扶正解毒方调理OSF癌症术后的临床效果观察  

Clinical Efficacy Observation of Fuzheng Jiedu Formula in Conditioning OSF Cancer After Surgery

作　　者：曾倩琪 肖瑶 谭劲[2] 叶瑶 ZENG Qianqi;XIAO Yao;TAN Jin;YE Yao(The First School of Clinical Medicine,Hunan University of Chinese Medicine,Changsha 410000,Hunan,China;Department of Stomatology,the First Affiliated Hospital of Hunan Universityof Chinese Medicine,Changsha 410000,Hunan,China)

机构地区：[1]湖南中医药大学第一中医临床学院,湖南长沙410000 [2]湖南中医药大学第一附属医院口腔科,湖南长沙410000

出　　处：《医学信息》2025年第4期112-115,共4页Journal of Medical Information

基　　金：国家自然科学基金面上项目(编号:82374530)。

摘　　要：目的观察使用扶正解毒方对口腔黏膜下纤维化(OSF)癌症术后的调理康复效果。方法选择2019年6月-10月就诊于湖南中医药大学第一附属医院的60例OSF癌症术后需中医药调理患者,按照随机数字表法分成两组,每组30例。对照组使用康艾扶正片治疗,治疗组使用扶正解毒方治疗,比较两组用药疗效、口腔病症评分、血清学肿瘤标志物(CEA、CA125)水平,以及5年复发率。结果治疗组总有效率为90.00%,高于对照组的6.67%(P<0.05);两组治疗后口腔黏膜刺激痛、僵硬感、纤维条索、开口度口腔症状评分均低于治疗前,治疗组低于对照组(P<0.05);治疗组治疗后血清CEA浓度、CA125浓度均低于治疗前,差异有统计学意义(P<0.05);5年内两组均有复发病例,治疗组复发率为10.00%,低于对照组的20.00%。结论扶正解毒方能改善OSF癌症术后口腔不适主症,促进机体康复;降低血清学肿瘤标志物水平,降低复发率。Objective To observe the therapeutic effects of Fuzheng Jiedu Formula on postoperative recovery in patients with oral submucous fibrosis(OSF)cancer.Methods A total of 60 patients requiring traditional Chinese medicine conditioning for postoperative OSF cancer were selected from the First Affiliated Hospital of Hunan University of Chinese Medicine between June and October 2019.They were randomly divided into two groups using a random number table,with 30 patients in each group.The control group was treated with Kang′ai Fuzheng tablets,while the treatment group received Fuzheng Jiedu formula.The therapeutic efficacy,oral symptom scores,levels of serological tumor markers(CEA,CA125),and 5-year recurrence rates were compared between the two groups.Results The total effective rate in the treatment group was 90.00%,which was higher than 6.67%in the control group(P<0.05).After treatment,the scores for oral symptoms such as mucosal irritation pain,stiffness,fibrous cords,and mouth opening were lower in both groups than those before treatment,and those in the treatment group were lower than those in the control group(P<0.05).The serum levels of CEA and CA125 decreased in treatment groups after treatment,with statistically significant differences(P<0.05).Within 5 years,recurrence cases were observed in both groups,with a recurrence rate of 10.00%in the treatment group,which was lower than the 20.00%in the control group.Conclusion Fuzheng Jiedu formula can alleviate the main oral symptoms in patients after OSF cancer surgery,promote physical recovery,reduce the levels of serological tumor markers,and with lower recurrence rate.

关 键 词：口腔黏膜下纤维化 口腔癌术后 扶正解毒方 血清肿瘤标志物 复发率 

分 类 号：R739.8[医药卫生—肿瘤]