首页|扶正固本方联合针刺对胃癌患者症状改善及抗氧化机制研究

扶正固本方联合针刺对胃癌患者症状改善及抗氧化机制研究

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目的 分析扶正固本方联合针刺治疗胃癌的干预改善效果及对氧化应激水平的影响。方法 纳入2022年9月-2023年6月医院收治的94例胃癌患者为研究对象,随机将其分为两组,47例对照组采用化疗治疗,47例观察组在此基础上予以扶正固本方联合针刺治疗,对比两组疗效差异、炎症因子水平、氧化应激水平、T细胞亚群指标水平变化情况等。结果 观察组客观缓解率为40。43%(19/47),疾病控制率为93。62%(44/47),高于对照组的25。53%(12/47)、76。60%(36/47),组间比较差异有统计学意义(P<0。05);观察组谷胱甘肽过氧化酶(glutathione peroxidase,GSH-Px)、超氧化物歧化酶(superoxide dismutase,SOD)高于 对照组,丙二醛(malondialdehyde,MDA)、血清 活性氧(reactive oxygen species,ROS)水平低于对照组(P<0。05);观察组干扰素-γ(interferon gamma-γ,IFN-γ)、肿瘤坏死因子-α(tumor necrosis factor-α,TNF-α)高于对照组,白介素细胞-6(interleukin 6,IL-6)、白介素细胞-8(interleukin 8,IL-8)水平低于对照组、CD3+、CD4+/CD8+高于对照组,CD4+低于对照组(P<0。05)。结论 对胃癌患者开展扶正固本方联合针刺治疗改善效果明确,有利于减轻机体炎症刺激反应,改善氧化应激水平,提高患者机体免疫功能,调节免疫失衡,对患者预后改善具有积极作用。
Study on Improvement of Symptoms and Antioxidant Mechanisms in Gastric Cancer Patients with Combination of Fuzheng Guben Formula(扶正固本方)and Acupuncture
Objective To analyze the clinical efficacy of Fuzheng Guben Formula(扶正固本方)combined with acupuncture in the treatment of gastric cancer and its influence on oxidative stress.Methods Ninety-four patients with gastric cancer admitted to the hospital from September 2022 to June 2023 were included as research objects.They were randomly divided into two groups.Forty-seven patients in the control group received chemotherapy treatment and 47 patients in the observation group received Fuzheng Guben Formula combined acupuncture treatment on this basis.The difference of curative effect,inflammatory factor lev-el,oxidative stress level and T cell subgroup index level were compared between the two groups.Results The objective remission rate and disease control rate of the observation group were 40.43%(19/47)and 93.62%(44/47),respectively,which were higher than 25.53%(12/47)and 76.60%(36/47)in the control group(P<0.05).The levels of glutathione peroxidase(GSH-Px)and superoxide dismutase(SOD)in observation group were higher than those in control group,and the levels of ma-londialdehyde(MDA)and reactive oxygen species(ROS)were lower than those in control group(P<0.05).The levels of inter-feron gamma-γ(IFN-γ)and tumor necrosis factor-α(TNF-α)in the observation group were higher than those in the con-trol group,the levels of interleukin-6(IL-6)and interleukin-8(IL-8)were lower than those in the control group,the values of CD3+and CD4+/CD8+were higher than those in the control group,and the value of CD4+was lower than that in the control group(P<0.05).Conclusion Fuzheng Guben Formula combined acupuncture has a clear effect on gastric cancer patients,which is conducive to reducing the inflammatory stimulus response,improving the level of oxidative stress and the immune function of pa-tients,regulating the immune imbalance,and improving the prognosis of patients.

gastric cancerFuzheng Guben Formula(扶正固本方)needlinginflammatory factorsoxidative stressimmune capacity

丁铌、王苏、郭曼、陈丽娟

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青岛大学附属青岛市海慈医院(青岛市中医医院),山东青岛 266033

胃癌 扶正固本方 针刺 炎性因子 氧化应激 免疫能力

国家重点研发计划项目山东省中医药科技项目

2019YFC1710401Q-2022007

2024

中华中医药学刊
中华中医药学会 ,辽宁中医药大学

中华中医药学刊

CSTPCD北大核心
影响因子:1.007
ISSN:1673-7717
年,卷(期):2024.42(8)