中医肿瘤学杂志2024,Vol.6Issue(1) :15-22.DOI:10.19811/j.cnki.ISSN2096-6628.2024.01.003

血痹康泡洗治疗奥沙利铂化疗后周围神经毒性的临床疗效观察

Clinical Observation on Soaking with Xuebikang Formula for the Treatment of Peripheral Neurotoxicity after Oxaliplatin Chemotherapy

王宇立 沈彬雯 唐禹 方媛 李雁 陈旻
中医肿瘤学杂志2024,Vol.6Issue(1) :15-22.DOI:10.19811/j.cnki.ISSN2096-6628.2024.01.003

血痹康泡洗治疗奥沙利铂化疗后周围神经毒性的临床疗效观察

Clinical Observation on Soaking with Xuebikang Formula for the Treatment of Peripheral Neurotoxicity after Oxaliplatin Chemotherapy

王宇立 1沈彬雯 2唐禹 3方媛 1李雁 1陈旻1
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作者信息

  • 1. 上海中医药大学附属市中医医院,上海 200070
  • 2. 上海市杨浦区中医医院,上海 200082
  • 3. 复旦大学上海医学院,上海 200032;上海市闵行区中西医结合医院,上海 201199
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摘要

目的 观察血痹康泡洗对奥沙利铂化疗后周围神经毒性的临床疗效.方法 本试验共纳入90例接受含奥沙利铂的化疗方案且发生周围神经病变的患者,按随机数字表分为治疗组45例和对照组45例.治疗组患者每日采用血痹康泡洗,对照组患者每日采用温水泡洗,治疗时间为30分钟,两组疗程均为8周.比较两组患者周围神经毒性及肢体麻木程度的改善情况、周围神经传导速度变化及生活质量.此外,比较治疗前后血常规及肝肾功能变化情况以评价安全性.结果 ①治疗后,治疗组神经毒性的改善情况显著优于对照组,治疗组总有效率为68.18%,对照组为35.71%,差异具有统计学意义(P<0.05).②治疗后,两组患者的肢体麻木程度均表现下降的趋势,治疗至第二疗程后,治疗组患者的肢体麻木程度显著低于对照组.③治疗后,治疗组患者正中神经、腓神经的运动神经传导速度(motor nerve conduction velocity,MCV)及感觉神经传导速度(sensory nerve conduction velocity,SCV)显著增高,生活质量明显改善.④治疗后,两组患者血常规、肝肾功能均未出现明显异常(P>0.05),血痹康泡洗疗法安全性较高.结论 血痹康泡洗治疗可改善奥沙利铂化疗后引起的周围神经病变及肢体麻木程度,有效提高外周神经传导速度,改善患者的生活质量,且安全性较高.

Abstract

Objective To observe the clinical efficacy of soaking with Xuebikang formula for the treatment of peripheral neurotoxicity after oxaliplatin chemotherapy.Methods A total of 90 patients with peripheral neurotoxicity who received oxaliplatin chemotherapy were randomly divided into the treatment group(n = 45)and the control group(n = 45)according to random number table.The treatment group was treated with daily soaking of Xuebikang formula,while the control group was treated with daily soaking of warm water.The treatment lasted for 30 minutes,and the course of treatment for both groups was 8 weeks.The improvement of peripheral neurotoxicity and limb numbness,peripheral nerve conduction rate,and quality of life were compared between the two groups.Besides,blood routine,liver function,and kidney function changes before and after treatment were compared to evaluate the safety of the treatment.Results①After treatment,the improvement of peripheral neurotoxicity in the treatment group was significantly superior to the control group.The total effective rate of the treatment group was 68.18%while the control group was 35.71%,and the difference was statistically significant(P<0.05).②After treatment,the degree of limb numbness in both groups showed a decreasing trend.After the second course of treatment,the degree of limb numbness in the treatment group was significantly lower than that in the control group.③After treatment,motor nerve conduction velocity(MCV)and sensory nerve conduction velocity(SCV)of median nerves and peroneal nerves in the treatment group were significantly increased,and the quality of life was remarkably improved.④ After treatment,there was no significant abnormality in blood routine,liver function,and kidney function between the two groups(P>0.05),which confirmed high safety of Xuebikang formula.Conclusion Soaking with Xuebikang formula can significantly improve peripheral neuropathy and limb numbness caused by oxaliplatin chemotherapy,and effectively improve peripheral nerve conduction velocity and life quality with high safety.

关键词

血痹康/奥沙利铂/周围神经毒性/泡洗

Key words

Xuebikang/oxaliplatin/peripheral neuropathy/soaking

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基金项目

上海市西部区域中医肿瘤专科联盟建设(ZY2021-2023-0301-04)

上海医学创新发展基金会中医药科技发展项目(WL-HBQN-2022018K)

上海医学创新发展基金会中医药科技发展项目(WL-QNRC-2022003K)

上海医学创新发展基金会中医药传承发展项目(WLJH2022ZY-ZYY002)

出版年

2024
中医肿瘤学杂志

中医肿瘤学杂志

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参考文献量14
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