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培元黜浊汤治疗中晚期肝癌临床观察

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目的:观察培元黜浊汤治疗中晚期肝癌患者的临床效果。方法:根据纳入和排除标准筛选中晚期肝癌患者60例,将其随机分为两组各30例。对照组予索拉非尼联合苦参注射液治疗,治疗组在对照组基础上联用培元黜浊汤治疗,疗程为3个月。结果:治疗组的胸闷、善太息,情志抑郁,腹胀,大便溏泄,神疲乏力,纳呆中医证候等级改善优于对照组(P<0。05);且淋巴细胞亚群指标水平与生活质量评分的改善均明显优于对照组。治疗组疾病控制率稍高于对照组,AFP指标水平低于对照组,但差异无统计学意义(P>0。05);治疗组不良反应发生率36。67%低于对照组的76。67%(P<0。01)。结论:培元黜浊汤联合索拉非尼治疗中晚期肝癌临床疗效显著,可改善患者免疫功能,提高生活质量。
Efficacy observation of Peiyuan Chuzhuo decoction on moderate or advanced liver cancer
Objective:To observe the clinical efficacy of Peiyuan Chuzhuo decoction and Sorafenib on moderate or advanced liver cancer.Methods:60 cases of patients with moderate or advanced liver cancer were selected according to the eligibility criteria and randomly divided into two groups,30 cases in each group.The control group was treated with Sorafenib and Kushen injection,while the treatment group was treated plus with Peiyuan Chuzhuo decoction on the basis of control group.The course of treatment was 3 months.Results:The treatment group was better than control group in the improvement of TCM syndrome scores such as chest distress with sighing frequehtly,depressed mood,abdominal distension,diarrhea with loose stool,spiritlessness with weakness,anorexia,etc.(P<0.05);in addition,the treatment group was obviously better than control group in the improvement of lymphocyte subset index level and life-quality score.In the treatment group,the disease control rate was slightly higher than those of control group and AFP index level was lower than those of control group,but the difference was not statistically significant.The incidence rate of adverse reactions of treatment group was 36.67%,which was lower than 76.67%of control group(P<0.01).Conclusion:The clinical efficacy of Peiyuan Chuzhuo decoction and Sorafenib on moderate or advanced liver cancer is significant,which can improve patients'immune function and enhance the quality of life.

liver cancerPeiyuan Chuzhuo decoctionSorafenibintegrated therapy of traditional Chinese and western medicine

杨佩颖、何佳颖、刘宏根、贾英杰

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天津中医药大学第一附属医院,国家中医针灸临床医学研究中心(天津300380)

天津中医药大学

天津中医药大学第一附属医院,国家中医针灸临床医学研究中心(天津 300380)

肝癌 培元黜浊汤 索拉非尼 中西医结合疗法

2024

山西中医
山西省中医药学会 山西中医药研究院

山西中医

影响因子:0.59
ISSN:1000-7156
年,卷(期):2024.40(2)
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