%(7/40),lower than 42.5%(17/40)in the chemotherapy group.[Conclusion]Zishen Runfeifang combined with chemotherapy can effectively im-prove patients quality of life and reduce the occurrence rate of bone marrow suppression.

Lung Neoplasms/ZJDrug TherapyTreatment Outcome

徐华智、李宁、马一杰

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河南省固始县中医院肿瘤科,河南 信阳 465200

河南省肿瘤医院消化肿瘤内五科,河南 郑州 450000

肺肿瘤/中西医结合疗法 药物疗法 治疗结果

2024

医学临床研究
湖南省医学会

医学临床研究

影响因子:0.595
ISSN:1671-7171
年,卷(期):2024.41(5)