首页|基于医院信息系统真实世界扶正消瘤贴对肝癌患者的临床疗效获益的回顾性队列研究

基于医院信息系统真实世界扶正消瘤贴对肝癌患者的临床疗效获益的回顾性队列研究

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目的:本研究基于真实世界分析扶正消瘤贴对肝癌的临床疗效,为后续前瞻性研究提供证据和数据支撑,为肝癌及其并发症发掘潜在的治疗手段.方法:采用回顾性队列研究的方法,纳入患者共219例,按照是否采用扶正消瘤贴治疗分为消瘤贴组和对照组.Cox回归分析用于探讨生存期指标的风险因素,根据医院信息系统(Hospital Information System,HIS)病历记录以及肝功能检查,分析住院前后的视觉模拟评分法(Visual Analogue Scale,VAS)评分、Child-Pugh评分和体力状况评分,并统计与扶正消瘤贴相关的不良事件.结果:在患者基线水平比较中,经过单因素Cox模型分析后发现,40~60岁(P=0.0122,HR=0.605)和高血压病(P=0.009 2,HR=0.558)是肝癌生存期的保护因素.消瘤贴组的总生存期(Overall Survival,OS)有低于对照组的趋势,无进展生存期(Progression Free Survival,PFS)显著高于对照组(P=0.003 7).消瘤贴组的VAS评分差值、体力状况评分差值显著优于对照组(P=0.007 4,P=0.005 8).消瘤贴组的Child-Pugh评分在治疗后呈下降趋势,对照组则呈上升趋势.消瘤贴组不良事件发生率为9.94%.结论:扶正消瘤贴治疗方案在缓解癌性疼痛方面疗效显著,并且在控制肝癌进展、提升生活质量上有一定优势,且临床安全性较高.
A retrospective cohort study on the clinical efficacy of the Fuzheng Xiaoliu plaster on liver cancer patients based on the real world of HIS system
Objective:based on real world analysis of the clinical efficacy and benefits of the Fuzheng Xiaoliu plaster(扶正消瘤贴)on liver cancer,this study provides research evidence and data support for future prospective research,and explores potential treatment methods for liver cancer and its complications.Methods:This study used a retrospective cohort study method,involving a total of 219 patients who were divided into the Xiaoliu plaster group and the control group based on whether they were treated with the Fuzheng Xiaoliu plaster.Cox regression analysis was used to explore the risk factors of survival indicators.VAS scores,Child-Pugh scores and PS scores before and after hospitalization were analyzed based on HIS medical records and liver function tests,and the number of adverse events related to the Fuzheng Xiaoliu plaster was counted.Results:In the baseline comparison of patients,after univariate Cox model analysis,it was found that 40-60 years old(P=0.012 2,HR=0.605)and hypertension(P=0.009 2,HR=0.558)were protective factors for liver cancer survival.The overall survival period of the Xiaoliu plaster group showed a trend of being lower than the control group,while the progression free survival period was significantly higher than the control group(P=0.003 7).Difference of the VAS score and PS score in the Xiaoliu plaster group were significantly better than the control group(P=0.007 4,P=0.005 8).The Child Pugh score in the Xiaoliu plaster group showed a downward trend after treatment,while the control group showed an upward trend.The incidence of adverse events in this study was 9.94%.Conuusion:The Fuzheng Xiaoliu plaster has more advantages in controlling disease progression,alleviating cancer pain,reducing Child-Pugh score,and improving quality of life,with high safety.

The Fuzheng Xiaoliu plasterLiver cancerRetrospective cohort studySurvival periodVisual analogue scale

葛书怡、李斯曼、刘聪聪、邓雪飞、阎博华

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成都中医药大学,四川 成都,610072

重庆南川金佛山中医院,重庆,408415

成都中医药大学附属医院,四川 成都,610075

扶正消瘤贴 肝癌 回顾性队列研究 生存期 VAS评分

成都中医药大学附属医院院基金成都中医药大学附属医院百人计划成都中医药大学附属医院百人计划成都中医药大学"杏林学者"项目

238YTS190521-Y2120-Q03QNXZ2020003

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(16)