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纸质出版日期:2016
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王晓莉, 王财, 陈凡. 复方高山红景天口服液联合盐酸氨溴索治疗放射性肺损伤的疗效观察[J]. 中国实验方剂学杂志, 2016,22(18):154-158.
WANG Xiao-li, WANG Cai, CHEN Fan. Clinical Efficacy of Compound Rhodiola A Bor Oral Solution Combined with Ambroxol Hydrochloride Treatment for Patients with Radioactive Lung Injury[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(18): 154-158.
王晓莉, 王财, 陈凡. 复方高山红景天口服液联合盐酸氨溴索治疗放射性肺损伤的疗效观察[J]. 中国实验方剂学杂志, 2016,22(18):154-158. DOI: 10.13422/j.cnki.syfjx.2016180154.
WANG Xiao-li, WANG Cai, CHEN Fan. Clinical Efficacy of Compound Rhodiola A Bor Oral Solution Combined with Ambroxol Hydrochloride Treatment for Patients with Radioactive Lung Injury[J]. Chinese journal of experimental traditional medical formulae, 2016, 22(18): 154-158. DOI: 10.13422/j.cnki.syfjx.2016180154.
目的:通过比较复方红景天联合盐酸氨溴索与单纯盐酸氨溴索在治疗放射性肺损伤的应用效果,探讨复方高山红景天口服液联合盐酸氨溴索治疗放射性肺损伤患者的临床疗效。方法:选取2014年8月-2015年8月青海大学附属医院收治的116例放射线肺损伤患者,按随机数字表法分为观察组和对照组,各58例。两组患者均给予口服盐酸氨溴索片治疗,观察组患者在此基础上加以口服复方高山红景天口服液治疗,观察两组患者放疗后,治疗4,8周转化生长因子-β1(TGF-β1),肿瘤坏死因子-α(TNF-α)水平和Karnofsky(KPS)评分的变化,及治疗前后肺功能情况以及生活质量的变化。结果:观察组患者治疗4,8周后TGF-β1,TNF-α水平均明显 低于对照组(P<0.05),观察组患者治疗4,8周的KPS评分明显高于对照组(P<0.05);与治疗后对照组比较,治疗后观察组肺活量(VC),用力肺活量(FVC), 1秒用力呼气容积(FEV1)和FEV1/FVC检查结果、功能领域以及总体健康状况评分明显增高,症状领域、单一条目评分明显降低(P<0.05);治疗后观察组总有效率达89.66%;对照组总有效率为60.34%,与对照组治疗后比较,观察组治疗后显效人数及总有效率明显增加,无效人数明显减少(P<0.05)。结论:采用复方红景天联合盐酸氨溴索治疗放射性肺损伤可通过有效降低因放射治疗所致的血清TGF-β1,TNF-α水平升高,改善肺功能,进而起到提高临床疗效的作用,同时对患者的生活能力及生活质量的改善有显著的作用。
Objective: To investigate the clinical efficacy of compound Rhodiola A Bor oral solution combined with ambroxol hydrochloride treatment for patients with radioactive lung injury by comparing the application effect of compound Rhodiola A Bor oral solution combined with ambroxol hydrochloride treatment and simple ambroxol hydrochloride treatment. Method: The 116 patients with radioactive lung injury in our hospital from August 2014 to August 2015 were selected and randomly divided into observation group(58 cases) and control group(58 cases) by random number table. Patients of both groups received oral ambroxol hydrochloride tablets
and patients in observation group were also given with oral liquid of compound rhodiola A Bor oral solution based on this. The levels of transforming growth factor-β1(TGF-β1)
tumor necrosis factor-α(TNF-α)
and changes of Karnofsky(KPS) scores after radiation therapy
after 4 weeks and 8 weeks of treatment
as well as the changes in lung function and the quality of life before and after treatment were observed in both groups. Result: The levels of TGF-β1 and TNF-α of patients in observation group were significantly lower than those of control group after 4 weeks and 8 weeks treatment(P<0.05)
and the KPS scores in observation group were significantly higher than those of control group after 4 weeks and 8 weeks treatment (P<0.05). As compared with control group after treatment
the test results of vital capacity(VC)
forced vital capacity(FVC)
forced expiratory volume in one second(FEV1)
FEV1/FVC
the scores of functional areas and scores of overall health in observation group were significantly increased after treatment
while the scores of symptoms and scores of single items were significantly decreased(P<0.05). The total effective rate was 89.66%in observation group
and 60.34%in control group. As compared with the control group after treatment
the number of patients with marked effect and the total effective rate in observation group were significantly increased
and the number of patients with no effects was decreased significantly (P<0.05). Conclusion: The application of compound Rhodiola A Bor oral solution combined with ambroxol hydrochloride treatment for the radioactive lung injury can effectively reduce the levels of TGF-β1 and TNF-α caused by a radiation therapy
improve lung function
and thus improve the clinical efficacy
at the same time with a significant effect to the improvement of life ability and life quality.
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