开胃进食汤治疗恶性肿瘤相关性厌食临床研究  

Clinical study on Kaiwei Jinshi Tang in the treatment of anorexia associated with malignant tumor

作　　者：崔艺馨[1] 张印[1] 任芳[1] 王海明[1] 冯宇[1] 李绍旦[1] 

机构地区：[1]解放军总医院中医科,北京100853

出　　处：《北京中医药》2015年第5期353-355,共3页Beijing Journal of Traditional Chinese Medicine

基　　金：首都医学科技发展基金(SF-2009-Ⅱ-16)

摘　　要：目的观察开胃进食汤治疗恶性肿瘤相关性厌食的临床疗效。方法选取恶性肿瘤患者120例,随机分为观察组和对照组,观察组给予开胃进食汤加味治疗,对照组给予醋酸甲地孕酮片治疗,2周后观察患者的食欲情况、食欲数字评分、卡氏评分情况、体重改变情况。结果观察组食欲改善情况好于对照组(P<0.05);观察组总改善率为65%,对照组为43%,2组比较差异有统计学意义(P<0.05);观察组治疗后卡氏评分、食欲数字评分改善均优于对照组,差异有统计学意义(P<0.05);2组治疗前后体重均无明显下降。结论开胃进食汤治疗恶性肿瘤厌食症,能有效改善患者的食欲、改善体质状况。Objective To observe the clinical efficacy of Kaiwei Jinshi Tang for anorexia associated with malignant tumor. Methods 120 patients of malignant tumor were randomly divided into a treatment group and a control group. The treatment group was treated by Kaiwei Jinshi Tang while the control group was treated by medroxyprogesterone acetate tablets for two weeks, and the improvement of appetite, appetite Numerical Rating Scale （NRS）, Karnofsky and body weight were observed before and after treatment in two groups. Results The treatment group was better improved than that of control group （ P 〈 0. 05 ） ; the total improvement rate of the treatment group was 65%, and that of the control group 43%, there was statistically different between the two groups （ P 〈 0. 05 ） ; KPS and appetite NRS in patients of the treatment group were better improved than that of the control group with statistically difference （P 〈 0. 05 ） ; the weight of the two groups had no significant decrease. Conclusion Kaiwei Jinshi Tang can not only treat anorexia associated with malignant tumor, but also improve the appetite and physical status.

关 键 词：开胃进食汤 肿瘤 厌食 醋酸甲地孕酮 

分 类 号：R273[医药卫生—中西医结合]