节点文献
中西医结合治疗消化道肿瘤的临床研究
Clinical Study on Integrated Traditional and Western Medicine in Gastrointestinal Tumors
【摘要】 目的:探讨消化道肿瘤采用中西医结合治疗的临床效果,为消化道肿瘤患者的临床治疗提供更好的依据。方法:选取2011年12月—2014年1月收治的消化道肿瘤患者96例进行研究,按照临床试验数字随机的方法将患者分为两组,每组各48例,其中对照组采用常规的西医进行治疗,治疗组在此基础上联合中药进行治疗,观察两组患者治疗后的疗效、生活质量评分及相关并发症比较。结果:治疗组完全缓解20例、部分缓解17例、无变化8例、恶化3例,总有效率为77.08%,对照组完全缓解14例、部分缓解15例、无变化11例、恶化8例,总有效率为60.42%,两组患者治疗后总有效率相比,差异有统计学意义,P<0.05;治疗组患者的生活质量明显优于对照组,两组相关生活指数相比,具有统计学差异,P<0.05;两组患者术后均有不同程度的吻合口感染以及切口感染的并发症发生,治疗组总的并发症发生率为12.50%,明显优于对照组的33.33%,差异具有统计学意义,P<0.05;且治疗组患者的住院天数明显短于对照组,两组相比,差异具有统计学意义,P<0.05。结论:消化道肿瘤患者在手术切除和化疗的基础上联合中药进行治疗效果显著,且显著提高了患者的生活质量。
【Abstract】 Objective: To study the effect of integrated traditional and western medicine in gastrointestinal tumors. It could provide a better way to treat the gastrointestinal tumors. Methods: 96 patients with gastrointestinal tumors from December 2011 to January 2014 in our hospital were to be studied. Randomized clinical trial in accordance with the method of digital patients were divided into two groups,each group 48 cases,including the control group which were treated with conventional Western medicine and the treatment group on the basis added TCM treatment. The effects were observed after treatment of the two groups patients,comparison of quality of life scores and related complications. Results: 20 cases completd remission,partial remission in 17 cases,no change in eight cases,the deterioration of three cases,the total effective rate was 77. 08%. In the control group,14 cases of complete remission,partial remission in 15 cases,no change in 11 cases,8 cases of deterioration,the total effective rate was 60. 42%. Both groups patients after treatment efficiency compared to the total,the difference was statistically significant,P < 0. 05. Quality of life in the treatment group than the control group patients,two related living index had a statistically difference,P < 0. 05. Two groups patients had postoperative anastomotic complications of infections,and wound infection occurred in varying degrees,the overall complication rate was12. 50% in treatment group and was significantly better than 33. 33% of the control group,the difference was statistically significant,P < 0. 05. And the number of days of hospitalization in treatment group was significantly shorter than that of the control group,the difference was statistically significant,P < 0. 05. Conclusions: In patients with gastrointestinal cancer surgery,chemotherapy combined with traditional Chinese medicine treatment has remarkable effect,and significantly improves the quality of life of patients.
【Key words】 gastrointestinal tumors; Integrative Medicine; clinical effect; quality of life;
- 【文献出处】 中华中医药学刊 ,Chinese Archives of Traditional Chinese Medicine , 编辑部邮箱 ,2015年06期
- 【分类号】R735
- 【被引频次】6
- 【下载频次】140