南京中医药大学学报
南京中醫藥大學學報
남경중의약대학학보
JOURNAL OF NANJING UNIVERSITY OF TRADITIONAL CHINESE MEDICINE
2015年
3期
201-205
,共5页
邹玺%陈玉超%胡守友%王瑞平%王晓骁%刘沈林%刘宝瑞%陆建伟
鄒璽%陳玉超%鬍守友%王瑞平%王曉驍%劉瀋林%劉寶瑞%陸建偉
추새%진옥초%호수우%왕서평%왕효효%류침림%류보서%륙건위
健脾养正消癥方%晚期胃癌%生存期%生活质量
健脾養正消癥方%晚期胃癌%生存期%生活質量
건비양정소징방%만기위암%생존기%생활질량
Jianpi Yangzheng Xiaozheng Fang%late stage gastric cancer%survival%life quality
目的:观察健脾养正消癥方对晚期胃癌生存期和生活质量的干预作用。方法共纳入232例患者,随机分为2组,试验组为健脾养正消癥方联合化疗组,对照组为化疗组,观察从入组到死亡的时间,比较2组的生存期、临床症状积分和生活质量评分。结果试验组生存期明显长于对照组,平均天数为(327.27±15.33)d,对照组平均天数为(257.92±16.56)d,2组比较差别有统计学意义(P <0.01)。通过生活质量 QLQ-C30量表分析,试验组能明显改善患者的情绪功能、角色功能、疼痛、恶心呕吐、疲乏和食欲丧失等症状和总体健康状况,2组比较差异有统计学意义(P <0.05)。通过对中医症状积分的比较,发现试验组能改善患者的胃痛、纳少、乏力和嗳气的症状,2组比较差异有统计学意义(P <0.05)。结论健脾养正消癥方配合化疗能明显延长晚期胃癌患者的生存期,改善患者的胃痛等症状,提高患者的生活质量。
目的:觀察健脾養正消癥方對晚期胃癌生存期和生活質量的榦預作用。方法共納入232例患者,隨機分為2組,試驗組為健脾養正消癥方聯閤化療組,對照組為化療組,觀察從入組到死亡的時間,比較2組的生存期、臨床癥狀積分和生活質量評分。結果試驗組生存期明顯長于對照組,平均天數為(327.27±15.33)d,對照組平均天數為(257.92±16.56)d,2組比較差彆有統計學意義(P <0.01)。通過生活質量 QLQ-C30量錶分析,試驗組能明顯改善患者的情緒功能、角色功能、疼痛、噁心嘔吐、疲乏和食欲喪失等癥狀和總體健康狀況,2組比較差異有統計學意義(P <0.05)。通過對中醫癥狀積分的比較,髮現試驗組能改善患者的胃痛、納少、乏力和噯氣的癥狀,2組比較差異有統計學意義(P <0.05)。結論健脾養正消癥方配閤化療能明顯延長晚期胃癌患者的生存期,改善患者的胃痛等癥狀,提高患者的生活質量。
목적:관찰건비양정소징방대만기위암생존기화생활질량적간예작용。방법공납입232례환자,수궤분위2조,시험조위건비양정소징방연합화료조,대조조위화료조,관찰종입조도사망적시간,비교2조적생존기、림상증상적분화생활질량평분。결과시험조생존기명현장우대조조,평균천수위(327.27±15.33)d,대조조평균천수위(257.92±16.56)d,2조비교차별유통계학의의(P <0.01)。통과생활질량 QLQ-C30량표분석,시험조능명현개선환자적정서공능、각색공능、동통、악심구토、피핍화식욕상실등증상화총체건강상황,2조비교차이유통계학의의(P <0.05)。통과대중의증상적분적비교,발현시험조능개선환자적위통、납소、핍력화애기적증상,2조비교차이유통계학의의(P <0.05)。결론건비양정소징방배합화료능명현연장만기위암환자적생존기,개선환자적위통등증상,제고환자적생활질량。
ABSTRACT:OBJECTIVE To explore the effect of Jianpi Yangzheng Xiaozheng Fang on survival and life quality of cases with late stage gastric cancer.METHODS Two hundred and thirty-two cases were randomly divided into experiment group and control group.The former was given combined treatment of Jianpi Yangzheng Xiaozheng Fang and chemotherapy,while the latter was treated with chemotherapy only.Survival,clinical symptom score and life quality score were compared between two groups.RESULTS Cases in experiment group survived longer than that of control group,with average days of(327±15.33), while the average survival was (257± 16.56) in control group.There was statistical significance between them (P <0.01). Life quality was compared between two groups through QLQ-C30 scale,which showed that such symptoms as mood function, role function,pain,nausea and vomiting,fatigue and poor appetite and general health got better improvement in experiment group.Statistical significance can be found between them(P <0.05).Comparison of symptoms score from perspective of tra-ditional Chinese medicine between both groups also indicated statistical significance(P <0.05),as the improvement of gastric pain,poor appetite,fatigue and got better improvement in experiment group.CONCLUSION Combined treatment of Jianpi Yangzheng Xiaozheng Fang and chemotherapy is effective in prolonging survival,improving gastric pain and life quality for ca-ses with late stage gastric cancer.