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归脾汤防治老年胃癌化疗相关疲乏的临床研究 被引量:15

Clinical study on treatment of senile gastric cancer chemotherapy related fatigue with Guipi decoction
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摘要 [目的]观察归脾汤防治老年胃癌化疗相关疲乏的临床疗效。[方法]84例老年胃癌患者随机分为治疗组(给予替吉奥化疗联合归脾汤治疗)42例,对照组(替吉奥化疗联合最佳支持治疗)42例,观察两组治疗前后疲乏程度、化疗相关不良反应、体质量以及老年抑郁程度等变化情况。[结果]化疗后治疗组重度疲乏发生率2.3%(1例),明显低于对照组的16%(7例),差异具有统计学意义(P<0.05);对照组体质量较治疗组减轻4.06 kg,差异具有统计学意义(P<0.05);中重度抑郁发生率2%(1例),明显低于对照组14%(6例),差异具有统计学意义(P<0.05)。化疗后治疗组未见3/4级胃肠道不良反应,且1/2级胃肠道不良反应明显少于对照组(P<0.01)。血液学毒性方面,治疗组未见3/4度骨髓抑制,且1/2度骨髓抑制的发生率较低。[结论]归脾汤通过明显缓解老年替吉奥单药化疗患者的血液学及胃肠道不良反应,改善抑郁状态,增强老年患者体力达到预防患者化疗相关疲乏的目的,且改善疲乏效果明显。 [Objective] To observe the clinical effect of Guipi decoction in treatment of senile gastric cancer with chemotherapy related fa-tigue. [Methods] The 84 cases of patients were randomly divided into the treatment group with 42 cases(S-1 combined with Guipi decoc-tion), 42 patients in the control group(chemotherapy with S-1 plus best supportive treatment), observe fatigue of two groups before and af-ter treatment, chemotherapy related side effects, weight and elderly depression degree. [Results] After chemotherapy, occurrence rate of fatigue was 2.3% in treatment group(1 cases), significantly lower than those in control group(7 cases). In weight after chemotherapy, the control group was significantly lower than that in the treatment group(4.06 kg). The difference was statistically significant( P=0.024). The incidence of severe depression was 14%(6 case), and the difference was statistically significant( P=0.044) with 2%(1 cases) in the treatment group. After chemotherapy, no adverse reaction of 3/4 grade was found in the treatment group, and the adverse reaction of gastroin-testinal tract in grade 1/2 was significantly less than that of the control group(P=0.001). There was no side effect of 3/4 in the treatment group, and the side effect of 1/2 in the treatment group was less than that in control group(hypoleucocytosis 19%, anemia 12%, thrombo-cytopenia 5%). [Conclusion] Guipi decoction by significantly alleviate the elderly S-1 single agent chemotherapy in patients with blood and gastrointestinal side effects, to improve depression, elderly patients physical enhancement to prevent patients with chemotherapy re-lated fatigue and improve of fatigue effect is obvious.
出处 《天津中医药》 CAS 2016年第4期204-207,共4页 Tianjin Journal of Traditional Chinese Medicine
关键词 归脾汤 老年胃癌 癌因性疲乏 化疗 Guipi decoction elderly gastric cancer cancer-related fatigue chemotherapy
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参考文献17

  • 1管梅,张晓红,贺子夏,程月鹃,陈书长.化疗对老年肿瘤患者生活质量的影响[J].癌症进展,2010,8(5):505-510. 被引量:23
  • 2Lotfi-Jam K,Carey M,Jefford M,Schofield P,Charleson C,Aranda S.Nonpharmacologic strategies for managing common chemotherapy adverse effects:a systematic review[J].J Clin Oncol,2008,26(34):5618-5629.
  • 3Lower EE,Fleishman S,Cooper A,et al.Efficacy of dexmethylphenidate for the treatment of fatigue after cancer chemotherapy:a randomized clinical trial[J].J Pain Symptom,Manage,2009,38(5):650-662.
  • 4Blaney J,Lowe-Strong A,Rankin J,et al.The cancer rehabilitation journey:barriers to and facilitators of exercise among patients with cancer-related fatigue[J].Phys Ther,2010,90(8):1135-47.
  • 5吉兆奕,徐咏梅,王笑民.癌症相关性疲乏(CRF)患者疲劳的特征与中医辨证(TCM)的临床研究[J].现代肿瘤医学,2010,18(12):2473-2478. 被引量:28
  • 6Piper BF,Dibble SL,Dodd MJ,et al.The revised Piper Fatigue Scale:psychometric evaluation in women with breast cancer.Oncol Nurs Forum,1998,25(4):677-684.
  • 7Cruice M,Worrall L,Hickson L.Reporting on psychological wellbeing of older adults with chronic aphasia in the context of unaffected peers[J].Disabil Rehabil,2011,33(3):219-228.
  • 8WU HS,Mc Sweeney M.Cancer-related fatigue:“It’s so much more than just being tired”[J].Eur J Oncol Nurs,2007,11(2):117-125.
  • 9Ahlberg K,Ekman T,Gaston-Johansson F,et al.Assessment and management of cancer-related fatigue in adults[J].Lancet,2003,362(9384):640-650.
  • 10徐宏涛,孟春燕,胡平,章平禄.腹腔镜手术后肠内滴注归脾汤治疗胃癌患者术后疲劳综合征研究[J].中国中西医结合外科杂志,2013,19(4):365-368. 被引量:10

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