巴林平胶囊联合化疗治疗恶性淋巴瘤临床研究  

Clinical research on Balinping capsule combined with chemotherapy in treatment of malignant lymphoma

作　　者：李森 李去病 李毅 LI Sen;LI Qubing;LI Yi(Xianyang Tumor Hospital,Xianyang 712044,China)

机构地区：[1]咸阳肿瘤医院,陕西咸阳712044 [2]陕西中医药大学附属医院,陕西咸阳712046

出　　处：《陕西中医》2024年第7期913-917,共5页Shaanxi Journal of Traditional Chinese Medicine

基　　金：陕西省中医药管理局科研项目(2021-ZZ-ZY013)。

摘　　要：目的:研究巴林平胶囊联合CHOP(环磷酰胺+多柔比星+长春新碱+泼尼松龙)方案治疗恶性淋巴瘤的疗效。方法:将72例恶性淋巴瘤患者随机分为试验组、对照组,每组36例,试验组患者在应用CHOP化疗方案的基础上服用巴林平胶囊,对照组患者常规使用CHOP方案化疗。结果:肿瘤客观疗效分析显示,试验组的有效率为83.33%,对照组有效率为63.89%。中医证候疗效分析显示,试验组显著改善率为58.33%,对照组为33.33%,试验组疗效优于对照组。治疗前后两组中医证候积分比较,恶核累累、形体消瘦、神疲乏力等主要症状,发热盗汗、腹胀、口渴咽干、大便干结等次要症状以及总积分均有明显改善,试验组疗效优于对照组(P<0.05)。纳呆、失眠多梦等症状两组间比较,差异无统计学意义(均P>0.05)。两组治疗后的疗效优于治疗前,试验组疗效优于对照组。两组治疗前后血液学检查结果比较,试验组治疗后白细胞(WBC)、粒细胞(NE)、血小板(PLT)计数高于对照组(P<0.05)。两组治疗后血生化指标比较,肌酸激酶同工酶(CK-MB)、谷丙转酶(ALT)水平均有所升高,试验组低于对照组,差异有统计学意义(均P<0.05)。治疗后两组血清乳酸脱氢酶(LDH)降低,试验组LDH低于对照组,差异有统计学意义(P<0.05)。结论:巴林平胶囊联合化疗治疗恶性淋巴瘤疗效较好,可有效改善患者临床症状和预后,提升化疗药物疗效,降低不良反应,效果优于单纯使用化疗方案。Objective:To study clinical efficacy of Balinping capsules combined with CHOP(cyclophosphamide+doxorubicin+vincristine+prednisolone)chemotherapy in treatment of malignant lymphoma.Methods:72 patients with malignant lymphoma were randomly divided into experimental group and control group,with 36 cases in each group.Patients in the experimental group received Balinipine capsules in addition to CHOP chemotherapy regimen,while patients in the control group received conventional CHOP chemotherapy regimen.Results:The objective efficacy analysis of tumors showed that total effective rate of the experimental group was 83.33%,and the control group 63.89%.The analysis of traditional Chinese medicine syndrome efficacy showed significant improvement rate of 58.33%in the experimental group and 33.33%in the control group,with statistical significance between the two groups.The therapeutic effect of the experimental group was better than that in the control group.The comparison of traditional Chinese medicine syndrome scores between the two groups before and after treatment showed that the main symptoms,such as accumulation of evilnuclei,emaciation,and fatigue,as well as secondary symptoms such as fever,night sweating,abdominal distension,thirst and dry throat,and dry stool,as well as the total scorewere significantly improved.The therapeutic effect of the experimental group were better than that in the control group(all P<0.05).There was no significant difference(P>0.05)between the two groups in terms of symptoms such as indigestion and loss of appetite,insomnia and excessive dreaming.There was significant difference in the comparison of disease severity before and after treatment through statistical analysis(P<0.05).After treatment,efficacy of the two groups was significantly better than before,and efficacy of the experimental group was better than that in the control group.Comparison of hematology examination results before and after treatment between the two groups showed that the experimental group had higher counts of whi

关 键 词：恶性淋巴瘤 巴林平胶囊 CHOP方案 中医证候积分 乳酸脱氢酶 

分 类 号：R273[医药卫生—中西医结合]