摘要
目的:阐述中西医整合的概念,引入中西医整合疗法治疗围手术期肝癌,验证其疗效。方法:搜集整合医学相关定义、临床价值、疗效等报道,把中西医整合疗法与中西医结合疗法的疗效进行对比,提出中西医整合疗法治疗围手术期肝癌优于中西医结合疗法。对27例围手术期肝癌患者采用中西医整合疗法治疗,之后进行回顾性随访。本文中西医整合疗法包括:(1)中医+西医;(2)基础医学+临床医学;(3)社会+家庭;(4)心理+自我护理。应用SPSS 19.0软件进行统计分析,计量资料用t检验,计数资料用χ~2检验。结果:对围手术期肝癌患者采用中西医整合疗法治疗较中西医结合治疗的生存率长、复发率低。对围手术期肝癌患者采用中西医整合疗法治疗的费用比文献报道中的所需费用低。结论:整合医学模式已在医学高层达到共识。中西医整合疗法治疗围手术期肝癌的疗效优于中西医结合。中西医整合疗法治疗围手术期肝癌的复发率、生存率与陈立武综合组及对照组均有差别(P<0.05)。围手术期肝癌患者术前生活质量与正常人,患者自身治疗前后均有差别(P<0.05)。研究中发现围手术期肝癌患者经中西医整合疗法治疗后再住院次数呈逐月下降趋势。经统计27例围手术期肝癌患者单纯门诊治疗及检查费用年人均约为34000元,比相关文献报道的124204元明显减少。
Objective:According to the concept of the integrative medicine,its effect on liver cancer in perioperative period was verified.Methods:In this paper,the reports on the integrated medical related definition,clinical value and the curative effect were collected.And the effects of the integrative medicine and combine TCM and western medicine were compared,to put forward the effect of the integrative medicine is superior to combine TCM and western medicine.27cases of perioperative liver cancer treated by the integrative medicine were followed up.The integrative medicine mainly includes:①TCM and western medicine;②Basic medicine and clinical medicine;③Society and family;④Psychological and self-nursing.Results:Compared with combine TCM and western medicine,the survival rate was longer and recurrence rate was lower of patients who were treated by the integrative medicine.The cost of the integrative medicine was lower than that of combine TCM and western medicine.Conclusion:The integrative medicine has reached a consensus.There were significant differences in the survival rate and recurrence rate between the integrative medicine and combine TCM and western medicine(P<0.05).Compared with the normal people and after treatment,there were significant differences in the quality of life in the integrative medicine(P<0.05).The number of readmission was decreased month by month.In27cancer patients in perioperative period,the cost was34000yuan yearly,and significantly lower than124204yuan reported in related literatures.
出处
《中医临床研究》
2018年第2期1-7,共7页
Clinical Journal Of Chinese Medicine
关键词
中西医整合
治疗
围手术期肝癌
The integrative medicine
Treatment
Liver cancer in perioperative period
