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养血扶正膏对卵巢癌术后患者化疗不良反应的防治效果

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目的:观察养血扶正膏对卵巢癌术后患者化疗不良反应的防治效果。方法:选择 2020 年 1 月—2023 年 1 月江南大学附属医院收治的 105 例卵巢癌术后化疗患者作为研究对象,根据随机数表法分为两组,对照组(n=52)采用标准化疗方案治疗,观察组(n=53)在对照组基础上使用养血扶正膏。比较两组中医症候积分、肿瘤标志物水平、健康状况、不良反应发生率。结果:治疗 6 个疗程后,两组神疲乏力、少气懒言、口干咽燥评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0。05)。治疗 6 个疗程后,两组糖类抗原 199(CA199)、糖类抗原 125(CA125)、癌胚抗原(CEA)均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0。05)。治疗 6 个疗程后,两组Karnofsky功能状态(KPS)评分高于治疗前,且观察组高于对照组,差异有统计学意义(P<0。05)。观察组白细胞减少、中性粒细胞减少、恶心呕吐发生率低于对照组,差异有统计学意义(P<0。05)。结论:养血扶正膏对卵巢癌术后患者化疗不良反应的防治效果较好,且能减轻症状,降低肿瘤标志物水平,改善健康状况。
Effect of Yangxue Fuzheng Ointment on Prevention and Treatment of Adverse Reactions of Chemotherapy in Postoperative Patients with Ovarian Cancer
Objective:To observe the prevention and treatment effect of Yangxue Fuzheng Ointment on the adverse reactions of chemotherapy in patients with ovarian cancer after operation.Method:A total of 105 patients with ovarian cancer undergoing postoperative chemotherapy admitted to the Affiliated Hospital of Jiangnan University from January 2020 to January 2023 were selected as the study objects and divided into two groups according to random number table method.The control group(n=52)was treated with standard chemotherapy regimen,and the observation group(n=53)was treated with Yangxue Fuzheng Ointment on the basis of the control group.Traditional Chinese medicine syndrome score,tumor marker level,health status and incidence of adverse reactions were compared between the two groups.Result:After 6 courses of treatment,the scores of fatigue,lack of Qi and no desire to speak,dry mouth and dry throat in two groups were lower than those before treatment,and the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).After 6 courses of treatment,carbohydrate antigen 199(CA199),carbohydrate antigen 125(CA125)and carcinoembryonic antigen(CEA)in two groups were lower than those before treatment,and observation group were lower than those in control group,the differences were statistically significant(P<0.05).After 6 courses of treatment,the Karnofsky function status(KPS)score of the two groups were higher than those before treatment,and the observation group was higher than that in the control group,the differences were statistically significant(P<0.05).The incidence of leukopenia,neutropenia,nausea and vomiting in observation group were lower than those in control group,and the differences were statistically significant(P<0.05).Conclusion:Yangxue Fuzheng Ointment has better effect on the prevention and treatment of adverse reactions in patients with ovarian cancer after chemotherapy,and can alleviate symptoms,reduce the level of tumor markers and improve health status.

Ovarian cancerChemotherapyYangxue Fuzheng OintmentTumor markersAdverse reaction

蔡良良、濮莲芳、庄永菊、郭曲、毛玉荣、许希中

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江南大学附属医院(无锡市中西医结合医院) 江苏无锡 214122

卵巢癌 化疗 养血扶正膏 肿瘤标志物 不良反应

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(3)
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