扶正化瘀解毒方治疗晚期肝癌临床研究
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R735.7

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Clinical Study on Fuzheng Huayu Jiedu Prescription for Advanced Liver Cancer
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    摘要:

    目的:观察扶正化瘀解毒方治疗晚期肝癌的临床疗效及对炎性指标及免疫功能的影响。方法:将120 例晚期肝癌随机分为对照组及观察组各60 例,对照组予常规西医肝动脉化疗栓塞术(TACE) 治疗,观察组在对照组基础上予扶正化瘀解毒方治疗。观察2 组临床疗效、炎性指标及免疫功能。结果:观察组总有效率53.33%,高于对照组38.33%(P<0.05)。观察组控制率81.67%,高于对照组61.67%(P<0.05)。与同组治疗前比较,治疗后2 组中医证候积分及白细胞介素-6 (IL-6)、白细胞介素-10 (IL-10)、肿瘤坏死因子-α (TNF-α)、超敏C-反应蛋白(hs-CRP) 水平均降低(P<0.05);与对照组治疗后比较,观察组治疗后中医证候积分及IL-6、IL-10、TNF-α、hs-CRP 水平均较低(P<0.05)。与同组治疗前比较,观察组治疗后CD3+、CD4+、CD4+/CD8+均升高(P<0.05),CD8+降低(P<0.05);对照组治疗后差异无统计学意义(P<0.05);与对照组治疗后比较,观察组治疗后CD3+、CD4+、CD4+/CD8+均较高(P<0.05),CD8+较低(P<0.05)。对照组不良反应发生率41.67%,高于观察组28.33%(P<0.05)。结论:扶正化瘀解毒方能有效提高晚期肝癌的临床疗效,不良反应少,安全性高,其机制可能与该方显著降低炎性因子表达水平,抑制炎症反应,改善免疫功能,增强抵抗力有关。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Fuzheng Huayu Jiedu prescription on advanced liver cancer and its effect on inflammatory markers and immune function. Methods:A total of 120 cases of advanced liver cancer were randomly divided into the control group and the observation group , with 60 cases in each group. The control group was treated with routine western medicine transcatheter arterial chemoembolization(TACE),and the observation group was additionally treated with Fuzheng Huayu Jiedu prescription based on the treatment of the control group. The clinical effects, inflammatory markers and immune function in the two groups were observed. Results: The total effective rate was 53.33% in the observation group,higher than that of 38.33% in the control group(P<0.05). The control rate was 81.67% in the observation group,higher than that of 61.67% in the control group(P<0.05). After treatment,the Chinese medicine syndrome scores and levels of interleukin- 6(IL- 6), interleukin- 10(IL- 10), tumor necrosis factor- α(TNF- α) and Hypersensitive C- reactive protein(hs- CRP) in the two groups were decreased when compared with those before treatment(P<0.05); after treatment, the above score and levels in the observation group were lower than those in the control group(P<0.05). After treatment,the levels of CD3+,CD4+ and CD4+/CD8+ in the observation group were increased when compared with those before treatment(P<0.05), and the level of CD8 + was decreased(P<0.05); there were no significant differences being found in the comparisons of above levels in the control group before and after treatment (P<0.05). After treatment,the levels of CD3+,CD4+ and CD4+/CD8+ in the observation group were higher than those in the control group(P<0.05), and the level of CD8 + in the observation group was lower(P< 0.05). The incidence of adverse reactions was 41.67% in the control group,higher than that of 28.33% in the observation group(P<0.05). Conclusion: The therapy of Fuzheng Huayu Jiedu prescription can effectively improve the clinical effect on advanced liver cancer with less adverse reactions and high safety, and its mechanism may be related to its remarkable reduction of levels of inflammatory factors,inhibition of inflammatory responses,improvement of immune function and enhancement of resistance.

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赵莹,俞姣姣,李华.扶正化瘀解毒方治疗晚期肝癌临床研究[J].新中医,2022,54(15):153-157

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  • 在线发布日期: 2022-08-04
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