针药并举治疗肠癌腹水的临床研究  

Clinical Research of Mutual Action of Acupuncture and Herbal Medicine in the Treatment of Colorectal Cancer Ascites

作　　者：王歌[1] 白龙[1] 周跃华[2] 王素娟[1] 王国力[2] 邓虎[2] 

机构地区：[1]辽宁中医药大学附属四院,辽宁沈阳110101 [2]辽宁中医药大学附属医院,辽宁沈阳110032

出　　处：《世界中西医结合杂志》2017年第12期1735-1737,1741,共4页World Journal of Integrated Traditional and Western Medicine

摘　　要：目的探讨针药并举联合西医常规治疗对肠癌腹水的治疗效果。方法将98例肠癌腹水患者采用随机数字表法分为治疗组和对照组,各49例。对照组患者予以西医常规治疗包括静脉化疗、利尿等;治疗组在对照组的基础之上予以内服汤药+外用针刺治疗。通过比较两组治疗前后患者的腹水、中医症状积分、腹围、KPS评分探究针药并举联合西医常规治疗对肠癌腹水的治疗效果。结果治疗后,两组腹水疗效、中医症状总疗效对比,治疗组显著优于对照组(P<0.05)。两组治疗后,从腹围、中医症候评分以及KPS评分方面与治疗前比较,两组均有改善,差异有统计学意义(P<0.01),且治疗组显著优于对照组(P<0.01)。治疗组腹水引流次数、毒副反应发生情况显著少于对照组(P<0.05)。结论针药并举联合西医常规治疗对肠癌腹水的治疗有良好的临床疗效以及安全性,值得临床深入的研究及临床推广。Objective To explore the therapeutic effects on colorectal cancer ascites treated with the allied therapy of acupuncture,herbal medicine and western medicine. Methods A total of 98 patients of colorectal cancer ascites were divided into a treatment group and a control group according to random number table,49 cases in each one. In the control group,the routine western medicine treatment was given,including chemotherapy and diuresis via venous drip. In the treatment group,on the base of the treatment as the control group,the herbal decoction and acupuncture were added. The ascites condition,TCM symptom score,abdominal circumference and KPS score were compared before and after treatment in the patients of the two groups.The therapeutic effects of the allied therapy of acupuncture,herbal medicine and western medicine were explored on colorectal cancer ascites. Results After the treatment,the effect on ascites and the total effects of TCM symptoms in the treatment group were better significantly than the control group（ P〈0. 05）. After treatment,abdominal circumference,TCM symptom score and KPS score were improved as compared with those before treatment in the two groups,indicating the significant differences（ P〈0. 01）. The improvements in the treatment group were better significantly than the control group（ P〈0. 01）. The frequency of drainage and the incidence of toxic and side reactions in the treatment group were less significantly than the control group（ P〈0. 05）. Conclusion The mutual action of acupuncture and herbal medicine combined with the routine western medicine therapy achieve the satisfactory clinical effects and safety for colorectal cancer ascites and deserves to be promoted in both research and clinical practice.

关 键 词：针药并举 肠癌腹水 疗效 安全性 

分 类 号：R245.3[医药卫生—针灸推拿学] R735.3[医药卫生—中医临床基础]