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纸质出版日期:2012
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李子英, 朱华亭. 基于中医食疗联合化疗治疗晚期卵巢癌[J]. 中国实验方剂学杂志, 2012,18(22):332-336.
LI Zi-ying, ZHU Hua-ting. Treatment of Advanced Ovarian Cancer based on Dietary Supplements of Traditional Chinese Medicine Combined with Chemotherapy[J]. Chinese journal of experimental traditional medical formulae, 2012, 18(22): 332-336.
李子英, 朱华亭. 基于中医食疗联合化疗治疗晚期卵巢癌[J]. 中国实验方剂学杂志, 2012,18(22):332-336. DOI:
LI Zi-ying, ZHU Hua-ting. Treatment of Advanced Ovarian Cancer based on Dietary Supplements of Traditional Chinese Medicine Combined with Chemotherapy[J]. Chinese journal of experimental traditional medical formulae, 2012, 18(22): 332-336. DOI:
目的: 评价中医膳食食疗联合TP(紫杉醇+顺铂)方案化疗治疗晚期卵巢癌的临床疗效。 方法: 将86例晚期卵巢癌患者随机分为单纯化疗组和中医膳食食疗加化疗组。单纯化疗组患者用TP方案化疗
单独使用化疗药物
化疗结束后不再用药;中医膳食食疗加化疗组在该方案化疗基础上于化疗第2天给予参芪健脾汤中医膳食食疗
至下一周期化疗开始。比较患者治疗后1
2年的生活质量及随访3年的死亡及转移情况
并检测外周血T淋巴细胞亚群、自然杀伤(NK)细胞等免疫指标。 结果: 中医膳食食疗加化疗组治疗1年后的生活质量明显高于单纯化疗组
呈显著性差异(P<0.05);2年后的生活质量与单纯化疗组比较无显著性差异;3年后的病死率和转移率明显低于对照组
与单纯化疗组比较
呈显著性差异(P<0.05)。中医膳食食疗加化疗组治疗后
CD4+明显升高
CD8+明显降低
CD4+/CD8+明显升高
NK细胞活性明显提高
与单纯化疗组治疗后比较
均呈非常显著性差异(P<0.05)。 结论: 中医膳食食疗联合化疗治疗晚期卵巢癌患者能提高患者外周血中免疫细胞的活性
增强免疫力
可提高患者的生活质量
延长寿命
降低病死率和远处转移率
临床效果确切
患者耐受性好
值得临床推广。
Objective:To evaluate the clinical efficacy of traditional Chinese medicine(TCM) dietary supplements (Shenqi Jianpi decoction) combined with TP (paclitaxel plus cisplatin) chemotherapy in the treatment of advanced ovarian cancer. Method: Randomly divided the 86 patients into chemotherapy group and TCM dietary supplements combined with chemotherapy group. The chemotherapy group patients were treated with TP chemotherapy
and no did not accept drug treatment after chemotherapy; on the above basement
the TCM dietary supplements combined with chemotherapy group patients were given TCM dietary supplements (Shenqi Jianpi decoction) after the second day chemotherapy
until the next cycle chemotherapy. The life quality after 1 and 2 year’s treatment
and the follow-up 3 year’s death and transfer situation was observed
and the immune indexes of T lymphocyte subsets and natural killer(NK) cells in peripheral blood were detecte. Result: The life quality of TCM dietary supplements combined with chemotherapy group patients after 1 year treatment was obviously higher than the chemotherapy group
and there was significant difference; the life quality after 2 years had no significant difference (P>0.05); the death rate and transfer rate after 3 years were lower than the pure chemotherapy group
and there was significant difference compared with the pure chemotherapy (P<0.05).The CD4+ was increased significantly
the CD8+ was decreased significantly
the CD4+/CD8+was increased significantly
and the activity of NK cell was increased significantly
and there was significant difference (P<0.05) compared with the pure chemotherapy group after treatment. Conclusion: The activity of immune cells in peripheral blood of the advanced ovarian cancer after the treatment of TCM dietary supplements combined with chemotherapy was improved
the immunity was enhanced
and the patient ’s life quality was improved
the life prolonged
and the death rate and transfer rate decreased. The clinical efficacy was exact and patients had good tolerance
and there was clinical promotion.
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