扶正化痰方联合GP方案治疗中晚期非小细胞肺癌的临床疗效观察
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中国博士后科学基金项目(编号:2014M550132)


Clinical Observation on Fuzhenghuatan Herbs Combined with GP Chemotherapy in Treating Non-small Cell Lung Cancer
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    摘要:

    目的:观察扶正化痰方联合GP方案治疗中晚期非小细胞肺癌的临床疗效。方法:60例中晚期非小细胞肺癌随机分为2组,对照组(单纯化疗组)、治疗组(化疗+扶正化痰方组)各30例,治疗2个月后,观察2组疲劳程度、中医证候、体力状况、化疗不良反应等变化情况。结果:同对照组相比,治疗组能够明显降低患者的FSI总得分(P<0.05),在咳嗽、血痰、发热、胸痛、短气、乏力等中医证候的缓解及改善方面明显优于对照组(P<0.05),KPS评分治疗组明显高于对照组(P<0.05),另外,治疗组在减轻白细胞、血小板下降、恶心、呕吐以及避免神经毒性等化疗不良反应方面也具有明显优势(P<0.05)。结论:扶正化痰方对于中晚期非小细胞肺癌具有缓解患者疲劳症状、改善中医证候、提高生活质量及减轻化疗不良反应的作用。

    Abstract:

    To observe the clinical efficacy of Fuzhenghuatan formula combined with GP chemotherapy regimens in treating advanced non-small cell lung cancer.Methods:Sixty patients with advanced non-small cell lung cancer were randomly divided into two groups,the control group (chemotherapy group,n=30) and the treatment group (chemotherapy + FuZhengHuaTan herbs group,n=30).After the treatment of two months,the changes of indices including fatigues,TCM syndromes,physical conditions and chemotherapy side effects were observed.Results:Compared with the control group,the treatment with Fuzhenghuatan herbs and chemotherapy could significantly reduce the total FSI score (P<0.05),and TCM syndromes such as cough,bloody sputum,fever,chest pain,short breath,fatigue were better alleviated (P<0.05),and KPS score in the treatment group was significantly higher (P<0.05); in addition,the treatment group also had obvious advantages in reducing white blood cells,platelets,nausea,vomiting,and chemotherapy neurotoxicity (P<0.05).Conclusion:Fuzhenghuatan herbs treating advanced non-small cell lung cancer patients can relieve fatigue and improve TCM syndromes,enhance quality of life and reduce the side effects of chemotherapy.

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卜凡儒 李 婕 蒋树龙.扶正化痰方联合GP方案治疗中晚期非小细胞肺癌的临床疗效观察[J].世界中医药,2014,9(10).

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  • 收稿日期:2014-05-15
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  • 在线发布日期: 2014-10-27
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