首页|自拟扶正消癥汤加减联合呋喹替尼及信迪利单抗方案治疗标准治疗失败后晚期结直肠癌的疗效观察

自拟扶正消癥汤加减联合呋喹替尼及信迪利单抗方案治疗标准治疗失败后晚期结直肠癌的疗效观察

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目的 观察自拟扶正消癥汤加减联合呋喹替尼及信迪利单抗方案治疗标准治疗失败后晚期结直肠癌临床疗效.方法 选取2019年10月-2022年12月在我院诊治的45例标准治疗失败后晚期结直肠癌患者为研究对象,采用随机数字表法分为对照组(n=23)和治疗组(n=22).对照组采用呋喹替尼+信迪利单抗治疗,治疗组在对照组基础联合应用自拟扶正消癥汤加减治疗,比较两组临床疗效、生活质量水平(QOL)、不良反应发生情况.结果 治疗组疾病控制率为59.09%,与对照组的52.17%比较,差异无统计学意义(P>0.05);治疗后治疗组QOL评分为(40.65±5.90)分,对照组为(29.30±4.38)分,分别高于治疗前的(20.31±2.70)分、(19.39±3.12)分,且治疗组高于对照组(P<0.05);治疗组各项不良反应发生率均低于对照组(P<0.05).结论 标准治疗失败后晚期结直肠癌患者采用自拟扶正消癥汤加减联合呋喹替尼+信迪利单抗方案治疗,可一定程度提高疾病控制率,改善患者生活质量水平,减少不良反应,为患者的良好生存提供有利条件.
Observation on the Efficacy of Self-made Fuzheng Xiaozheng Decoction Combined with Furoquintinib and Sintilimab in the Treatment of Advanced Colorectal Cancer After Standard Treatment Failure
Objective To observe the clinical efficacy of self-made Fuzheng Xiaozheng decoction combined with furoquintinib and sintilimab in the treatment of advanced colorectal cancer after standard treatment failure.Methods A total of 45 patients with advanced colorectal cancer after standard treatment failure in our hospital from October 2019 to December 2022 were randomly divided into control(n=23)and treatment(n=22)groups.The control group was treated with furoquinitinib+sintilimab,and the treatment group was treated with self-made Fuzheng Xiaozheng decoction on the basis of the control group.The clinical efficacy,quality of life(QOL)and adverse reactions were compared between the two groups.Results The disease control rate of the treatment group was 59.09%,compared with 52.17%of the control group,the difference was not statistically significant(P>0.05);after treatment,the QOL score of the treatment group and the control group was(40.65±5.90)scores and(29.30±4.38)score,respectively,which was higher than(20.31±2.70)scores and(19.39±3.12)scores before treatment,and the treatment group was higher than the control group(P<0.05).The incidence of adverse reactions in the treatment group was lower than that in the control group(P<0.05).Conclusion For patients with advanced colorectal cancer after standard treatment failure,self-made Fuzheng Xiaozheng decoction combined with furoquintinib+sintilimab regimen can improve the disease control rate to a certain extent,improve the quality of life of patients,reduce adverse reactions,and provide favorable conditions for the good survival of patients.

Fuzheng Xiaozheng decoctionFuroquintinibSintilimabStandard treatmentAdvanced colorectal cancer

葛竑璐、陈飞、陆跃美、葛小红、杨洋、张劼

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南通市通州区中医院肿瘤内科,江苏 南通 226300

南通市通州区中医院普外科,江苏 南通 226300

南通市通州区中医院内分泌科,江苏 南通 226300

扶正消癥汤 呋喹替尼 信迪利 标准治疗 晚期结直肠癌

2024

医学信息
国家卫生部信息化管理领导小组 中国电子学会中国医药信息学分会 陕西文博生物信息工程研究所

医学信息

影响因子:0.161
ISSN:1006-1959
年,卷(期):2024.37(10)
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