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中药联合手术治疗对胃癌患者治疗效果的随机对照研究 被引量:1

Traditional Chinese medicine combined with surgery in treatment of patients with gastric cancer
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摘要 目的 探究中药联合手术治疗对胃癌患者的临床效果.方法 选取我院2013年8月至2015年8月收治的66例胃癌患者,将其按照数字表法随机分为观察组和对照组,每组33例.两组患者均行根治性手术,对照组患者术后进行常规化疗治疗及其他对症治疗,观察组在对照组的基础上再给予中药.观察比较两组患者的中医临床证候缓解及生活质量的改善情况.结果 治疗后,两组患者的胃脘痛、痞满、纳差、消瘦、乏力及中医临床证候总积分均较治疗前有显著改善(P<0.05),且观察组患者的胃脘痛、痞满、纳差、消瘦、乏力及中医临床证候总积分均优于对照组(P<0.05).治疗后前两组患者的躯体功能、角色功能、情绪功能、社会功能比较差异无统计学意义(P> 0.05),治疗后观察组患者躯体功能评分为(95.7±7.6)分,角色功能评分为(98.4±8.5)分,情绪功能评分为(87.9±12.6)分,社会功能评分为(75.5±11.7)分,对照组躯体功能评分为(81.4±8.5)分,角色功能评分为(59.4±15.1)分,情绪功能评分为(65.4±11.8)分,社会功能评分为(58.2±12.6)分,观察组患者各项评分均显著优于对照组,P< 0.05,差异具有统计学意义.结论 中药联合手术治疗胃癌患者的临床疗效显著,可有效改善其中医临床证候及生活质量,可在临床上推广应用. Objective To explore the clinical effect of traditional Chinese medicine combined with surgery for patients with gastric cancer.Methods 66 patients with gastric cancer admitted into our hospital from August, 2013 to August, 2015 were randomly divided into an observation group and a control group, 33 cases for each group.Both groups were treated with radical surgery;the control group were treated with conventional chemotherapy and symptomatic treatment;in addition of above treatment, the observation group were treated with traditional Chinese medicine.The clinical symptoms of traditional Chinese medicine and the quality of life were observed and compared in both groups.Results Epigastric pain, fullness, anorexia, weight loss, fatigue, and TCM syndrome total score were significantly better after than before the treatment in both group and were better in the observation group than in the control group (P 〈 0.05).The physical function, role function, emotional function, and social function didn't statistically different from each other group before the treatment (P 〉 0.05) and were (95.7±7.6), (98.4±8.5), (87.9±12.6), and (75.5±11.7) in the observation group and were (81.4±8.5), (59.4±15.1), (65.4±11.8), and (58.2±12.6) in the control group after the treatment, so they were better in the observation group than in the control group after the treatment, with statistical differences (P〈0.05).Conclusions Traditional Chinese medicine in the combination of surgical treatment for patients with gastric cancer has significant clinical curative effect and can effectively improve the clinical symptoms and the patients' quality of life, so it is worth being clinically generalized.
出处 《国际医药卫生导报》 2016年第2期192-194,共3页 International Medicine and Health Guidance News
关键词 中药 手术治疗 胃癌 临床效果 Traditional Chinese Medicine Surgical treatment Gastric cancer Clinical effect
作者简介 通信作者:殷蓓蓓,E-mail:619772741@qq.com
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参考文献7

  • 1Seevaratnam R, Cardoso R, Mcgregor C, et al. How useful is preoperative imaging for tumor, node, metastasis (TNM) staging of gastric cancer? A meta-analysis[J]. Gastric Cancer, 2012, 15(Suppl 1): S3-18.
  • 2Nashimoto A, Akazawa K, Isobe Y, et al. Gastric cancer treated in 2002 in Japan: 2009 annual report of the JGCA nationwide registry[J]. Gastric Cancer, 2013, 16(1): 1-27. DOI:10.1007/s10120-012-0163-4.
  • 3Sano T, Aiko T. New Japanese classifications and treatment guidelines for gastric cancer: revision concepts and major revised points[J]. Gastric Cancer, 2011, 14(2): 97-100. DOI: 10.1007/s 10120-011-0040-6.
  • 4Xu Y, Zhao AG, Li ZY, et al. Survival benefit of traditional Chinese herbal medicine (a herbal formula for invigorating spleen) for patients with advanced gastric cancer[J]. Integrative cancer therapies, 2013, 12(5): 414-422. DOI:10.1177/1534735412450512.
  • 5梁健,蒋曼君,邓鑫,吴发胜.健脾益气法为主的中药结合化疗治疗胃癌的系统评价[J].辽宁中医杂志,2013,40(4):630-633. 被引量:4
  • 6李晴晴,张琪,许泽君,耿辉.健脾益气法对胃癌术后患者营养状况和免疫功能的影响[J].中西医结合研究,2014,6(3):113-116. 被引量:15
  • 7钱雪梅,钟美华,胡德红,粱玉玲,喻清和,岑钧华,郑蕾,谭笑娟.护理干预联合中药对结肠癌多疗程化疗患者营养的影响[J].国际医药卫生导报,2013,19(16):2451-2455. 被引量:5

二级参考文献39

  • 1陈建华,王毓明,倪川明,张建生,华江.早期部分性肠内营养对胃癌患者围手术后恢复的影响[J].苏州大学学报(医学版),2004,24(4):541-543. 被引量:12
  • 2吴国豪,刘中华,郑烈伟,全应军,吴肇汉.普外科住院患者营养状况评价及预后分析[J].中华外科杂志,2005,43(11):693-696. 被引量:95
  • 3胡少明,涂胜豪,董慧,王开富,何邦顺,杨金香.加味四君颗粒联合化疗治疗胃癌40例临床研究[J].中医杂志,2006,47(4):274-276. 被引量:6
  • 4Kamangar F,Dores GM,Anderson WF.Patterns of cancer incidence,mortality and prevalence across five continents:defining priorities toreduce cancer disparities in different geographic regions of the word[J].J Clin Oncol,2006,24(14):2137-2150.
  • 5ESNO Guidelines Working Group.Gastric cancer:ESMO Clinical Rec-ommendations for diagnosis,treatment and follow-up[J].Ann On-col,2007,18(s1):17-18.
  • 6Jemal A,Siegel R,Ward E,Hao et al.Cancer statistics,2009[J].CA Cancer J Clin,2009,59(4):225-249.
  • 7Parkin DM,Bray F,Ferlay J,et al.Global cancer statistics,2002[J].CA Cancer J Clin,2005,55(2):74-108.
  • 8NCCN胃癌专家组.NCCN胃癌临床实践指南(中国版)[OL].2010.
  • 9Winawer SJ.Gastric cancer:Worldwide burden and prevention oppor-tunities[J].Chin J Dig Dis,2005,6(3):107-109.
  • 10Park SS,Ryu JS,Min BW,et al.Impact of skip metastasis in gastriccancer[J].ANZ J Surg,2005,75(8):645-649.

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