1. 上海中医药大学附属岳阳中西医结合医院肿瘤科,上海,200437
2. 上海中医药大学附属岳阳中西医结合医院药剂科,上海,200437
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贺天临, 马璐璐, 谢国群, 等. 清热解毒方配合TACE治疗中晚期肝癌的临床疗效观察[J]. 上海中医药杂志, 2016,50(5):31-34.
HE Tian-lin, MA Lu-lu, XIE Guo-qun, et al. “Qingre Jiedu Mixture” with transcatheter arterial chemoembolization in treating advanced hepatocellular carcinoma[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(5):31-34.
贺天临, 马璐璐, 谢国群, 等. 清热解毒方配合TACE治疗中晚期肝癌的临床疗效观察[J]. 上海中医药杂志, 2016,50(5):31-34. DOI:
HE Tian-lin, MA Lu-lu, XIE Guo-qun, et al. “Qingre Jiedu Mixture” with transcatheter arterial chemoembolization in treating advanced hepatocellular carcinoma[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(5):31-34. DOI:
目的:观察清热解毒方配合TACE治疗中晚期肝癌的临床疗效。 方法:采用前瞻性随机对照研究,将60例中晚期肝癌患者随机分为治疗组和对照组,每组30例。对照组单纯行TACE术,治疗组于TACE术后3~7日口服中药清热解毒方。两组疗程均为2个月,评价近期肿瘤疗效,观察生活质量评分及术后不良反应情况;疗程结束后随访1年,统计生存率。 结果:①治疗组和对照组有效率分别为6.7%、3.3%,控制率分别为70.0%、63.33%;组间近期肿瘤疗效差异无统计学意义(P>0.05)。②治疗前后组内比较,治疗组躯体功能、总体健康状况、恶心呕吐积分差异有统计学意义(P<0.05),对照组恶心呕吐、食欲减退积分差异有统计学意义(P<0.05);组间治疗后比较,疲倦、恶心呕吐、食欲减退、便秘积分差异有统计学意义(P<0.05)。③治疗组、对照组白细胞计数减少发生率分别为26.7%、30.0%,消化系统不良反应发生率分别为23.3%、50.0%;组间消化系统不良反应发生率差异有统计学意义(P<0.05)。④治疗组、对照组的6个月生存率分别为73.3%、53.3%,1年生存率分别为46.7%和36.7%;组间6个月、1年生存率比较,差异均有统计学意义(P<0.05)。 结论:清热解毒方配合TACE能改善中晚期肝癌患者的生存质量,减轻不良反应,提高6个月与1年的生存率。
Objective:To observe the clinical effects of “Qingre Jiedu Mixture” with transcatheter arterial chemoembolization(TACE) in treating advanced hepatocellular carcinoma(HCC). MethodsSixty patients with advanced HCC were randomly divided into treatment group and control group, with 30 cases in each group. All the patients were treated with TACE, and the patients in the treatment group were treated with “Qingre Jiedu Mixture” after TACE in three to seven days for eight weeks. The effect was evaluated after eight weeks. The clinical effect of solid tumor, quality of life, toxicity reaction and survival rate were observed. Results:The effective rates on solid tumor were 6.7%% and 3.3% respectively in the treatment group and control group; the control rates on solid tumor were 70.0% and 63.33% respectively in the treatment group and control group, with no statistical difference between the two groups(P>0.05). After treatment, the qualities of life, including fatigue, nausea and vomiting, appetite loss and constipation, were higher in the treatment group than in the control group(P<0.05). The incidences of nausea and vomiting were 23.3% and 50.0% in the treatment group and control group, with a statistical difference between the two groups(P<0.05). The survival rate in six months of treatment group (70.97%) was higher than that of the control group(53.33%)(P<0.05); the survival rate in one year of treatment group(45.16%) was was also higher than that of the control group(36.67%)(P<0.05). Conclusion:“Qingre Jiedu Mixture”with TACE can enhance the quality of life, reduce the side effects of TACE and increase the survival rates in six months and one year in treating patients with advanced hepatocellular carcinoma.
中晚期肝癌清热解毒方肝动脉化疗栓塞术
advanced hepatocellular carcinoma“Qingre Jiedu Mixture”transcatheter arterial chemoembolization(TACE)
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