药膳黄芪粥治疗晚期非小细胞肺癌化疗伴癌因性疲乏患者的效果观察  

Effect of Huangqi porridge on patients with advanced non-small cell lung cancer complicated with cancer-related

作　　者：钟秋润 易静 王芳[2] 李月 简凤 廖顺琪 ZHONG Qiu-run;YI Jing;WANG Fang;LI Yue;JIAN Feng;LIAO Shun-qi(School of Nursing,Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan;The Affiliated Hospital of Chengdu University of Traditional Chinese Medicine,Chengdu 610075,Sichuan)

机构地区：[1]成都中医药大学护理学院,四川成都610075 [2]成都中医药大学附属医院,四川成都610075

出　　处：《中药与临床》2022年第1期61-65,共5页Pharmacy and Clinics of Chinese Materia Medica

摘　　要：目的:探讨药膳黄芪粥改善晚期非小细胞肺癌化疗伴癌因性疲乏(肺脾气虚型)患者疲乏症状及中医证候的效果。方法:利用EXCEL随机分组,将67例晚期非小细胞肺癌化疗伴癌因性疲乏(肺脾气虚型)患者分为观察组33例,对照组34例。对照组接受常规治疗和护理,观察组在对照组基础上加用药膳黄芪粥,从化疗第一天开始,每天早晨空腹食用1次,共食用1个月。于干预前、后采用Piper疲乏修订量表、中医肺脾气虚型证候评分表以及中医肺脾气虚型证候疗效分别评价患者的CRF症状、中医证候。结果:干预后观察组PFS-R各维度以及总评分低于对照组、中医证候及总分低于对照组、中医证候疗效明显优于对照组(均P<0.05)。结论:药膳黄芪粥可缓解晚期NSCLC化疗伴CRF(肺脾气虚型)患者的疲乏症状,改善中医证候。患者的依从性较高,值得临床推广应用。Objective:To explore the effect of Huangqi porridge on improving fatigue symptoms and TCM syndromes of patients with cancer-related fatigue(deficiency of lung and spleen Qi)in advanced non-small cell lung cancer chemotherapy.Method:Using EXCEL,67 patients with advanced non-small cell lung cancer complicated with cancer-related fatigue were randomly divided into observation group(33 cases)and control group(34 cases).The control group received routine treatment and nursing.On the basis of the control group,the experimental group was treated with Huangqi porridge,which was eaten once every morning with an empty stomach for one month from the first day of chemotherapy.Before and after the intervention,Piper Fatigue Revised Scale,TCM Syndrome Score Table and TCM Syndrome Efficacy of Deficiency of Lung-spleen-qi were used to evaluate CRF symptoms and TCM syndromes respectively.Result:After intervention,all dimensions and total scores of PFS-R in experimental group were lower than those in control group,scores of TCM syndromes and total scores were lower than of those in control group,and the curative effect of TCM syndromes was significantly better than that in control group(all P<0.05).Conclusion:Medicated Huangqi porridge can relieve fatigue symptoms of patients with CRF(deficiency of lung and spleen Qi)in advanced NSCLC chemotherapy and improve TCM syndromes.The patient’s compliance is high,which is worthy of clinical application.

关 键 词：药膳 癌因性疲乏 非小细胞肺癌 肺脾气虚证 

分 类 号：R734.2[医药卫生—肿瘤]