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1. 重庆大学附属肿瘤医院药学部
2. 重庆大学附属肿瘤医院中医肿瘤治疗中心
3. 重庆大学附属肿瘤医院妇科肿瘤中心
纸质出版日期:2021,
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[1]赖翔宇,兰雪妮,何密斯,贾毅敏.自拟中药煎剂灌肠治疗宫颈癌放疗致放射性直肠炎的临床观察[J].中国医院用药评价与分析,2021,21(03):278-280+284.
LAI Xiangyu, LAN Xueni, HE Misi, et al. Clinical Observation of Self-Made Traditional Chinese medicine Decoction in the Treatment of Radiation Proctitis Induced by Radiotherapy of Cervical Cancer[J]. 2021,21(3):278-280.
[1]赖翔宇,兰雪妮,何密斯,贾毅敏.自拟中药煎剂灌肠治疗宫颈癌放疗致放射性直肠炎的临床观察[J].中国医院用药评价与分析,2021,21(03):278-280+284. DOI: 10.14009/j.issn.1672-2124.2021.03.005.
LAI Xiangyu, LAN Xueni, HE Misi, et al. Clinical Observation of Self-Made Traditional Chinese medicine Decoction in the Treatment of Radiation Proctitis Induced by Radiotherapy of Cervical Cancer[J]. 2021,21(3):278-280. DOI: 10.14009/j.issn.1672-2124.2021.03.005.
目的:探讨自拟中药煎剂灌肠治疗宫颈癌放疗致放射性直肠炎的临床疗效。方法:将2017年9月至2020年3月重庆大学附属肿瘤医院收治的120例宫颈癌放疗致放射性直肠炎患者采用随机数字表法分为中药治疗组和对照组
每组60例。中药治疗组患者给予自拟中药煎剂(葛根30 g
黄芩30 g
黄连30 g
白头翁30 g
地榆15 g
槐花15 g
体外培育牛黄300 mg
紫花地丁15 g)保留灌肠
对照组患者给予西药(庆大霉素16万U
地塞米松5 mg
2%利多卡因4 ml
0.9%氯化钠注射液100 ml)混合后保留灌肠。两组患者均以10 d为1个疗程
共治疗2个疗程。观察两组患者治疗前后的症状评分、直肠放射损伤分级、卡氏评分及不良反应发生情况。结果:中药治疗组患者治疗后的症状评分[(腹痛/不适评分(0.39±0.19)分
腹泻评分(0.57±0.13)分
大便性状评分(0.47±0.26)分
黏液血便评分(0.89±0.14)分]明显低于对照组[腹痛/不适评分(1.23±0.22)分
腹泻评分(1.03±0.41)分
大便性状评分(1.33±0.18)分
黏液血便评分(2.01±0.31)分]
差异均有统计学意义(P<0.05)。中药治疗组患者治疗后直肠放射损伤分级(0级24例
Ⅰ级26例
Ⅱ级10例
Ⅲ级0例)
较对照组(0级12例
Ⅰ级22例
Ⅱ级20例
Ⅲ级6例)明显改善
差异均有统计学意义(P<0.05)。中药治疗组患者治疗后的卡氏评分为(85.98±7.02)分
明显优于对照组治疗后的(65.01±3.22)分
差异均有统计学意义(P<0.05)。中药治疗组和对照组患者治疗过程中均未出现不良反应。结论:自拟中药煎剂灌肠治疗宫颈癌放疗致放射性直肠炎的疗效显著。
OBJECTIVE: To probe into the clinical efficacy of self-made traditional Chinese medicine decoction in the treatment of radiation proctitis induced by radiotherapy of cervical cancer.METHODS: A total of 120 patients admitted to Chongqing University Cancer Hospital from Sept.2017 to Mar.2020 were randomly divided into the the traditional Chinese medicine treatment group and the control group
with 60 cases in each group.The traditional Chinese medicine treatment group was given self-made traditional Chinese medicine decoction( pueraria lobata 30 g
scutellaria baicalensis 30 g
coptis chinensis 30 g
pulsatillae radix 30 g
sanguisorbae radix 15 g
flos sophorae 15 g
calculus bovis sativus 300 mg
herba violae 15 g)
while the control group received western medicine( 160 000 U of gentamicin
5 mg of dexamethasone
4 ml of 2% lidocaine
100 ml of 0.9% sodium chloride injection).Patients in both groups took 10 d as a course of treatment
with a total of 2 courses of treatment.Symptom score
rectal radiation injury grade
Karnofsky score and the incidence of adverse reactions before and after treatment were observed in two groups.RESULTS: The symptom scores of the traditional Chinese medicine treatment group [abdominal pain/discomfort:( 0.39±0.19) scores; diarrhea:( 0.57±0.13) scores
; stool characteristics:( 0.47 ± 0.26) scores; mucinous bloody stools:( 0.89 ± 0.14) scores] were significantly lower than those of the control group[abdominal pain/discomfort:( 1.23±0.22) scores; diarrhea:( 1.03±0.41) scores; stool characteristics:( 1.33±0.18) scores; mucinous bloody stools:( 2.01 ± 0.31) scores]
the differences were statistically significant( P < 0.05).Compared with the control group( 12 cases of grade 0
22 cases of grade Ⅰ
20 cases of grade Ⅱ and 6 cases of grade Ⅲ)
rectal radiation injury classification of patients in the traditional Chinese medicine treatment group after treatment( 24 cases of grade 0
26 cases of grade Ⅰ
10 cases of grade Ⅱ
0 cases of grade Ⅲ) was significantly improved
and the differences were statistically significant( P<0.05).Karnofsky score after treatment in the traditional Chinese medicine treatment group was( 85.98 ± 7.02) scores
significantly better than( 65.01 ± 3.22) scores after treatment in the control group
and the differences were statistically significant( P<0.05).There were no adverse drug reactions during the treatment in the traditional Chinese medicine treatment group and the control group.CONCLUSIONS: The efficacy of self-made traditional Chinese medicine decoction in the treatment of radiation proctitis induced by radiotherapy of cervical cancer is significant.
宫颈癌放射性直肠炎中药灌肠临床研究
Cervical cancerRadiation proctitisTraditional Chinese medicine enemaClinical research
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