WU Ji, JIANG Guo-hao, ZHANG Chun-yin. Short-term clinical efficacyof senmaisanjie capsule combined with 131I for the treatment of differentiated thyroid carcinoma. [J]. Journal of Southwest Medical University 44(3):238-241(2021)
WU Ji, JIANG Guo-hao, ZHANG Chun-yin. Short-term clinical efficacyof senmaisanjie capsule combined with 131I for the treatment of differentiated thyroid carcinoma. [J]. Journal of Southwest Medical University 44(3):238-241(2021)DOI:
Short-term clinical efficacyof senmaisanjie capsule combined with 131I for the treatment of differentiated thyroid carcinoma
摘要
目的观察参麦散结胶囊联合
131
I治疗分化型甲状腺癌(differentiated thyroid cancer
DTC)的临床疗效及其对患者预后的影响。方法采用参麦散结胶囊联合
131
I治疗DTC术后首次治疗患者(观察组41例)与单用
131
I治疗(对照组47例)进行疗效对比
评估所有患者治疗后甲状腺球蛋白(TG)、甲状腺球蛋白抗体(TgAb)、炎症因子指标(CRP)
生活质量评价(KPS)
甲状腺彩超变化。结果 6个月后两组治疗后TG、TgAb、CRP水平均较治疗前下降
差异均有统计学意义(P
<
0.05)
上述指标观察组较对照组下降明显
差异有统计学意义(P
<
0.05)。KPS观察组较对照组显著升高(P
<
0.01)。甲状腺彩超治疗前后观察组与对照组比较
差异具有统计学意义(P
<
0.05)。临床总有效率观察组与对照组比较差异具有统计学意义(P
<
0.05)。结论参麦散结胶囊联合
131
I治疗能减少炎症反应
降低血清肿瘤标志物水平
可有效改善甲状腺癌术后患者生活质量
治疗效果优于单用
131
I治疗。
Abstract
Objective To observe the clinical efficacy of Shenmaisanjie capsules combined with
131
I treatment in differentiated thyroid carcinoma(DTC)and its effect on the prognosis of patients. Methods uated the efficacy of Shenmaisanjie capsules combined with
131
I therapy(observation group
41 cases)versus
131
I therapy alone(control group
47 cases)as the first treatment after surgery in patients with DTC. We assessed the changes in thyroglobulin(TG)
thyroglobulin antibody(TgAb)
C-reactive protein(CRP)
Karnofsky Performance Status(KPS)score
and thyroid color Doppler ultrasound findings after treatment. Results After 6 months
the levels of TG
TgAb
and CRP were significantly decreased in both groups(P
<
0.05)
with significantly greater reductions in the observation group than in the control group(P
<
0.05). The observation group had a significantly higher KPS score than the control group(P
<
0.01). There was a significant difference in the change in thyroid ultrasound results before and after treatment between the two groups(P
<
0.05). The overall response rate in the observation group was significantly different from that in the control group(P
<
0.05). Conclusion Shenmaisanjie capsules combined with
131
I therapy are superior to
131
I therapy alone in reducing inflammation
decreasing the levels of serum tumor markers
and improving the quality of life in patients who had thyroid cancer surgery.