首页|健脾补中化浊汤联合西药对胃癌根治术患者免疫功能、近期预后的影响

健脾补中化浊汤联合西药对胃癌根治术患者免疫功能、近期预后的影响

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目的:探究健脾补中化浊汤对胃癌根治术患者免疫功能、近期预后的影响.方法:研究医院2020年1月~2023年1月收治的35例胃癌根治术后患者,按随机数表法将上述患者分为对照组(n=17,常规治疗联合西医治疗)和研究组(n=18,对照组基础上联合健脾补中化浊汤治疗),比较两组患者中医症状评分、疗效、胃肠功能、免疫功能、近期预后、不良反应.结果:(1)相较于治疗前,治疗后两组患者中医症状积分均有下降(P<0.05),且研究组相较于对照组均更低(P<0.05);(2)研究组总有效率相较于对照组更高(P<0.05);(3)相较于治疗前,治疗后两组患者胃泌素及胃动素水平均有升高,且研究组相较于对照组均更高(P<0.05);相较于治疗前,治疗后两组患者生长抑素水平均有降低,且研究组相较于对照组均更低(P<0.05);(4)相较于治疗前,治疗后两组患者CD4+及自然杀伤细胞(NK)水平均有升高,且研究组相较于对照组均更高(P<0.05);(5)两组患者近期预后及不良反应比较无统计学意义(P>0.05).结论:健脾补中化浊汤对于胃癌根治术后患者而言,更能改善中医症状和近期预后,更有利于提升治疗疗效、胃肠功能及免疫功能,且安全性较高,具有推广价值.
The Effect of Jianpi Buzhong Huazhuo Tang combined with Western medicine on immune function and short-term prognosis of patients undergoing radical gastrectomy for gastric cancer
Objective To explore the influence of Jianpi Buzhong Huazhuo decoction on immune function and short-term prognosis in patients undergoing radical resection of gastric cancer.Methods A total of 35postoperative patients with gastric cancer admitted to the research hospital from January 2020to January 2023were randomly divided into a control group(n=17,conven-tional treatment combined with Western medicine treatment)and a study group(n=18,control group combined with Jianpi Buzhong Huazhuo Tang treatment)using a random number table method.The TCM symptom scores,therapeutic effects,gastroin-testinal function,immune function,recent prognosis,and adverse reactions of the two groups of patients were compared..Results(1)Compared with before treatment,the TCM symptoms scores in the two groups were decreased after treatment(P<0.05),and the scores were lower in study group(P<0.05).(2)The total effective rate in study group was higher compared with that in con-trol group(P<0.05).(3)The levels of gastrin and motilin in both groups were increased after treatment compared with those be-fore treatment,and the levels in study group were higher(P<0.05).Compared with before treatment,the somatostatin level was declined after treatment in both groups,and the level in study group was lower compared to control group(P<0.05).(4)After treatment,the levels of CD4+and natural killer cell(NK)in the two groups were enhanced compared with those before treatment,and the study group had higher CD4+and NK(P<0.05).(5)There were no statistical differences in short-term prognosis and adverse reactions between the two groups(P>0.05).Conclusion Jianpi Buzhong Huazhuo decoction can improve the TCM symp-toms and short-term prognosis of patients after radical resection of gastric cancer,and it is conducive to improving the therapeutic efficacy,gastrointestinal function and immune function,and it has high safety.

Jianpi Buzhong Huazhuo decoctionRadical resection of gastric cancerGastrointestinal functionImmune functionRecent prognosis

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梓潼县中医院,四川梓潼 622150

健脾补中化浊汤 胃癌根治术 胃肠功能 免疫功能 近期预后

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(5)
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