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半夏泻心汤治疗化疗性肠黏膜炎的治疗效果分析

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目的:分析化疗性肠黏膜炎治疗中半夏泻心汤的治疗效果.方法:回顾性选取2020年2月-2023年2月本院化疗性肠黏膜炎患者100例,依据用药方法分为半夏泻心汤组、洛哌丁胺组两组,各50例.统计分析两组中医症候积分、肠道菌群相对丰度、肠黏膜屏障功能、血清炎症细胞因子水平、临床疗效、腹泻发生情况.结果:半夏泻心汤组患者的大便泄泻、腹痛腹胀、口干口苦、食欲不振、倦怠乏力、畏寒积分及中医症候总积分、肠球菌、肠杆菌、D-乳酸、ET、DAO、TNF-a、IL-1β、IL-6水平均低于洛哌丁胺组(P<0.05),乳酸杆菌、双歧杆菌、IL-10水平均高于洛哌丁胺组(P<0.05).半夏泻心汤组患者的总有效率90.00%(45/50)高于洛哌丁胺组62.00%(31/50)(x2=10.746,P<0.05).半夏泻心汤组患者的腹泻发生率6.00%(3/50)低于洛哌丁胺组50.00%(25/50)(x2=24.008,P<0.05).结论:化疗性肠黏膜炎治疗中半夏泻心汤的治疗效果较洛哌丁胺好.
Analysis of therapeutic effect of Banxia Xiexin Decoction on chemotherapeutic intestinal mucositis
Objective:To analyze the therapeutic effect of Banxia Xingxin decoction in the treatment of chemothera-peutic intestinal mucositis.Methods:A total of 100 patients with chemotherapeutic intestinal mucositis in our hospi-tal from February 2020 to February 2023 were retrospectively enrolled,and they were divided into two groups,Banxia Xingxin decoction group and loperamide group,with 50 cases in each group.The TCM syndrome score,rel-ative abundance of intestinal flora,intestinal mucosal barrier function,serum inflammatory cytokine level,clinical efficacy,and diarrhea occurrence of the two groups were statistically analyzed.Results:The levels of fecal diarrhea,abdominal pain,abdominal distention,dry mouth and bitter mouth,loss of appetite,fatigue,chills and total TCM syndrome scores,enterococci,enterobacteriaceae,D-lactic acid,ET,DAO,TNF-α,IL-1β and IL-6 in the Banxia Xingxin decoction group were lower than those in the loperamide group(P<0.05),and the levels of lacto-bacillus,bifidobacteria and IL-10 were higher than those in the loperamide group(P<0.05).The total effective rate of the patients in the Banxia Xingxin decoction group was 90.00%(45/50),which was higher than that in the loperamide group 62.00%(31/50)(x2=10.746,P<0.05).The incidence of diarrhea in the Banxia Xingxin decoc-tion group was 6.00%(3/50),which was lower than that in the loperamide group 50.00%(25/50)(x2=24.008,P<0.05).Conclusion:In the treatment of chemotherapeutic intestinal mucositis,the therapeutic effect of Banxia Xingxin decoction is better than that of loperamide.

chemotherapeutic intestinal mucositisBanxia Xingxin decoctionTCM syndrome pointsrelative a-bundance of intestinal floraintestinal mucosal barrier functioninflammatory cytokinesdiarrhea

张西洁

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河南中医药大学第三附属医院,河南郑州 450000

化疗性肠黏膜炎 半夏泻心汤 中医症候积分 肠道菌群相对丰度 肠黏膜屏障功能 炎症细胞因子 腹泻

2024

生命科学仪器
北京市北分仪器技术公司

生命科学仪器

影响因子:0.305
ISSN:1671-7929
年,卷(期):2024.22(1)
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