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健脾消积汤治疗癌因性疲乏对患者生活质量的影响

Effect of Jianpi Xiaoji Decoction on Life Quality of Patients with Cancer-related Fatigue

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【作者】 黄智芬韦劲松袁颖覃清清许瑞琪桂海涛黎汉忠

【Author】 Huang Zhifen,Wei Jinsong,Yuan Ying,Qin Qingqing,Xu Ruiqi,Gui Haitao,LiHanzhong(Dept.of Integrative Internal Medicine,Affiliated Tumor Hospital,Guanxi Medical University,Add.:No.71,Hedi Road,Nanning,Guangxi Province,Post code:530021)

【机构】 广西医科大学附属肿瘤医院中医·综合内科

【摘要】 目的:观察健脾消积汤治疗癌因性疲乏对患者生活质量的影响。方法:将62例患者随机分为治疗组32例与对照组30例,2组同型肿瘤患者采用相同的化疗方案治疗;21天为1个周期,2个周期评价疗效。治疗组加用健脾消积汤治疗;21天为1个疗程,2个疗程评价疗效。观察2组治疗前后生活质量量表EORTC-QLQ-SF-36调查问卷评价、疲乏状况变化及不良反应。结果:2组生活质量量表EORTC-QLQ-SF-36问卷评分比较,治疗组躯体功能、角色功能、情绪功能、物理症状及整体状况均优于对照组,差异有统计学意义(P<0.05);而认知功能、社会功能差异无统计学意义(P>0.05)。2组疲乏状况比较,治疗组疲乏状况有明显减轻,对照组无变化;治疗组优于对照组(P<0.05)。不良反应比较,治疗组低于对照组(P<0.05)。结论:健脾消积汤具有提高机体免疫功能,改善患者临床症状及疲乏状况,提高生活质量,延长生存期。

【Abstract】 Objective:To observe effect of Jianpi Xiaoji Decoction on life quality of patients with cancer-related fatigue.Methods:Sixty-two patients were randomized to treatment group(n = 32) and control group(n = 30),both groups received radiotherapy for 2 treatment periods,21 days per period.The control group took Jianpi Xiaoji Decoction for the same treatment period.After treatment,EORTC-QLQ-SF-36 was used to evaluate fatigue conditions and adverse event was collected.Results:According to EORTC-QLQ-SF-3,the treatment group was better than control group in terms of physical function,role identification,emotions,signs and symptoms and overall conditions(P < 0.05).Two group was not statistically different in terms of cognitive functions and social function(P > 0.05).And treatment presented less adverse event(P < 0.05).Conclusion:Jianpi Xiaoji Decoction can improve immunity functions,relieve clinical symptoms and fatigue condition,improve life quality and extend survival time.

【基金】 广西壮族自治区卫生厅自筹经费科研课题(编号:E-2008234)
  • 【文献出处】 世界中医药 ,World Chinese Medicine , 编辑部邮箱 ,2012年06期
  • 【分类号】R473.73
  • 【被引频次】53
  • 【下载频次】208
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