首页|清热利咽汤对行放化疗鼻咽癌患者口腔黏膜炎发生率的影响

清热利咽汤对行放化疗鼻咽癌患者口腔黏膜炎发生率的影响

扫码查看
目的:研究清热利咽汤对行放化疗鼻咽癌患者口腔黏膜炎发生率的影响。方法:本文选取 2018 年 5 月~2023 年 6 月在我院放射科治疗的鼻咽癌患者 110 例,按随机数字法将患者分为对照组、观察组,各 55 例。对照组放化疗后给予还原型谷胱甘肽钠;观察组在对照组的基础上给予清热利咽汤。检测CD4+/CD8+、CD19+/CD69+、骨型碱性磷酸酶(B-ALP)、血管内皮生长因子(VEGF)、基质金属蛋白酶(MMP-2)、生命质量表-头颈癌(QLICP-HN)、症状积分。统计治疗有效率、口腔黏膜炎发生率。结果:观察组治疗后CD4+/CD8+、CD19+/CD69+水平高于对照组治疗后,B-ALP水平低于对照组治疗后(P<0。05)。观察组治疗后VEGF、MMP-2 水平及QLICP-HN评分低于对照组治疗后(P<0。05)。观察组治疗后溃疡、咽痛灼热、脓涕腥臭及咽干口渴积分低于对照组治疗后(P<0。05)。观察组治疗后总有效率高于对照组(P<0。05)。两组患者治疗后,观察组口腔黏膜炎发生率低于对照组(P<0。05)。结论:清热利咽汤对行放化疗鼻咽癌患者的治疗效果显著,可降低口腔黏膜炎发生率,减轻患者炎症反应,提高生活质量,有利于患者恢复。
Effect of this effect on the rate of oral mucositis in patients with nasopharyngeal cancer
Objective:To investigate the effect of Qingre Liyan Decoction on the rate of oral mucositis in patients with naso-pharyngeal carcinoma treated with radiotherapy and chemotherapy.Methods:In this paper,110patients with nasopharyngeal cancer treated in the radiology department of our hospital from May 2018to June 2023were selected,and the patients were divided into control group and observation group according to random method,with 55cases each.The control group received reduced glu-tathione sodium after radiotherapy;the observation group gave Qingreili soup on the basis of the control group.CD4+/CD8+,CD19+/CD69+,bone-type alkaline phosphatase(B-ALP),vascular endothelial growth factor(VE GF),matrix metalloprotei-nase(MMP-2),quality of life table-head and neck cancer(QLICP-HN),symptom integration were tested.Statistical treat-ment efficiency and incidence of oral mucositis.Results:CD4+/CD8+and CD19+/CD69+levels were higher than those in the control group,and B-ALP levels were lower than those in the control group(P<0.05).VE GF,MMP-2levels and QLIICP-HN scores in the observation group were lower than those in the control group(P<0.05).The score of ulcer,sore throat,pus and dry throat thirst were lower than that of the control group(P<0.05).The total response rate in the observation group was higher after treatment than that in the control group(P<0.05).After treatment of patients in both groups,the incidence of oral mucositis in the observation group was lower than that in the control group(P<0.05).Conclusion:Qingrelipharyngeal soup has a signifi-cant effect on the treatment of nasopharyngeal cancer patients,which can reduce the incidence of oral mucositis,reduce the in-flammation of patients,improve the quality of life,and is conducive to the recovery of patients.

Qingre Liyan DecoctionRadiotherapyNasopharyngeal carcinomaOral mucositis rate

蔡琰、张霁雯、龚齐

展开 >

上海市宝山区罗店医院耳鼻咽喉科,上海 201908

上海市宝山区罗店医院消化内科,上海 201908

上海市宝山区中西医结合医院(上海中医药大学附属曙光医院宝山分院)耳鼻咽喉科,上海 201900

清热利咽汤 放化疗 鼻咽癌 口腔黏膜炎发生率

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(7)