首页|参苓白术散加减治疗肿瘤患者的疗效及对其生存质量的影响研究

参苓白术散加减治疗肿瘤患者的疗效及对其生存质量的影响研究

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目的 研究分析参苓白术散加减治疗肿瘤患者的疗效及对其生存质量的影响.方法 选取114例肿瘤患者,随机分为对照组和观察组,各57例.对照组给予西医常规治疗,观察组在对照组基础上联合参苓白术散加减治疗.比较两组治疗后临床疗效、生存质量[治疗前后健康调查量表(SF-36)以及肿瘤生活质量评分表(QOL)评分]、免疫功能指标[外周血细胞毒T细胞(Tc)、调节性T细胞(Treg)、抑制性T细胞(Ts)以及自然杀伤细胞(NK)]、卡氏功能状态评分标准(KPS)评分.结果 治疗后,与对照组的49.12%、68.42%相比,观察组治疗有效率73.68%和肿瘤控制率87.72% 均明显更高(P<0.05).治疗前,两组SF-36、QOL评分比较差异无统计学意义(P>0.05);治疗后,两组SF-36、QOL评分均较治疗前明显升高,且观察组SF-36评分(91.94±5.72)分、QOL评分(51.02±3.47)分均明显高于对照组的(84.62±4.22)、(42.49±3.16)分(P<0.05).两组治疗前Tc、Treg、Ts、NK水平比较差异无统计学意义(P>0.05);治疗后,两组NK、Tc水平均明显较治疗前升高,Treg、Ts水平均明显较治疗前降低,且观察组NK(22.61±3.03)%、Tc(15.67±2.63)%均明显高于对照组的(18.82±2.59)%、(13.26±1.73)%,Treg(5.02±0.29)%、Ts(14.04±2.30)%均明显低于对照组的(6.97±1.00)%、(16.92±3.27)%(P<0.05).治疗前,观察组与对照组KPS评分分别为(66.35±13.65)、(64.58±14.85)分,组间比较差异无统计学意义(P>0.05);治疗后,观察组KPS评分为(84.12±14.77)分,对照组为(72.67±12.48)分,两组KPS评分均高于治疗前,且观察组KPS评分较对照组明显更高(P<0.05).结论 参苓白术散加减用于治疗肿瘤患者可明显提高其临床疗效,改善机体免疫功能,提升患者生存质量.
Study on the efficacy of modified Shenling Baizhu Powder in the treatment of tumor patients and its influence on their quality of life
Objective To study and analyze the efficacy of modified Shenling Baizhu Powder in the treatment of tumor patients and its influence on their quality of life. Methods 114 cases of tumor patients were selected and randomly divided into a control group and an observation group,each with 57 cases. The control group was given conventional treatment with Western medicine,and the observation group was combined with modified Shenling Baizhu Powder on the basis of the control group. Both groups were compared in terms of clinical efficacy,quality of life[36-Item Short-Form Health survey (SF-36) and quality of life scale (QOL) scores],immune function indicators[cytotoxic T cells (Tc),regulatory T cells (Treg),suppressor T cells (Ts),and natural killer (NK) cells],and Karnorfsky's performance scale (KPS) score after treatment. Results Compared with 49.12% and 68.42% in the control group,the observation group's treatment efficiency of 73.68% and tumor control rate of 87.72% were significantly higher after treatment (P<0.05). Before treatment,there was no statistically significant difference in SF-36 and QOL scores between the two groups (P>0.05). After treatment,the SF-36 and QOL scores in both groups were significantly higher than those before treatment;the SF-36 and QOL scores were (91.94±5.72) and (51.02±3.47) points in the observation group,which were significantly higher than (84.62±4.22) and (42.49±3.16) points in the control group (P<0.05). Before treatment,there was no significant difference in Tc,Treg,Ts and NK levels between the two groups (P>0.05). After treatment,NK and Tc levels in both groups were significantly higher than those before treatment,and Treg and Ts levels were significantly lower than those before treatment;the observation group had NK of (22.61±3.03)% and Tc of (15.67±2.63)%,which were significantly higher than (18.82±2.59)% and (13.26±1.73)% in the control group;the observation group had Treg of (5.02±0.29)% and Ts of (14.04±2.30)%,which were significantly lower than (6.97±1.00)% and (16.92±3.27)% in the control group (P<0.05). Before treatment,the KPS scores of the observation group and the control group were (66.35±13.65) and (64.58±14.85) points,and there was no statistical significance between the two groups (P>0.05). After treatment,the KPS score of the observation group was (84.12±14.77) points,and that of the control group was (72.67±12.48) points;the KPS score of the two groups was higher than that before treatment,and the observation group had significantly higher KPS score than that of the control group (P<0.05). Conclusion Modified Shenling Baizhu Powder in the treatment of tumor patients can significantly improve its clinical efficacy,improve the immune function of the body,and enhance the quality of life of patients.

Shenling Baizhu PowderTumorEfficacyQuality of life

张晓英、邹晓瑜、张宇

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225700 兴化市中医院肿瘤科

参苓白术散 肿瘤 疗效 生存质量

2024

中国实用医药
中国康复医学会

中国实用医药

影响因子:0.797
ISSN:1673-7555
年,卷(期):2024.19(23)