健脾祛浊消积颗粒对晚期结直肠癌化疗相关性腹泻疗效的临床观察
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2016年度烟台市科技发展计划项目(2016WS050)


Clinical Observation on the Effects of Jianpi Quzhuo Xiaoji Granules in the Treatment of Chemotherapy-associated Diarrhea of Advanced Colorectal Cancer
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    目的:健脾祛浊消积颗粒对晚期结直肠癌化疗相关性腹泻疗效的临床观察。方法:选取2016年9月至2018年6月烟台市中医医院肿瘤科收治的晚期结肠癌患者22例作为研究对象,采用单病例随机对照试验,试验过程中脱落2例患者,最终纳入20例患者,共80个化疗病例数,揭盲后40个化疗病例入观察组,40个化疗病例入对照组。治疗后统计2组化疗后的不良反应;比较2组治疗前后中医证候积分及疗效评价、生命质量等。结果:观察组中医证候的疗效明显高于对照组(P<0.05);观察组治疗后各功能领域评分及对照组躯体功能评分显著升高,且观察组显著高于对照组(P<0.01);观察组各症状领域评分及对照组角色功能及中医症状评分显著降低,且观察组显著低于对照组(P<0.05或P<0.01);与治疗前比,治疗后观察组食少纳呆、体倦乏力、腹痛腹胀、便溏积分显著降低,对照组腹痛腹胀、便溏积分降低,且观察组显著低于对照组(P<0.05或P<0.01);观察组不良反应总发生率显著低于对照组(P<0.01)。结论:健脾祛浊消积颗粒可缓解晚期结直肠癌患者化疗后临床症状,尤其减轻相关腹泻,降低化疗不良反应,改善其生命质量,提高患者依从性,值得临床推广应用。

    Abstract:

    To clinically observe the effects of Jianpi Quzhuo Xiaoji Granules in the treatment of chemotherapy-associated diarrhea of advanced colorectal cancer.Methods:A total of 22 patients with advanced colon cancer admitted in the oncology department of Yantai Hospital of Traditional Chinese Medicine from September 2016 to June 2018 were included as the study object.Single case randomized controlled trial was adopted,and 2 patients dropped out during the trial.Eventually,20 patients were included,with 80 cases of chemotherapy and both 40 cases in the observation group and the control group after unblinding.After the treatment,the adverse effects of chemotherapy of the 2 groups were counted.The scores of TCM syndromes before and after treatment of the 2 groups were compared,as well the evaluation as of curative effect and the quality of life.Results:The effect of relieving TCM syndrome of the observation group was significantly better than that of the control group(P<0.05).After the treatment,the scores of all functions of the observation group and the body function of the control group were significantly increased,and the scores of the observation group were significantly higher than that of the control group(P<0.01).The scores of all symptoms of the treatment group and the role function and TCM symptoms of the control group were significantly decreased,and the scores of the treatment group were significantly lower than those of the control group(P<0.05 or P<0.01).Compared with before the treatment,the observation group after the treatment had significantly lower scores in terms of decreased food intake and digestion,fatigue,abdominal pain,abdominal distension,diarrhea; and the control group had significantly lower scores in terms of abdominal pain,abdominal distension and diarrhea,and the scores of the treatment group was significantly lower than that of the control group(P<0.05 or P<0.01).The total incidence of adverse effects in the treatment group was significantly lower than that in the control group(P<0.01).Conclusion:Jianpi Quzhuo Xiaoji Granules can alleviate the clinical symptoms of patients with advanced colorectal cancer after chemotherapy,especially chemotherapy-associated diarrhea,reduce the toxic and adverse effects of chemotherapy,improve their quality of life and compliance,which is worthy of promotion and clinical application.

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戴玲玲,孟鹏,窦欢欢,侯爱画.健脾祛浊消积颗粒对晚期结直肠癌化疗相关性腹泻疗效的临床观察[J].世界中医药,2019,(04).

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  • 收稿日期:2018-11-06
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  • 在线发布日期: 2019-05-09
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