1. 上海中医药大学附属龙华医院肿瘤科,上海,200032
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邓海滨, 王中奇, 赵晓珍, 等. 肺岩宁颗粒治疗精气两亏型中晚期非小细胞肺癌的临床随机安慰剂对照研究[J]. 上海中医药杂志, 2016,50(6):40-43.
DENG Hai-bin, WANG Zhong-qi, ZHAO Xiao-zhen, et al. Clinical study on treatment of advanced non-small cell lung cancer with “Feiyanning Granule”:a randomized placebo-controlled trial[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(6):40-43.
邓海滨, 王中奇, 赵晓珍, 等. 肺岩宁颗粒治疗精气两亏型中晚期非小细胞肺癌的临床随机安慰剂对照研究[J]. 上海中医药杂志, 2016,50(6):40-43. DOI:
DENG Hai-bin, WANG Zhong-qi, ZHAO Xiao-zhen, et al. Clinical study on treatment of advanced non-small cell lung cancer with “Feiyanning Granule”:a randomized placebo-controlled trial[J]. Shanghai Journal of Traditional Chinese Medicine, 2016,50(6):40-43. DOI:
目的:观察肺岩宁颗粒治疗中晚期肺癌的临床疗效。 方法:采用前瞻性随机对照研究方法,将60例精气两亏型非小细胞肺癌住院患者,随机分为治疗组和对照组(各30例)。治疗组口服肺岩宁颗粒,对照组予1/10剂量的肺岩宁颗粒模拟剂;两组疗程均为2个月,观察近期实体瘤客观疗效以及生存质量改善情况,同时监测不良反应。 结果:①治疗组临床有效率、疾病控制率分别为6.67%、70.00%,对照组分别为0.00%、43.33%;组间近期实体瘤客观疗效比较,差异有统计学意义(P<0.05)。②治疗后,治疗组功能领域中的躯体功能、情绪功能及总体健康状况积分明显提高(P<0.05);对照组功能领域中的各项指标和总体健康状况积分均无显著变化(P>0.05)。组间治疗后比较,躯体功能、情绪功能及总体健康状况积分差异有统计学意义(P<0.05)。③治疗后,治疗组症状领域中的气促、咳嗽、疲倦、疼痛和失眠症状积分均明显减少(P<0.05);对照组疼痛积分增加(P<0.05),其余指标无明显变化(P>0.05)。组间治疗后比较,气促、咳嗽、疲倦、疼痛和失眠症状积分差异均有统计学意义(P<0.05)。④治疗组、对照组不良反应发生率分别为16.67%、26.67%,组间差异无统计学意义(P>0.05);治疗过程中,两组均未见严重的造血系统及肝肾功能异常变化情况。 结论:肺岩宁颗粒能够有效提高非小细胞肺癌的近期疗效,显著提高患者的生存质量,且无严重的不良反应。
Objective:To observe the clinical efficacy of “Feiyanning Granule” in treating advanced lung cancer. Methods In this prospective, randomized and controlled trial, 60 non-small cell lung cancer patients with deficiency were randomly divided into treatment group and control group, 30 cases in each group. The treatment group was administered “Feiyanning Granule” for oral intake, while the control group took 10% of the dose of simultaneous treatment for 8 weeks. The clinical efficacy of solid tumor and changes of symptoms and syndrome in TCM and improvement of quality of life were observed, while the side effects and adverse reactions were monitored. Results:①The effective rate was 66.67% and disease control rate was 70.00% in the treatment group, and they were 0.00% and 43.33% in the control group. There was a significant difference in the curative effect in solid tumor between the two groups(P<0.05). ②After treatment, the scores of domains in EORTC QLQ-LC30 were statistically higher in physical functions, emotional functions and general health(P<0.05), while they changed little in the control group, with significant differences between the two groups(P<0.05). ③The improvement of domains in the symptoms of breathlessness, cough, fatigue, pain and insomnia in the treatment group were obviously reduced(P<0.05); the pain score was increased in the control group(P<0.05) and other scores changed little(P>0.05); there were great differences in above symptoms between the two groups after treatment(P<0.05). ④ The incidence rate of adverse reaction was 16.67% and 26.67% respectively in the treatment group and control group, with no difference between them(P>0.05); there were no significant abnormality in the hematopoietic system and liver-kidney function in these two groups. Conclusion:“Feiyanning Granule” is effective to elevate short-term efficacy in treating advanced lung cancer and improving the quality of life, without severe side effects.
中晚期非小细胞肺癌中医药疗法肺岩宁颗粒
non-small cell lung cancerChinese medicine therapy“Feiyanning Granule”
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