补肾健脾方对原发性肝癌患者介入术后中医证候的调治作用  

Effects of Kidney-Reinforcing and Spleen-Invigorating Recipe on TCM Pattern of Primary Liver Cancer After Intervention Therapy

作　　者：王文海[1] 周荣耀[1] 吴丽英[1] 

机构地区：[1]上海中医药大学附属曙光医院,上海200021

出　　处：《上海中医药大学学报》2009年第3期23-25,共3页Academic Journal of Shanghai University of Traditional Chinese Medicine

基　　金：国家自然科学基金重大研究计划资助项目(90209033)

摘　　要：目的:观察补肾健脾方对原发性肝癌患者行介入术后中医证候的治疗效果。方法:运用补肾健脾方治疗中晚期原发性肝癌行介入治疗后的患者183例,疗程12周,观察并比较患者治疗前后的临床症状、中医证候以及生活质量情况。结果:治疗后有多项临床症状频数分布较治疗前明显下降,中医证候改善总有效率为69.9%,其中显效率为13.1%,生活质量评分KPS由治疗前的76.5上升至治疗后的86.1。结论:中晚期原发性肝癌患者行介入术后的中医证候以肝肾阴虚证、脾气虚证表现为主,应用补肾健脾方治疗可以有效改善患者的中医证候,提高其生活质量。Objective：To observe the effects of kidney-reinforcing and spleen-invigorating recipe on TCM pattern of patients with primary liver cancer after intervention therapy. Methods： A total of 183 cases of advanced primary liver cancer patients undergoing transcatheter arterial chemoembolization（TACE） were treated with kidney-reinforcing and spleen-invigorating recipe for 12 weeks. The clincial symptoms, TCM pattern and life quality score were observed and compared before and after the treatment. Results ： After treatment the frequency of many symptoms decreased significantly ; in improving TCM pattern, the total effective rate was 69.9%, with the marked effective rate of 13.1% ; KPS, the life quality score, increased from 76.5 to 86.1. Conclusion： The main TCM pattern of advanced primary liver cancer patients after TACE is of liver-kidney yin deficiency and spleen qi deficien- cy. Kidney-reinforcing and spleen-invigorating recipe can improve the TCM patterns and the life quality of patients.

关 键 词：原发性肝癌 介入术 补肾健脾方 中医证候 生活质量评分 

分 类 号：R735.7[医药卫生—肿瘤] R273[医药卫生—临床医学]