首页|芪桂消癥方加减联合TC化疗治疗晚期卵巢癌的临床研究

芪桂消癥方加减联合TC化疗治疗晚期卵巢癌的临床研究

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目的:探究芪桂消癥方加减联合TC化疗治疗晚期卵巢癌患者的临床疗效.方法:选取2018年10月—2023年4月就诊于黑龙江中医药大学附属第一医院肿瘤科门诊及病房的晚期卵巢癌化疗患者95例,随机分为对照组和观察组,对照组48例,采用TC化疗方案,治疗组47例,采用芪桂消癥方加减联合TC化疗,以21 d为1个周期,共治疗4个周期.观察两组患者血液流变学指标、免疫功能、肿瘤标志物、KPS评分、不良反应发生率等.结果:治疗后,治疗组血液流变学指标纤维蛋白原、全血黏度高切、全血黏度低切水平均低于对照组(P<0.05);CD3+、CD4+、CD4+/CD8+水平高于对照组(P<0.05),CD8+水平低于对照组(P<0.05);CA125、CA199、HE4水平低于对照组(P<0.05);KPS评分高于对照组(P<0.05);不良反应发生率低于对照组(P<0.05).结论:芪桂消癥方加减联合TC化疗治疗方案在改善晚期卵巢癌患者血液流变学指标、免疫功能、肿瘤标志物水平、生活质量等方面具有更好的临床疗效,且能够降低不良反应发生率.
Clinical Study on the Combination of Modified Qigui Xiaozheng Formula and TC Chemotherapy in the Treatment of Advanced Ovarian Cancer
Objective:To investigate the clinical efficacy of modified Qigui Xiaozheng Formula combined with TC chemotherapy in treating patients with advanced ovarian cancer.Methods:A total of 95 patients with advanced ovarian cancer who received chemotherapy at the oncology department of The First Affiliated Hospital of Heilongjiang University of Chinese Medicine from October 2018 to April 2023 were randomly divided into a control group and an observation group.The control group(48 patients)received TC chemotherapy,while the treatment group(47 patients)was treated with modified Qigui Xiaozheng Formula combined with TC chemotherapy.The treatment cycle was 21 days,and the total treatment lasted for 4 cycles.Blood rheology indicators,immune function,tumor markers,KPS scores,and the incidence of adverse reactions were observed and compared between the two groups.Results:After treatment,the fibrinogen,whole blood viscosity(high shear),and whole blood viscosity(low shear)levels in the treatment group were significantly lower than those in the control group(P<0.05).The levels of CD3+,CD4+,and CD4+/CD8+in the treatment group were higher,and CD8+was lower compared to the control group(P<0.05).The levels of CA125,CA199,and HE4 were significantly lower in the treatment group than in the control group(P<0.05).The KPS score was higher in the treatment group(P<0.05).The incidence of adverse reactions was lower in the treatment group compared to the control group(P<0.05).Conclusion:The combination of modified Qigui Xiaozheng Formula and TC chemotherapy has better clinical efficacy in improving blood rheology,immune function,tumor marker levels,and quality of life in patients with advanced ovarian cancer,while reducing the incidence of adverse reactions.

Advanced ovarian cancerImmune functionQigui Xiaozheng Formula

张俐佳、李欣羽、何广、王倩、刘业、刘松江

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黑龙江中医药大学附属第一医院,黑龙江哈尔滨 150040

黑龙江中医药大学,黑龙江哈尔滨 150040

晚期卵巢癌 免疫功能 芪桂消癥方

2025

中医药学报
中华中医药学会,黑龙江中医药大学

中医药学报

影响因子:1.169
ISSN:1002-2392
年,卷(期):2025.53(1)