健脾益肺方促进非小细胞肺癌患者术后康复临床研究
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R734.2

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浙江省中医药科技计划项目(2023ZF194)


Clinical Study on Jianpi Yifei Prescription in Promoting Postoperative Rehabilitation of Patients with Non-small Cell Lung Cancer
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    摘要:

    目的:观察健脾益肺方在促进非小细胞肺癌患者术后康复中的疗效及其对生活质量和免疫功能的 影响。方法:选取2021年9月—2023年9月在台州市中心医院行全胸腔镜肺叶切除术的100例非小细胞肺癌患 者作为研究对象,按随机数字表法分为对照组和观察组各50例。对照组术后3周给予常规辅助化疗,观察组术 后3周在对照组基础上加用健脾益肺方治疗,2组均治疗6个月。比较2组治疗前后的肺功能、生活质量、免疫 功能指标、中医证候评分。结果:治疗后,2组第1秒用力呼气容积(FEV1)、用力肺活量(FVC)、FEV1/FVC 水平较治疗前升高(P<0.05),且观察组FEV1、FVC、FEV1/FVC水平高于对照组(P<0.05)。治疗后,2组 CD3+、CD4+水平较治疗前升高(P<0.05),CD8+水平较治疗前降低(P<0.05),且观察组CD3+、CD4+水平高 于对照组,CD8+水平低于对照组(P<0.05)。治疗后,2组生活质量各项指标评分较治疗前升高(P<0.05), 且观察组生活质量各项指标评分高于对照组(P<0.05)。治疗后,2组各项中医证候评分较治疗前降低(P< 0.05),且观察组各项中医证候评分低于对照组(P<0.05)。结论:健脾益肺方可以通过多靶点的协同作用促 进非小细胞肺癌患者术后的恢复,能改善患者的中医证候评分、生活质量和免疫功能。

    Abstract:

    Abstract: Objective: To observe the curative effect of Jianpi Yifei Prescription in promoting the postoperative rehabilitation of patients with non-small cell lung cancer, as well as its influence on the quality of life and immune function. Methods: A total of 100 patients with non-small cell lung cancer who underwent total thoracoscopic lobectomy in Taizhou Central Hospital from September 2021 to September 2023 were selected as the research subjects, and they were divided into the control group and the observation group according to the random number table method, with 50 cases in each group. The control group was given conventional adjuvant chemotherapy three weeks after surgery, and the observation group was treated with Jianpi Yifei Prescription on the basis of the control group three weeks after surgery. Both groups were treated for six months. The pulmonary function,quality of life,immune function indexes and traditional Chinese medicine syndrome scores of the two groups before and after treatment were compared. Results: After treatment,the forced expiratory volume in the first second (FEV1),forced vital capacity( FVC),and FEV1/FVC levels of the two groups were higher than those before treatment (P<0.05), and the FEV1, FVC, and FEV1/FVC levels of the observation group were higher than those of the control group (P<0.05). After treatment, the levels of CD3+ and CD4+ in the two groups were higher than those before treatment (P<0.05),and the level of CD8+ was lower than that before treatment (P<0.05);the levels of CD3+ and CD4+ in the observation group were higher than those in the control group,and the level of CD8+ was lower than that in the control group (P<0.05). After treatment,the scores of various indexes of the quality of life in the two groups were higher than those before treatment (P<0.05),and the scores of various indexes of the quality of life in the observation group were higher than those in the control group (P< 0.05). After treatment,the scores of various traditional Chinese medicine syndromes in the two groups were lower than those before treatment (P<0.05),and the scores of various traditional Chinese medicine syndromes in the observation group were lower than those in the control group (P<0.05). Conclusion: Jianpi Yifei Prescription can promote the postoperative recovery of patients with non-small cell lung cancer through the synergistic effect of multiple targets,and can improve the scores of traditional Chinese medicine syndromes, the quality of life and the immune function of patients.

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唐正菊,陈丹,孙华丽,周鹏.健脾益肺方促进非小细胞肺癌患者术后康复临床研究[J].新中医,2025,57(15):168-172

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  • 在线发布日期: 2025-08-11
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