文章摘要
Ⅲ期结肠癌术后辅助化疗联合中药治疗的疗效研究
Effect of adjuvant chemotherapy combined with traditional Chinese medicine on stage Ⅲ colon cancer
投稿时间:2019-10-24  
DOI:10.3969/j.issn.1000-0399.2020.03.011
中文关键词: Ⅲ期结肠癌术后  XELOX方案  中药治疗  生命质量控制  肝肾功能恢复
英文关键词: Postoperative stage Ⅲ colon cancer  XELOX protocol  Chinese medicine treatment  Quality of life control  Recovery of liver and kidney function
基金项目:国家自然科学基金项目(项目编号:81673908)
作者单位E-mail
徐萌 230038 合肥 安徽中医药大学中医临床学院  
王勇 230001 合肥 中国科学技术大学附属第一医院肿瘤化疗科  
张梅 230022 合肥 安徽医科大学第一附属医院中西医结合肿瘤科  
胡金鹏 230038 合肥 安徽中医药大学中医临床学院  
李平 230022 合肥 安徽医科大学第一附属医院中西医结合肿瘤科 1964liping@sina.com 
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中文摘要:
      目的 研究Ⅲ期结肠癌术后辅助化疗联合中药治疗的疗效。方法 回顾性分析2016年1月至2018年1月在中国科学技术大学附属第一医院中西医结合肿瘤科、肿瘤化疗科接受术后XELOX方案化疗的Ⅲ期结肠癌手术患者80例,其中,将同时加服中药治疗的40例患者作为试验组,单纯辅助化疗的40例患者作为对照组。所有患者进行为期6个月随访,观察两组患者化疗前及化疗第6周血常规、肝肾功能、血清癌胚抗原(CEA)、糖类抗原199(CA199)、糖类抗原125(CA125)及生命质量表(QLQ-C30)变化情况。结果 试验组患者化疗第6周发生不良反应7例,低于对照组,差异有统计学意义(P<0.05);试验组患者化疗第6周CEA、CA125及CA199水平分别降低了(6.72±0.89)ng/mL、(2.82±1.65)μ/mL、(13.00±2.33)μ/mL,均高于对照组,差异有统计学意义(P<0.05);化疗第6周,试验组患者疲乏、睡眠障碍、恶心呕吐、食欲减退、疼痛、腹泻维度评分变化差值均高于对照组,差异有统计学意义(P<0.05)。结论 结肠癌辅助化疗联合中药治疗,在有效加强抑制癌细胞的同时,可明显降低化疗后的不良反应发生率,有助于提高患者化疗后生存质量。
英文摘要:
      Objective To investigate the effectof adjuvant chemotherapy combined with traditional Chinese medicine on stage Ⅲ colon cancer. Methods From January 2016 to January 2018, 80 patients with stage Ⅲ colon cancer who received postoperative XELOX chemotherapy in the Department of integrated traditional Chinese and Western medicine and the Department of tumor chemotherapy of the First Affiliated Hospital of University of Science and Technology of China were analyzed retrospectively. Among them, 40 patients treated with traditional Chinese medicine at the same time were taken as the experimental group and 40 patients with simple adjuvant chemotherapy as the control group. All patients were followed up to 6 months, the changes of blood routine, liver and kidney function, serum CEA, CA199, CA125 and quality of life table (QLQ-C30) were observed before and on6th week during chemotherapy. Results There were 7 cases of adverse reactions in experimental group and 20 cases in control group on6th week during chemotherapy, and the difference was statistically significant (P<0.05).CEA, CA125 and CA199 levels in experimental group decreased by (6.72±0.89) ng/mL, (2.82±1.65) μ/mL and (13.00±2.33) μ/mL respectively on 6th week during chemotherapy, which were higher than those in control group, and the difference was statistically significantly(P<0.05). The difference value of scores of fatigue, sleep disorder, nausea and vomiting, anorexia, pain, diarrhea in experimental group were higher than those in control group on 6th week during chemotherapy, and the difference was statistically significant(P<0.05). Conclusions The combination of adjuvant chemotherapy and traditional Chinese medicine can not only effectively inhibit cancer cells, but also markedly reduce the incidence of adverse reactions after chemotherapy, which is helpful to improve the quality of life of patients after chemotherapy.
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