和解法中医辨证防治肝癌化疗栓塞综合征的疗效观察  

Therapeutic Effect of TCM Syndrome Differentiation with Reconciliation Method on Chemoembolization Syndrome of Liver Cancer

作　　者：陈永强 陈钊锦 杨昌卫 朱政 彭寿洲 劳明珠 CHEN Yongqiang;CHEN Zhaojin;YANG Changwei;ZHU Zheng;PENG Shouzhou;LAO Mingzhu(Oncology Department,Maoming Hospital of Traditional Chinese Medicine,Maoming,Guangdong,525000)

机构地区：[1]茂名市中医院肿瘤科,广东茂名525000

出　　处：《智慧健康》2022年第13期132-135,共4页Smart Healthcare

基　　金：茂名市科技计划项目,项目名称《和解法中医辨证防治肝癌化疗栓塞综合征的疗效观察》(项目编号:2019003)。

摘　　要：目的探讨和解法中医辨证防治肝癌化疗栓塞综合征的疗效。方法选取茂名市中医院2019年1月-2021年9月收治的行肝动脉栓塞化疗(Transcatheter arterial chemoembolization,TACE)术的原发性肝癌患者72例作为研究对象,依据治疗方式将患者分为观察组42例,对照组30例。对照组采用西医对症治疗,观察组采用西医对症联合和解法中医辨证治疗。对比两组患者的中医症状积分,KPS评分,化疗栓塞综合征症状积分及肝功能情况。结果术后7d、14d,两组患者中医症状积分对比(P<0.05)。观察组术后3d中医症状积分与术前对比(P<0.05);术后7d、14d分别与术后3d对比(P<0.05);术后7d与14d比较,差异有统计学意义(P<0.05)。对照组术后3d、7d、14d中医症状积分分别与术前对比,差异有统计学意义(P<0.05);术后14d分别与术后3d、7d对比,差异有统计学意义(P<0.05)。术后7d,两组患者KPS评分比较,差异有统计学意义(P<0.05)。术后3d,两组患者的恶心呕吐评分对比,差异有统计学意义(P<0.05);术后7d,两组患者的黄疸、发热、便干、脘腹胀满及纳呆食少症状积分比较,差异有统计学意义(P<0.05)。术后14d,两组患者的黄疸、发热及纳呆食少症状积分比较,差异有统计学意义(P<0.05)。术后7d,两组患者的TB、ALB、GGT、ALT、AST肝功能水平比较,差异有统计学意义(P<0.05)。结论和解法中医辨证防治肝癌化疗栓塞综合征临床疗效显著,可明显改善患者的生活质量及肝功能水平,意义重大。Objective To explore and solve the curative effect of TCM syndrome differentiation in the prevention and treatment of chemoembolization syndrome of liver cancer.Methods 72 patients with primary liver cancer who underwent transcatheter arterial chemoembolization(TACE)in our hospital from January 2019 to September 2021 were selected as the research object.According to the treatment method,the patients were divided into 42 cases in the observation group and 30 cases in the control group.The control group was treated with symptomatic western medicine,and the observation group was treated with symptomatic combination of Western medicine and TCM syndrome differentiation.The TCM symptom score,KPS score,chemoembolization syndrome symptom score and liver function were compared between the two groups.Results On the 7th and 14th day after operation,the TCM symptom scores of the two groups were P<0.05.The scores of TCM symptoms on the 3rd day after operation in the observation group were compared with that before operation(P<0.05);The 7th and 14th day after operation were compared with the 3rd day after operation(P<0.05);There was significant difference on the 7th and 14th day after operation(P<0.05).The scores of TCM symptoms in the control group on the 3rd,7th and 14th day after operation were compared with those before operation(P<0.05);The 14th day after operation was compared with the 3rd and 7th day after operation(P<0.05).On the 7th day after operation,the KPS scores of the two groups were statistically significant(P<0.05).On the 3rd day after operation,the nausea and vomiting scores of the two groups(P<0.05);On the 7th day after operation,the symptom scores of jaundice,fever,dry stool,fullness of epigastric distension and lack of appetite in the two groups(P<0.05).On the 14th day after operation,the symptom scores of jaundice,fever and anorexia in the two groups(P<0.05).On the 7th day after operation,the liver function levels of TB,ALB,GGT,ALT and AST in the two groups(P<0.05).Conclusion The clinical effect of TCM sy

关 键 词：和解法中医辨证 防治 肝癌 化疗栓塞综合征 疗效 

分 类 号：R273[医药卫生—中西医结合]