高压氧联合血府逐瘀汤治疗鼻咽癌放射性脑病的效果观察  

Therapeutic effect of hyperbaric oxygen combined with Xuefu Zhuyu decoction on radiation encephalopathy in nasopharyngeal carcinoma

作　　者：盘玉飞 阳绍华 陆雪芬[1] PAN Yufei;YANG Shaohua;LU Xuefen(Dept.of Oncology,Nanxishan Hospital of Guangxi Zhuang Autonomous Region,Guilin 541002,China)

机构地区：[1]广西壮族自治区南溪山医院肿瘤科,广西桂林541002

出　　处：《华夏医学》2023年第3期90-94,共5页Acta Medicinae Sinica

基　　金：广西壮族自治区卫生和计划生育委员会自筹经费科研课题(Z20171001)。

摘　　要：目的:探讨高压氧联合血府逐瘀汤治疗鼻咽癌放疗后所致放射性脑病的临床效果。方法:选取70例鼻咽癌放射治疗所致放射性脑病患者,按照随机数字表法分为观察组36例和对照组34例。观察组采用中药血府逐瘀汤联合高压氧治疗,对照组采取单纯药物治疗。结果:观察组的西医临床总有效率72.22%高于对照组的41.18%,两组比较差异有统计学意义(P<0.05);观察组中医证候总有效率88.89%高于对照组的52.94%(P<0.05);观察组的中医症状评分低于对照组(P<0.05)。结论:采用中药方剂血府逐瘀汤联合高压氧治疗鼻咽癌放疗所致放射性脑病患者临床效果较好。Objective:To investigate the clinical therapeutic effect of hyperbaric oxygen combined with Xuefu Zhiyu decoction on radiation encephalopathy after radiotherapy for patients with nasopharyngeal carcinoma.Methods:70 cases of radiation encephalopathy after radiotherapy for nasopharyngeal carcinoma were randomized into 36 cases in the observation group and 34 cases in the control group.Xuefu Zhuyu decoction combined with hyperbaric oxygen therapy was used to treat patients in the observation group,and the control group were treated with simple drug treatment.Results:The total clinical effective rate of western medicine in observation group was 72.22%,higher than 41.18% in the control group,which was of statistical difference(P<0.05).The total effective rate of TCM syndromes in the observation group was 88.89%,higher than 52.94% in the control group(P<0.05).And the TCM symptom score of the observation group was lower than that of the control group(P<0.05).Conclusion:The hyperbaric oxygen combined with Xuefu Huayu decoction in the treatment of nasopharyngeal carcinoma patients with radiation encephalopathy caused by radiotherapy have better clinical effect.

关 键 词：放射性脑病 高压氧 血府逐瘀汤 

分 类 号：R739.63[医药卫生—肿瘤]