EPA联合甲地孕酮逆转癌性恶病质的临床研究  

The EPA joint point a progesterone reverse cancer cachexia of clinical research

作　　者：赵艳凤[1] 赵立伟[2] 温福刚[1] 李彬[1] 刘君[1] 刘建[1] 

机构地区：[1]辽宁省鞍山市第四医院肿瘤内科,辽宁鞍山114000 [2]辽宁省鞍山市长大医院神经内科,辽宁鞍山114000

出　　处：《中外医疗》2015年第9期103-105,共3页China & Foreign Medical Treatment

摘　　要：目的通过对一组癌性恶病质病例的统计分析,探讨EPA联合甲地孕酮治疗癌性恶病质的临床效果。方法对临床60例癌性恶病质患者采用EPA联合甲地孕酮的治疗方案,对比治疗前后总蛋白、清蛋白、体重的变化。结果治疗前,患者总蛋白、清蛋白、体重分别为(51.38±1.67)g/L、(30.55±2.37)g/L及(42.11±4.2)kg;治疗后,分别(58.18±4.43)g/L,(36.12±3.25)g/L、(45.14±4.96)kg,治疗前后对比,差异明显(P<0.05),具有统计学意义。PS评分由3分下降到2分。结论 EPA联合甲地孕酮的治疗方案,对于改善甚至逆转癌性恶病质具有一定的临床效果。Objective To investigate the Efficacy of Treatment of Geriatric Intertrochanteric Femoral Fractures with Percutaneous Compression Plate （PCCP） and proximal femoral nail anti-rotation（PFNA）.Methods A total of 122patients with Intertrochanteric Femoral Fractures were chosen and were divided into the PFNA group（n=61） and the PCCP group（n=61）according to the treatment. The Blood loss, complication rate and fracture healing time were analyzed and compared between two groups.ResultsThe time of operative, blood loss and Harris hip score on PCCP group were shorter than PFNA group,the differences were statistically significant （P 〈0.05）;the rates of excellent on PFNA group were higher than PCCP group（81.97%/62.30%）, the difference was statistically significant （P〈0.05）; the rate of complication on PFNA group was significantly lower than PCCP group（14.75%/26.23%）, the difference was statistically significant （P〈0.05）. Conclusion： PFNA suitable for all types of elderly intertrochanteric fracture, it’s worthy of being widely applied in clinic.

关 键 词：基底动脉尖综合征 临床特点 观察 体征 

分 类 号：R687.3[医药卫生—骨科学]