世界中医药
文章摘要
引用本文:王小龙1,徐彬1,周雷1,马俊杰1,2,李智强1,徐增柏1.扶正抗癌方联合化疗治疗肝胃不和型胃癌效应观察[J].世界中医药,2016,(08):.  
扶正抗癌方联合化疗治疗肝胃不和型胃癌效应观察
Clinical Effect and Mechanism of of Healthy qi Reinforcing and Anti-cancer Decoction in Treatment of Stomach Cancer with Liver-stomach disharmony syndrome
投稿时间:2016-06-21  
DOI:10.3969/j.issn.1673-7202.2016.08.017
中文关键词:  扶正抗癌方  中医药  化疗  肝胃不和  胃癌
English Keywords:Healthy qi Reinforcing and Anti-cancer Decoction  Chinese medicine  Chemotherapy  Liver-stomach disharmony syndrome  Stomach cancer
基金项目:宿迁市科技项目——扶正抗癌方治疗肝胃不和型胃癌临床疗效及机制研究(编号:Z201517)
作者单位
王小龙1,徐彬1,周雷1,马俊杰1,2,李智强1,徐增柏1 1 南京中医药大学教学医院,江苏省沭阳县中医院肿瘤科宿迁,223600 2 南京中医药大学基础医学院南京210046 
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中文摘要:
      目的:观察扶正抗癌方联合西药治疗肝胃不和型胃癌的疗效及机制。方法:将41例胃癌患者随机分为治疗组和对照组,均给予多西他赛40 mg/m2,第1,8天,静脉滴注1 h,并常规给予抗过敏预处理;奥沙利铂75 mg/m2,第1天,静脉滴注2 h;21 d为1个周期,共化疗2个周期。对照组21例在此基础上加服安慰剂;治疗组20例在上述治疗的基础上加用扶正抗癌方,治疗1个疗程(40 d)。疗程结束后,判定疗效,观测临床症状、症状积分、不良反应及免疫指标等。结果:治疗组治疗总有效率显著高于对照组(P<0.05),免疫功能相关指标优于对照组(P<0.05),KPS评分(卡氏生活质量评分)显著优于对照组(P<0.05)。结论:扶正抗癌方联合西药治疗肝胃不和型胃癌疗效满意,无严重不良反应,可显著改善免疫功能及生存状况,值得推广应用。
English Summary:
      To explore the clinical curative effect and mechanism of Healthy qi Reinforcing and Anti-cancer Decoction in the treatment of stomach cancer in liver-stomach disharmony syndrome. Methods: Total 41 cases of patients with stomach cancer were randomly divided into treatment group and control group, both groups were given intravenous drip Docetaxel with 40 mg/m2 for 1 hour at 1 st and 8th days′ treatment, with an allergy conventional pretreatment; Oxaliplatin 75 mg/m2, intravenous drip for 2 hour at the first day; the chemotherapy lasted for 2 session, each session lasted for 21 d. The 21 cases in the control group received placebo on the base of the treatment; The 20 cases in treatment group also received Healthy qi Reinforcing and Anti-cancer Decoction for 1 session (40 d). The curative effect, clinical symptoms, symptom integral, adverse reactions, and immune index were observed. Results: The total effective rate of the observation group was significantly higher than control group (P<0.05), the related parameters of immune function were better than control group (P<0.05), KPS score (carr′s quality of life score) was significantly better than control group (P<0.05).Conclusion:The results of the Healthy qi Reinforcing and Anti-cancer Decoction combined western medicine therapy is satisfied in the treatment of stomach cancer with liver-stomach disharmony syndrome, with no serious adverse reactions, and can significantly improve the immune function and survival condition, which is worthy of popularization and application.
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