【摘要】 目的观察化疗相关性腹泻(chemotherapy induced diarrhea,CID)中医辨证论治的疗效。方法将38例CID患者分为治疗组和对照组,治疗组26例采用中医辨证治疗,对照组12例采用黄连素、思密达或易蒙停治疗。结果治疗组脾虚型、湿热型、脾肾阳虚型、肝郁脾虚型分别为14、10、1、1例,有效例数分别为11、7、1、1例;治疗组和对照组总有效率分别为76.9%、50.0%,两组总有效率比较,差异无统计学意义(P>0.05)。结论 CID的常见证型为脾虚型、脾肾阳虚型,辨证治疗有较好的疗效。更多还原

【Abstract】 Objective To study the therapeutic effects of syndrome differentiation based treatment,a therapy in traditional Chinese medicine(TCM),in treating chemotherapy induced diarrhea(CID).Methods A total of 26 patients were allocated into treatment group and control group.Twenty-six patients in the treatment group were treated with TCM treatment based on syndrome differentiation,and another 12 patients in the control group were treated with berberine and Smecta,or Loperamide.Results Of 26 CID patients in the treatment group,14,10,1,and 1 were diagnosed as spleen deficiency type,damp-heat type,spleen-kidney yang deficiency type,and liver depression and spleen deficiency type,respectively;and the effective cases were 11,7,1,and 1 in above-mentioned syndrome types,respectively.The total effective rate was 76.9% and 50% in the treatment group and the control group,respectively;there was no significant difference in total effective rate between the two groups.Conclusion The common syndrome types in CID patients are spleen deficiency and spleen-kidney yang deficiency,and syndrome differentiation based treatment has better effects on CID.更多还原