首页|乌梅丸治疗寒热错杂型结直肠癌多药耐药患者的临床观察

乌梅丸治疗寒热错杂型结直肠癌多药耐药患者的临床观察

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目的 观察乌梅丸治疗寒热错杂型结直肠癌多药耐药患者的有效性及安全性。方法 选取江西中医药大学附属医院肿瘤科 2021 年 1 月至 2023 年 6 月收治的 60 例结直肠癌多药耐药患者,随机分为观察组和对照组,每组各 30 例。对照组采用瑞戈非尼靶向治疗,观察组在对照组基础上加用乌梅丸治疗。观察两组患者的客观疗效、中医证候积分、肿瘤标志物、生存质量以及不良反应。结果 治疗后观察组的客观有效率和疾病控制率高于对照组,差异有统计学意义(P<0。05);治疗后观察组的中医证候积分低于对照组,差异有统计学意义(P<0。05);治疗后观察组的癌胚抗原(CEA)、糖类抗原 199(CA199)低于对照组,差异有统计学意义(P<0。05);治疗后观察组生存质量改善优于对照组,差异有统计学意义(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 乌梅丸可以抑制寒热错杂型结直肠癌多药耐药患者的病情进展,减轻临床症状,提高患者生活质量。
Clinical observation of Wumei Pills in the treatment of multidrug-resistant patients with cold-heat mixed colorectal cancer
Objective To observe the efficacy and safety of Wumei Pills in the treatment of multidrug-resistant patients with cold-heat mixed colorectal cancer.Methods A total of 60 patients with multidrug resistance of colorectal cancer admitted to the Department of Oncology of the Affiliated Hospital of Jiangxi University of Traditional Chinese Medicine from January 2021 to June 2023 were selected and randomly divided into the observation group(n=30)and the control group(n=30).The control group were treated with targeted therapy of regorafenib,and the observation group were treated with Wumei Pills on the basis of the treatment of the control group.21 days was considered as a cycle,with a total of 2 cycles of treatment.The objective therapeutic efficacy,TCM syndrome score,tumor markers,quality of life and adverse reactions(ADRs)of the two groups of patients were observed respectively.Results After treatment,the objective effective rate and disease control rate of the observation group were higher than those of the control group,with statistically significant differences(P<0.05).After treatment,the TCM syndrome score of the observation group was lower than that of the control group,with statistically significant difference(P<0.05).After treatment,the levels of carcinoembryonic antigen(CEA)and carbohydrate antigen 199(CA199)in the observation group were lower than those in the control group,with statistically significant differences(P<0.05).After treatment,the quality of life in the observation group was better than that in the control group,with statistically significant difference(P<0.05).There was no statistically significant difference in the incidence of ADRs between the two groups(P>0.05).Conclusion Wumei Pills can inhibit the progress of patients with multi-drug resistance of cold-heat mixed colorectal cancer,alleviate clinical symptoms and improve the QoL of patients.

Wumei PillsColorectal cancerMulti-drug resistanceCold-heat mixed syndrome type

吴辉渊、李芬芬、徐婷

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江西中医药大学附属医院肿瘤科,江西南昌 330006

乌梅丸 结直肠癌 多药耐药 寒热错杂证型

2024

中国医药科学
海峡两岸医药卫生交流协会 二十一世纪联合创新(北京)医药科学研究院

中国医药科学

影响因子:1.083
ISSN:2095-0616
年,卷(期):2024.14(17)