首页|五消散加减治疗乙肝肝硬化相关中晚期原发性肝癌临床研究

五消散加减治疗乙肝肝硬化相关中晚期原发性肝癌临床研究

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目的:观察中药五消散对乙肝肝硬化相关中晚期原发性肝癌(Primary Hepatic Carcinoma,PHC)患者的临床症状、中医症状评分、肝功能检验指标、病灶直径、病灶体积或面积、肿瘤标志物、远期生存率等指标的影响,讨论乙肝肝硬化相关中晚期PHC采用五消散治疗的临床效果.方法:根据诊断标准和排除标准,选取96例PHC患者,经随机方式均等归入对照组(48例)和治疗组(48例),两组患者在西医常规抗乙肝病毒治疗及肝动脉栓塞化疗术治疗基础上,前者实施复方斑蝥胶囊治疗,后者实施五消散治疗,4周为一个疗程,进行不间断的3个疗程治疗后,再对两组患者的临床症状、中医症状评分、肝功能检验指标、远期生存率展开评价,对比两组患者的临床疗效.结果:在总有效率方面,治疗组总有效率为70.83%(34/48),高于对照组的47.92%(23/48),P<0.05,治疗组患者临床症状、中医症状评分、肝功能检验指标、病灶直径、病灶体积或面积、远期生存率等指标较对照组均有明显改善(均P<0.05).结论:对PHC患者采用五消散治疗可改善患者临床症状,改善肝功能、中医症状评分等检验指标,延缓肿瘤生长,延长患者生存期,疗效显著,值得临床推广应用.
A clinical study on modified Wuxiao San in the treatment of intermediate and advanced primary hepatic carcinoma associated with hepatitis B cirrhosis
Objective:To observe the effects of modified Wuxiao San(五消散)on clinical symptoms,TCM symptom scores,liver function test indicators,lesion diameter,lesion volume or area,tumor markers and long-term survival rate of patients with intermediate and advanced primary hepatic carcinoma(PHC)associated with hepatitis B cirrhosis(PHC),and to discuss the clinical effect of modified Wuxiao San in the treatment of intermediate and advanced PHC associated with hepatitis B cirrhosis.Methods:According to the diagnostic criteria and exclusion criteria,96 PHC patients were selected and randomly divided into the control group(48 cases)and the treatment group(48 cases).On the basis of conventional Western anti-hepatitis B virus treatment and hepatic arterial embolization chemotherapy treatment,patients in the control group received Fufang Banmao Jiaonang(复方斑蝥胶囊),while patients in the treatment group received modified Wuxiao San.Four weeks'treatment was one course.After three courses of continuous treatment,the clinical symptoms,TCM score,liver function test index,and long-term survival rate of patients in the two groups were evaluated,and the clinical efficacy in the two groups was compared.Results:In terms of the overall response rate,the total effective rate in the treatment group was 70.83%(34/48),which was significantly higher than 47.92%(23/48)in the control group(P<0.05).Compared with the control group,the clinical symptoms,TCM symptom score,liver function test indicators,lesion diameter,lesion volume or area,and long-term survival rate in the treatment group were all improved significantly(all P<0.05).Conclusion:The application of modified Wuxiao San can relieve the clinical symptoms,improve liver function,TCM symptom scores,slow tumor growth,prolong survival in the treatment of PHC patients,and it has a significant therapeutic effect.It is worthy of promotion and application in clinical practice.

Hepatitis B cirrhosisIntermediate and advanced primary hepatic carcinomaWuxiao SanClinical research

张健、韩雪漫

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菏泽市中医医院,山东 菏泽,274000

菏泽市第二人民医院,山东 菏泽,274000

乙肝肝硬化 中晚期原发性肝癌 五消散 临床研究

2024

中医临床研究
中华中医药学会

中医临床研究

影响因子:0.839
ISSN:1674-7860
年,卷(期):2024.16(6)