Clinical observation on Sanleng Xiaoliu Mixture combined with chemotherapy in treatment of advanced gastric cancer of intermingled phlegm and stasis syndrome
|更新时间:2023-04-08
|
Clinical observation on Sanleng Xiaoliu Mixture combined with chemotherapy in treatment of advanced gastric cancer of intermingled phlegm and stasis syndrome
Shanghai Journal of Traditional Chinese MedicineVol. 57, Issue 4, Pages: 36-40(2023)
WANG Liyu,CHEN Ling,WANG Qin,et al.Clinical observation on Sanleng Xiaoliu Mixture combined with chemotherapy in treatment of advanced gastric cancer of intermingled phlegm and stasis syndrome[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(4):36-40.
WANG Liyu,CHEN Ling,WANG Qin,et al.Clinical observation on Sanleng Xiaoliu Mixture combined with chemotherapy in treatment of advanced gastric cancer of intermingled phlegm and stasis syndrome[J].Shanghai Journal of Traditional Chinese Medicine,2023,57(4):36-40. DOI: 10.16305/j.1007-1334.2023.2209101.
Clinical observation on Sanleng Xiaoliu Mixture combined with chemotherapy in treatment of advanced gastric cancer of intermingled phlegm and stasis syndrome
Objective,2,To observe the clinical efficacy and safety of combining chemotherapy with Sanleng Xiaoliu Mixture in the treatment of advanced gastric cancer of intermingled phlegm and stasis syndrome.,Methods,2,Ninety-two patients with advanced gastric cancer of intermingled phlegm and stasis syndrome were divided into treatment group (,n,=44) and control group (,n,=48) according to their wishes. The control group was given chemotherapy (fluorouracil as the basic regimen), while the treatment group was treated with Sanleng Xiaoliu Mixture in addition to the treatment measures of the control group. A cycle of chemotherapy is 21 days. The basic course of chemotherapy was 4 cycles in both groups, and the follow-up treatment could be continued to 6-8 cycles as appropriate. At the end of the basic course of treatment, syndrome therapeutic evaluation and solid tumor evaluation were conducted, and the changes in Karnofsky Performance Status (KPS) score were compared. The chemotherapy cycles were recorded, and the changes in TCM syndrome scores before treatment and at the 22nd and 85th days of treatment were compared between the two groups, as well as the incidence of toxic reactions during the basic course of treatment.,Results,2,①The total effective rate according to the TCM syndrome therapeutic evaluation was 77.3% in the treatment group and 50.0% in control group; the TCM syndrome therapeutic evaluation in the treatment group was better than that in the control group (,P,<,0.05). ②The difference in the efficacy for solid tumors between the two groups was not statistically significant (,P,>,0.05). ③In the treatment group, the scores of epigastralgia, nausea and vomiting, poor appetite, heavy sensation in the body and limbs and the total TCM syndrome score decreased on day 22 of treatment (,P,<,0.05),while the total TCM syndrome score decreased in the control group(,P,<,0.05).And the differences in the scores of epigastralgia, nausea and vomiting, poor appetite, heavy sensation in the body and limbs and total TCM syndrome score were statistically significant on day 85 of treatment between the two groups(,P,<,0.05). ④After treatment, the KPS score increased in both groups (,P,<,0.05); and the KPS score was higher in the treatment group than that in the control group (,P,<,0.05). ⑤There was no statistically significant difference between the two groups in terms of the completion of chemotherapy cycles (,P,>,0.05). ⑥The incidence of peripheral neurotoxicity in the treatment group was lower than that in the control group (,P,<,0.05), but the difference in the incidence of hematologic toxicity and gastrointestinal toxicity between the two groups was not statistically significant (,P,>,0.05).,Conclusion,2,Sanleng Xiaoliu Mixture with chemotherapy has a good clinical effect on patients with advanced gastric cancer of intermingled phlegm and stasis syndrome as it can significantly improve TCM symptoms and quality of life of patients, and reduce the toxic reaction of chemotherapy.
关键词
胃癌三棱消瘤合剂痰瘀互结证中西医结合疗法中医证候临床试验
Keywords
gastric cancerSanleng Xiaoliu Mixtureintermingled phlegm and stasis syndromeintegrated Chinese and Western medicine therapytraditional Chinese medicine syndromeclinical trial
references
CHEN W, ZHENG R, BAADE P D, et al. Cancer statistics in China, 2015[J]. CA Cancer J Clin, 2016, 66(2): 115-132.
SUMIYAMA K. Past and current trends in endoscopic diagnosis for early stage gastric cancer in Japan[J]. Gastric Cancer, 2017, 20(Suppl 1): 20-27.
KATAI H, ISHIKAWA T, AKAZAWA K, et al. Five-year survival analysis of surgically resected gastric cancer cases in Japan: a retrospective analysis of more than 100,000 patients from the nationwide registry of the Japanese Gastric Cancer Association (2001-2007)[J]. Gastric Cancer, 2018, 21(1): 144-154.
MARX V. Tracking metastasis and tricking cancer[J]. Nature, 2013, 494(7435): 133-136.
THERASSE P, ARBUCK S G, EISENHAUER E A, et al. New guidelines to evaluate the response to treatment in solid tumors. European Organization for Research and Treatment of Cancer,National Cancer Institute of the United States, National Cancer Institute of Canada[J]. J Natl Cancer Inst, 2000, 92(3): 205-216.
GUO H, LUO H, YUAN H, et al. Litchi seed extracts diminish prostate cancer progression via induction of apoptosis and attenuation of EMT through Akt/GSK-3β signaling[J]. Sci Rep, 2017, 7: 41656.
LI C Y, WANG Q, SHEN S, et al. Oridonin inhibits migration, invasion, adhesion and TGF-β1-induced epithelial-mesenchymal transition of melanoma cells by inhibiting the activity of PI3K/Akt/GSK-3β signaling pathway[J]. Oncol Lett, 2018, 15(1): 1362-1372.
Clinical observation on the efficacy of Dr. Yu’s integrated Chinese and western medicine classification and treatment for polycystic ovary syndrome
Effect of wearable ankle point stimulator combined with comprehensive rehabilitation training on foot and ankle function in children with spastic hemiplegic cerebral palsy
Based on theory of “all cold with contraction belong to the kidney” to explore the treatment of myelosuppression after chemotherapy for gastric cancer from kidney
Clinical study on treatment of severe non‑proliferative diabetic retinopathy with modified Taohong Siwu Decoction and laser therapy
Distribution rule of TCM syndrome elements in chronic obstructive pulmonary disease with lung cancer
Related Author
No data
Related Institution
Department of Integrative Medicine, Obstetrics and Gynecology Hospital of Fudan University
Yangzhi Rehabilitation Hospital, Tongji University
Shanghai Municipal Hospital of Traditional Chinese Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine