中药对中晚期三阴乳腺癌的生存影响及中医治疗策略探讨
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

基金项目:

中国中医科学院乳腺癌优势病种课题资助(编号:CACMSO7Y0015)


Effect of Herbs on Progress-free Survival in Clinical Stage II~IV Triple Negative Breast Cancer and Strategy of Traditional Chinese Medicine
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察辨证服用中药对三阴乳腺癌的生存影响并探讨中医治疗策略。方法:采用队列研究的方法依据治疗方法的不同将101例三阴乳腺癌分为2个队列,辨证服用中药联合西医治疗队列及单纯西医治疗队列。中药1剂/d,服药至少半年或至肿瘤进展;西医按照美国综合癌症治疗网指南给予相应的治疗。随访3年观察患者3年疾病无进展生存(PFS)及患者生存质量。结果:Kaplan–Meier生存曲线显示,中西医结合组的3年PFS较单纯西药治疗组显示一定优势,有统计学意义(P<0.05)。COX回归分析2组未见统计学意义(P>0.05)。化疗脑及肢体麻木症状在服药1个月后统计显示有明显改善(P<0.05)。结论:辨证服用中药可能对患者的生存有益,需要扩大病例数进一步研究证实。中药可改善因化疗引起的麻木及化疗脑,从而提高生活质量。

    Abstract:

    We observed the effect of Chinese medicine, given as a result of syndrome differentiation, on the progress-free survival and life quality of patients with triple negative breast cancer (TNBC) as well as the strategy of traditional Chinese Medicine. Method: 101 patients at stage II/IIII/IV were divided into two cohorts, of which 65 cases were treated with combination of herbs and standard western medicine and 36 cases by the western medicine alone. Progress-free survival and symptoms like numbness and chemo-brain were evaluated. Results:During 36-month follow-up, there was a statistically significance in DFS by Kaplan-meier although no significance in DFS by COX, and there were significances in improvement of numbness and chemo-brain in combination. Conclusion:Chinese medicine treatment according to syndrome differentiation, may be beneficial to patients with TNBC, the efficacy needs to be further proved on a larger number of patients. Chinese medicine can improve quality of life by relieving the symptoms such as numbness and chemo brain caused by chemotherapy.

    参考文献
    相似文献
    引证文献
引用本文

卢雯平 徐兵和 姜翠红 高雅静 马 飞 车焕丽 郑洪刚 李道睿 石闻光 张培彤 林洪生.中药对中晚期三阴乳腺癌的生存影响及中医治疗策略探讨[J].世界中医药,2013,8(1).

复制
相关视频

分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:2012-08-07
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2013-02-28
  • 出版日期:
文章二维码