首页|十一味参芪片联合人粒细胞刺激因子治疗乳腺癌化疗患者的效果及对骨髓抑制的影响

十一味参芪片联合人粒细胞刺激因子治疗乳腺癌化疗患者的效果及对骨髓抑制的影响

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目的:研究十一味参芪片联合人粒细胞刺激因子治疗乳腺癌化疗患者的效果及对骨髓抑制的影响。方法:选取 2020 年 1 月—2023 年 1 月启东市中医院收治的 82 例乳腺癌化疗患者。根据随机数表法将其分为研究组和对照组,各41 例。对照组给予人粒细胞刺激因子注射液治疗,研究组给予十一味参芪片联合人粒细胞刺激因子治疗。比较两组骨髓抑制发生率,治疗前及治疗 1 周后血常规指标、免疫功能及不良反应。结果:研究组骨髓抑制发生率低于对照组,差异有统计学意义(P<0。05)。治疗 1 周后,两组白细胞计数(WBC)、血红蛋白(hemoglobin,Hb)、血小板计数(platelet counts,PLT)、中性粒细胞计数(neutrophil count,NEUT)均降低,研究组WBC、Hb、PLT、NEUT均高于对照组,差异有统计学意义(P<0。05)。治疗 1 周后,两组CD3+、CD4+、CD8+均降低,研究组CD3+、CD4+、CD8+均高于对照组,差异有统计学意义(P<0。05)。研究组骨痛、发热、乏力、头痛头晕评分均低于对照组,差异有统计学意义(P<0。05)。结论:在乳腺癌患者进行化疗时,选择十一味参芪片联合人粒细胞刺激因子予以治疗能够有效降低患者发生骨髓抑制的风险,维持患者血常规水平及免疫功能,有效降低不良反应发生率。
Effect of Eleven Flavored Shenqi Tablets Combined with Human Granulocyte Stimulating Factor in the Treatment of Breast Cancer Patients with Chemotherapy and Its Influence on Bone Marrow Suppression
Objective:To study the effect of Eleven Flavored Shenqi Tablets combined with Human Granulocyte Stimulating Factor in the treatment of breast cancer patients with chemotherapy and its influence on bone marrow suppression.Method:A total of 82 breast cancer chemotherapy patients admitted to Qidong Traditional Chinese Medicine Hospital from January 2020 to January 2023 were selected.They were divided into study group and control group according to random number table method,with 41 cases in each group.The control group was given Human Granulocyte Stimulating Factor Injection treatment,and the study group was given Eleven Flavored Shenqi Tablets combined with Human Granulocyte Stimulating Factor treatment.The incidence of myelosuppression,blood routine indexes,immune function before and after 1 week of treatment and adverse reactions were compared between the two groups.Result:The incidence of myelosuppression in the study group was lower than that in the control group,the difference was statistically significant(P<0.05).After 1 week of treatment,white blood cell counts(WBC),hemoglobin(Hb),platelet counts(PLT)and neutrophil count(NEUT)were decreased in both groups,WBC,Hb,PLT and NEUT in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).After 1 week of treatment,CD3+,CD4+ and CD8+ were decreased in both groups,and CD3+,CD4+ and CD8+ in the study group were higher than those in the control group,the differences were statistically significant(P<0.05).The scores of bone pain,fever,fatigue,headache and dizziness in the study group were lower than those in the control group,the differences were statistically significant(P<0.05).Conclusion:When breast cancer patients undergo chemotherapy,the combination of Eleven Flavored Shenqi Tablets combined with Human Granulocyte Stimulating Factor treatment can effectively reduce the risk of bone marrow suppression,maintain the blood routine level and immune function,effectively reduce the incidence of adverse reactions of patients.

Eleven Flavored Shenqi TabletsHuman Granulocyte Stimulating FactorBreast cancerChemotherapyMyelosuppressionBlood routine

徐洋、袁慧、陈红英

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启东市中医院 江苏 启东 226200

十一味参芪片 人粒细胞刺激因子 乳腺癌 化疗 骨髓抑制 血常规

江苏省中医药科技发展计划专题研究项目

ZT202115

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(7)
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