首页|甘草泻心汤对胃癌化疗期间患者消化道症状的影响

甘草泻心汤对胃癌化疗期间患者消化道症状的影响

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目的 探讨甘草泻心汤对胃癌化疗期间患者消化道症状的改善效果.方法 选取2020年2月至2022年2月江苏省张家港澳洋医院有限公司收治的胃癌化疗患者80例作为研究对象,按照随机数字表法将其分为对照组和研究组,每组40例.对照组采用常规化疗,研究组在对照组基础上加用甘草泻心汤,两组均治疗3个疗程.比较两组治疗前后免疫功能、中医症候评分、临床疗效、生活质量及不良反应总发生率.结果 治疗后,两组CD4+、CD4+/CD8+均较治疗前升高,且研究组高于对照组(P<0.05).治疗前后两组CD8+比较,差异无统计学意义(P>0.05).治疗后,两组胃脘刺痛、胸脘胀闷、恶心、纳差评分均较治疗前降低,且研究组低于对照组(P<0.05).研究组临床疗效优于对照组(P<0.05).研究组生活质量优于对照组(P<0.05).两组不良反应总发生率比较,差异无统计学意义(P>0.05).结论 在胃癌化疗患者中应用甘草泻心汤能够改善免疫功能,缓解消化道症状,临床疗效显著,值得临床推广应用.
Effect of Gancao Xiexin Decoction on gastrointestinal symptoms in patients with gastric cancer during chemotherapy
Objective To investigate the curative effect of Gancao Xiexin Decoction on gastrointestinal symptoms in patients with gastric cancer during chemotherapy.Methods A total of 80 patients with gastric cancer treated with chemotherapy in Zhangjiagang Aoyang Hospital Co.,Ltd.,Jiangsu Province,from February 2020 to February 2022 were selected as the study objects,and they were divided into the control group and the study group according to random number table method,with 40 cases in each group.The control group was treated with conventional chemotherapy,and the study group was treated with Gancao Xiexin Decoction on the basis of the control group.Both groups were treated for three courses of treatment.The immune function,traditional Chinese medicine symptom score before and after treatment,clinical efficacy,quality of life,and overall incidence of adverse reactions were compared between the two groups before and after treatment.Results After treatment,CD4+and CD4+/CD8+in both groups were higher than before treatment,and those in the study group were higher than those in the control group(P<0.05).There was no significant difference in CD8+between the two groups before and after treatment(P>0.05).After treatment,the scores of epigastric tingling,chest epigastric distension,nausea,and tolerance in both groups were lower than before treatment,and those in the study group were lower than those in the control group(P<0.05).The therapeutic effect of the study group was better than that of the control group(P<0.05).The quality of life of study group was better than that of control group(P<0.05).There was no significant difference in overall incidence of adverse reactions between the two groups(P>0.05).Conclusion The application of Gancao Xiexin Decoction in patients with gastric cancer undergoing chemotherapy can improve immune function and alleviate digestive tract symptoms,and the clinical effect is significant,worthy of clinical application.

Gancao Xiexin DecoctionGastric cancerChemotherapyGastrointestinal symptomsImmunity

方杰、李华、陈献红、曹亚娟

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江苏省张家港澳洋医院有限公司药剂科,江苏张家港 215600

江苏省张家港澳洋医院有限公司中西医结合科,江苏张家港 215600

甘草泻心汤 胃癌 化疗 消化道症状 免疫

江苏省基础研究计划(自然科学基金)项目

BK20181030

2024

中国医药导报
中国医学科学院

中国医药导报

CSTPCD
影响因子:1.759
ISSN:1673-7210
年,卷(期):2024.21(10)
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