首页|仙鹤丹皮方结合针刺疗法治疗结肠癌化疗所致骨髓抑制临床效果观察

仙鹤丹皮方结合针刺疗法治疗结肠癌化疗所致骨髓抑制临床效果观察

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目的:探讨仙鹤丹皮方结合针刺疗法治疗结肠癌化疗所致骨髓抑制临床效果.方法:将重庆市万州区第一人民医院中医科收治的105例结肠癌化疗所致骨髓抑制患者(2019年2月~2022年2月)根据随机数字表法分为两组,对照组患者(53例)采取西医常规治疗(白介素-11及粒细胞刺激饮食、促红素、输血等),观察组患者(52例)常规治疗同时给予仙鹤丹皮方结合针刺疗法治疗,数据观察:临床疗效、治疗前后中医证候积分(神疲乏力、气短、头晕眼花、面色淡白/萎黄等)变化、治疗前后患者血红蛋白、白细胞及血小板水平变化、化疗不良反应(红细胞减少发生率、血小板减少发生率、白细胞减少发生率等)、治疗后各组患者卡氏生活质量(KPS)评分提升率、化疗通过率及1年生存率、治疗前后免疫指标变化.结果:观察组治疗效果(90.38%)高于比对照组(73.58%)(P<0.05);各组患者治疗后中医证候积分(神疲乏力、气短、头晕眼花、面色淡白/萎黄等)均显著下降,观察组低于对照组(P<0.05);治疗后观察组患者血红蛋白及血小板、白细胞水平下降程度低于对照组(P<0.05);观察组患者治疗后红细胞减少发生率及白细胞减少发生率、血小板减少发生率低于对照组,KPS评分提升率(96.15%)高于对照组患者(81.13%)(P<0.05);观察组患者化疗通过率及1年生存率均高于对照组(P<0.05);对照组患者治疗后免疫指标无明显变化,观察组患者治疗后免疫指标显著改善,且优于对照组(P<0.05).结论:仙鹤丹皮方结合针刺疗法治疗结肠癌化疗所致骨髓抑制临床效果良好,患者病情好转,生活质量提升,化疗通过率及1年生存率高,免疫力改善,值得应用.
Clinical effect of Xianhe Danpi formula combined with acupuncture therapy on bone marrow suppression caused by chemotherapy in colon cancer
Objective To investigate the clinical effect of xianhe Danpi formula combined with acupuncture therapy on bone marrow suppression caused by chemotherapy in colon cancer.Methods A total of 105patients with chemotherapy-induced myelo-suppression of colon cancer(from February 2019to February 2022)admitted to the First People's Hospital of Wanzhou District of Chongqing were divided into two groups according to the random number table method.The control group(53cases)received con-ventional Western medicine treatment(interleukin-11,agranulocyte stimulating diet,erythropoietin,blood transfusion,etc.).Observation group(52cases)received routine treatment and Xianhe Danpi prescription combined with acupuncture therapy.Data observation:Clinical efficacy,changes in TCM syndrome scores(fatigue,shortness of breath,dizziness,pale/yellow face,etc.)before and after treatment,changes in the levels of hemoglobin,white blood cells and platelets of patients before and after treat-ment,adverse reactions of chemotherapy(incidence of erythrocytopenia,thrombocytopenia,leukopenia,etc.),KPS scores of patients in each group after treatment Improvement rate,passing rate of chemotherapy and 1-year survival rate,changes of im-mune indexes before and after treatment.Results The therapeutic effect of observation group(90.38%)was higher than that of control group(73.58%),P<0.05;TCM syndrome scores(fatigue,shortness of breath,dizziness,pale/yellow face,etc.)were significantly decreased in all groups after treatment,and the observation group was lower than the control group,P<0.05;After treatment,the levels of hemoglobin,platelet and white blood cell in observation group were lower than those in control group,P<0.05;After treatment,the incidence of cytopenia,leukopenia and thrombocytopenia in observation group was lower than that in control group,and the improvement rate of KPS score(96.15%)was higher than that in control group(81.13%),P<0.05.The chemotherapy passing rate and 1-year survival rate of observation group were higher than those of control group,P<0.05;The immune indexes of the control group were not significantly changed after treatment,while the immune indexes of the observation group were significantly improved after treatment,and were superior to the control group(P<0.05).Conclusion Xianhe Danpi prescription combined with acupuncture therapy in the treatment of bone marrow suppression caused by colon cancer chemotherapy has good clinical effect,the patients'condition is improved,the quality of life is improved,the passing rate of chemotherapy and 1-year survival rate are high,the immunity is improved,it is worthy of application.

Colon cancerChemotherapyMyelosuppressionXianhe Dan PI FangAcupuncture therapyChemotherapy passing rateOne-year survival rate

柴平、杨隆奎、牛隆平、周静

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重庆市万州区第一人民医院中医科,重庆 404000

重庆市第四人民医院急救中心,重庆 400000

结肠癌 化疗 骨髓抑制 仙鹤丹皮方 针刺疗法 化疗通过率 1年生存率

重庆市卫生计生委医学科研项目

2016MSXM080

2024

四川中医
四川省中医药学会,四川省中西医结合学会,四川省针灸学会,四川省中医药科学院

四川中医

CSTPCD
影响因子:0.522
ISSN:1000-3649
年,卷(期):2024.42(1)
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