首页|滋阴益口汤改善局部晚期鼻咽癌放疗不良反应的临床观察

滋阴益口汤改善局部晚期鼻咽癌放疗不良反应的临床观察

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目的 观察滋阴益口汤在改善鼻咽癌放疗不良反应的临床疗效.方法 将我科自2020年1月~2023年6月收治的40例初诊Ⅲ-Ⅳa期鼻咽癌患者随机分为对照组及研究组;对照组采用同步放化疗+尼妥珠单抗的治疗模式,研究组采用同步放化疗+尼妥珠单抗+滋阴益口汤的综合治疗模式.对比两组在治疗后的肿瘤疗效(原发灶、颈部淋巴结转移灶、EBV-DNA的变化)、炎症指标(TNF-α水平的变化)、一般情况改变(白蛋白、体重、KPS评分的变化)、急性不良反应(口腔黏膜炎、皮肤炎、口干症、唾液量的变化)、其他(骨髓抑制、疼痛)相关反应.结果 两组治疗模式均能在鼻咽原发灶及颈部淋巴结转移灶取得明显治疗效果,EBV-DNA均明显下降(P>0.05).两组KPS评分,差异无统计学意义(P>0.05);对照组在治疗后的TNF-α升高水平、白蛋白降低水平、唾液量减少量、急性黏膜炎反应、急性皮肤反应、急性口干症、骨髓抑制程度、疼痛程度、体重减轻程度高于研究组,差异有统计学意义(P<0.05).结论 滋阴益口汤在改善局部晚期鼻咽癌放化疗的不良反应效果显著;鼻咽癌放疗期间热毒阴虚为主,治当清热滋阴.
Clinical observation on the improvement of radiotherapy adverse effects in locally advanced nasopharyngeal carcinoma with Ziyin Yikou liquid
Objective To observe the clinical efficacy of Ziyin Yikou Liquid in reducing the adverse reactions to radiotherapy for nasopharyngeal carcinoma. Methods From January 2020 to June 2023,40 patients with nasopharyngeal carcinoma stage Ⅲ-Ⅳa who were initially diagnosed in our hospital were randomly divided into control group and study group. The control group received synchronous radiotherapy and chemotherapy combined with Nimotuzumab treatment mode,while the study group received a comprehensive treatment mode of synchronous radiotherapy and chemotherapy combined with Nimotuzumab and Ziyin Yikou Liquid. The difference in the evaluation of therapeutic effect (primary lesion,cervical lymph node metastases,and EBV-DNA),the inflammatory indicators (TNF-α),physical fitness performance (albumin decrease,weight loss,KPS scores),acute adverse reactions (acute oral mucositis,acute radiation dermatitis,xerostomia,saliva volume),myelosuppression and pain conditions between the two groups were researched in our study. Results There is no statistical difference between the two groups in terms of tumor efficacy,EBV-DNA and KPS scores (P>0.05). The control group showed higher levels of TNF-α,decreased albumin and saliva volume,acute oral mucositis,acute radiation dermatitis,xerostomia,myelosuppression,pain and weight loss compared to the study group after treat,all P<0.05. Conclusions Ziyin Yikou Liquid has a significant effect in reducing the adverse reactions of concurrent?chemoradiotherapy for local advanced nasopharyngeal carcinoma,and the therapeutic modalities should be clearing heat and nourishing Yin during radiotherapy.

nasopharyngeal canceracute oral mucositisclearing heat and nourishing yintraditional chinese medicine treatmentclinical efficacy

许美凤、彭太芳、廖修用、杜江蓉、冉玉平、谭元灿

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重庆大学附属黔江医院,黔江中心医院肿瘤科 重庆,409099

鼻咽癌 放射性口腔黏膜炎 清热滋阴 中医药治疗 临床疗效

2024

中国中西医结合耳鼻咽喉科杂志
中国中西医结合学会

中国中西医结合耳鼻咽喉科杂志

CSTPCD
影响因子:0.7
ISSN:1007-4856
年,卷(期):2024.32(6)