首页|胃癌相关肌少症的CT评估及中医疗效观察

胃癌相关肌少症的CT评估及中医疗效观察

CT evaluation of sarcopenia in patients with gastric cancer and the efficacy of traditional Chinese medicine

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目的:观察健脾养正消癥方联合化疗治疗胃癌相关肌少症的临床疗效.方法:选择105例胃癌患者,随机分为试验组54例和对照组51例,2组均采用标准化疗方案治疗24周,试验组同时采用健脾养正消癥方联合治疗.结果:试验组治疗后平均骨骼肌面积减少率小于对照组(P<0.001);2组炎症标志物白介素-6(IL-6)、白介素-4(IL-4)均下降,其中治疗组下降更显著,与对照组差异均有统计学意义(均P<0.001).结论:健脾养正消癥方治疗胃癌相关肌少症能延缓患者肌肉质量下降进程,降低体内炎症水平.
Objective:To investigate the effects of Jianpi Yangzheng Xiaozheng(JPYZXZ)decoction combined with chemotherapy for the treatment of gastric cancer.Methods:A total of 115 patients with gastric cancer were selected and randomly divided into the experimental group(54 cases)and the control group(51 cases).All patients were treated with the standard chemotherapy regimen for 24 weeks and the experimental group was treated with JPYZXZ decoction.Results:Compared with the control group,the reduction rate of skeletal muscle area in the experimental group was significantly lower(P<0.001).At the same time,the inflammatory markers IL-6 and IL-4 were decreased in both groups,and the decrease was more significant in the experimental group,with statistically significant differences compared with the control group(both P<0.001).Conclusions:JPYZXZ decoction can effectively improve the muscle mass of patients with gastric cancer-related sarcopenia and reduce the level of inflammation in the body.

SarcopeniaStomach neoplasmsJianpi Yangzheng Xiaozheng decoctionTomography,X-ray computed

殷艺、李静晓、祁明浩、潘晓葶、刘沈林、殷长俊、邹玺

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南京中医药大学第一临床医学院,江苏 南京 210029

江苏省中医院临床研究办公室,江苏 南京 210029

江苏省昆山市中医院肿瘤科,江苏 昆山 215399

江苏省中医院肿瘤研究所,江苏 南京 210029

江苏省中医院肿瘤科,江苏 南京 210029

江苏省中医院放射科,江苏 南京 210029

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肌少症 胃肿瘤 健脾养正消癥方 体层摄影术,X线计算机

江苏省中医院高峰人才项目江苏省卫生健康委医学研究项目江苏省研究生科研创新项目江苏省中医药管理局课题昆山市社会发展科技专项

y2021rc19ZD2022070KYCX21_2169JD2022SZ02KS2227

2024

中国中西医结合影像学杂志
中国中西医结合学会,山东中医药大学附属医院

中国中西医结合影像学杂志

CSTPCD
影响因子:0.857
ISSN:1672-0512
年,卷(期):2024.22(2)
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