扶正解毒饮防治乳腺癌术后围化疗期骨髓抑制临床观察
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R737.9

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Clinical Observation of Fuzheng Jiedu Tang in Preventing and Treating Myelosuppression of Postoperative Breast Cancer During Peri-operative Chemotherapy Period
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    摘要:

    目的:观察扶正解毒饮防治乳腺癌术后围化疗期骨髓抑制的临床效果。方法:将本院收治的116例乳腺癌术后围化疗期女性患者随机分为2组各58例,对照组术后采用CEF化疗方案;观察组在对照组治疗方案的基础上加用扶正解毒饮治疗,治疗3周为1个周期,连续治疗3个周期。记录骨髓抑制发生率及发生程度,分析骨髓抑制发生时间、恢复时间,监测化疗后血清白细胞数量(WBC)、血小板计数(BPC)、血红蛋白(Hb)含量水平。结果:骨髓抑制发生率观察组13.8%,对照组51.7%,2组比较,差异有统计学意义(P<0.05)。观察组骨髓抑制出现时间较对照组晚,而骨髓抑制恢复时间较对照组早,差异均有统计学意义(P<0.05)。化疗后观察组WBC、BPC、Hb含量较对照组升高,差异均有统计学意义(P<0.05)。观察组患者经化疗后的感染、出血等不良反应发生率为19.0%,低于对照组的31.0%,差异均有统计学意义(P<0.05)。结论:扶正解毒饮防治乳腺癌术后围化疗期骨髓抑制效果突出,能明显降低骨髓抑制的程度,延缓骨髓抑制发生的时间、促进骨髓抑制的恢复,降低感染、出血等不良反应的发生率,值得临床运用。

    Abstract:

    Objective:To observe the clinical effect of Fuzheng Jiedu tang in preventing and treating myelosuppression of postoperative breast cancer during peri-operative chemotherapy period.Methods:Divided 116 cases of patients with postoperative breast cancer during peri-operative chemotherapy period into the control group and the observation group randomly,58 cases in each group.Both groups were given centrifugation extractable fluid(CEF)therapy after operation,while the observation group was additionally given Fuzheng Jiedu tang for treatment for 3 weeks as one course,3 courses continuously.Recorded the incidence and occurrence of myelosuppression,analyzed the time of occurrence and recovery,and monitored levels of white blood cell count(WBC),blood platelet count(BPC)and hemoglobin(Hb)in serum after chemotherapy.Results:The incidence of myelosuppression was 13.8%in the observation group and 51.7%in the control group,the difference being significant(P<0.05).The occurrence time of myelosuppression in the observation group was later than that in the control group,while the recovery time of myelosuppression was earlier than that in the control group,differences being significant(P<0.05).After chemotherapy,the content of WBC,BPC and Hb in the observation group were increased when compared with those in the control group,differences being significant(P<0.05).The incidence of adverse reaction such as infection and hemorrhage after chemotherapy was 19.0%in the observation group,being lower than that of 31.0%in the control group,differences being significant(P< 0.05).Conclusion:The application of Fuzheng Jiedu tang in preventing and treating myelosuppression of postoperative breast cancer during peri-operative chemotherapy period has outstanding effects.It can obviously reduce the degree of myelosuppression,delay the occurrence time,promote recovery,and lower the incidence of adverse reactions such as infection and hemorrhage.Therefore,it is worth being applied in clinical application.

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乔丽莉.扶正解毒饮防治乳腺癌术后围化疗期骨髓抑制临床观察[J].新中医,2018,50(1):101-104

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  • 在线发布日期: 2018-01-05
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