首页|苗药芪胶升白胶囊防治乳腺癌化疗相关白细胞减少症的临床研究

苗药芪胶升白胶囊防治乳腺癌化疗相关白细胞减少症的临床研究

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目的 观察芪胶升白胶囊防治乳腺癌化疗相关白细胞减少症的临床疗效.方法 采用多中心随机、阳性药对照的临床试验设计,纳入4个中心119例气血两虚型乳腺癌化疗患者,按2:1比例随机分为芪胶升白胶囊治疗组(n=79)和安多霖胶囊对照组(n=40),疗程为20 d.比较两组患者治疗前后白细胞和中性粒细胞计数及减少分级、中医证候与症状积分、后续化疗按时进行率和用药安全性.结果 治疗后,两组中医证候与症状积分均较治疗前降低(P<0.05),两组患者白细胞、中性粒细胞计数与减少程度分级和后续化疗按时进行率比较,差异无统计学意义(P>0.05).治疗组有1例患者出现轻度腹泻,但停药后好转.结论 芪胶升白胶囊防治乳腺癌化疗相关白细胞减少症具有一定优势,可有效改善气血两虚证,保障后续化疗按时进行,临床安全性良好.
Clinical study of Miao medicine Qijiao Shengbai Capsule in the prevention and treatment of chemotherapy-induced leukopenia in breast cancer
Objective To observe the clinical efficacy of Qijiao Shengbai Capsule in the prevention and treatment of chemotherapy-induced leukopenia in breast cancer.Methods A multi-center,randomized,and positive drug-controlled clinical trial design was used,enrolling 119 patients with breast cancer undergoing chemotherapy who presented with qi and blood deficiency pattern from four centers.They were randomly assigned to the Qijiao Shengbai Capsule treatment group(n=79)and the Anduolin Capsule control group(n=40)in a ratio of 2:1.The treatment course lasted for 20 days.White blood cell count(WBC),absolute neutrophil count(ANC),and their respective reduction grades,as well as the Chinese medicine(CM)pattern and symptom scores,were compared between the two groups before and after treatment.Additionally,the rates of timely follow-up chemotherapy and medication safety were compared between the two groups.Results After treatment,the CM pattern and symptom scores in both groups decreased compared to those before treatment(P<0.05).There were no statistically significant differences in WBC,ANC,their respective reduction grades,or the rates of timely follow-up chemotherapy between the two groups(P>0.05).One patient in the treatment group experienced mild diarrhea,which improved after discontinuing the medication.Conclusion Qijiao Shengbai Capsule has certain advantages in preventing and treating chemotherapy-induced leukopenia in breast cancer patients.It can effectively alleviate the symptoms of qi and blood deficiency and ensure the timely continuation of chemotherapy,with good clinical safety.

breast cancerchemotherapyQijiao Shengbai Capsuleleukopeniaclinical study

楚立园、韩丹阳、田劭丹、张玲、段赟、曾清、吕丽媛、陈信义、兰梦好

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北京中医药大学东直门医院血液肿瘤科,北京 100700

北京市鼓楼中医医院,北京 100009

云南中医药大学,云南 昆明 650500

甘肃省肿瘤医院,甘肃兰州 730050

广西中医药大学第一附属医院,广西南宁 530023

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乳腺癌 化疗 芪胶升白胶囊 白细胞减少症 临床研究

2024

湖南中医药大学学报
湖南中医药大学

湖南中医药大学学报

CSTPCD
影响因子:1.098
ISSN:1674-070X
年,卷(期):2024.44(12)