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肝动脉栓塞化疗联合中医姑息疗法对中晚期原发性肝癌的临床观察

李亮 徐港

四川中医2017,Vol.35Issue(5):104-107,4.
四川中医2017,Vol.35Issue(5):104-107,4.

肝动脉栓塞化疗联合中医姑息疗法对中晚期原发性肝癌的临床观察

Clinical Observation of Applying TACE Combined with Traditional Chinese Medicine in thet Treatment of Primary Liver Cancer During Medium and Advanced Stage

李亮 1徐港2

作者信息

  • 1. 自贡市中医医院中西医结合肿瘤血液科,四川自贡643010
  • 2. 自贡市中医医院肛肠科,四川自贡643031
  • 折叠

摘要

Abstract

Objective:To observe the effect of trascatheter arterial chemoembolization (TACE) combined with Chinese medicine in primary liver cancer (PLC) patients during medium and advanced stage.Methods:78 patients who met the standard were randomly divided into controlled group and treatment group.In the controlled group of 38 cases were treated by TACE and routine western medicine;40 cases in the treatment group were additionally given traditional Chinese medicine by Baoyuan Decoction and Xiaoyao Powder.Recent survival rate,quality of life,the level of T lymphocytes and adverse reactions were observed.Results:In the treatment group,the CD3 and CD4 cells count were increased,CD8 cell was decreased,CD4/CD8 value was increased after treatment.Compared with the group before treatment,the difference was statistically significant (P < 0.05).In the controlled group,the difference was not statistically significant (P > 0.05).Comparison between groups after treatment,the difference was statistically significant (P < 0.05).The rate of adverse reactions was 72.50% in the treatment group while 100% in the controlled group,the difference was statistically significant (P < 0.05).The main adverse reactions were gastrointestinal symptoms,fever,bone marrow suppression and weakness.The 2 year survival rate of the treatment group was 60% while 36.84% in the controlled group,the difference was statistically significant (P < 0.05).Conclusion:Application of TACE combined with Baoyuan Decoction and Xiaoyao Powder in PLC patients during medium and advanced stage can reduce the adverse reactions caused by TACE,enhance the immune function,improve the quality of life and prolong the recent survival rate of patients.

关键词

原发性肝癌/肝动脉栓塞化疗/保元汤/逍遥散/姑息治疗

Key words

Primary liver cancer/TACE/Baoyuan Decoction/Xiaoyao Powder/Palliative therapy

分类

医药卫生

引用本文复制引用

李亮,徐港..肝动脉栓塞化疗联合中医姑息疗法对中晚期原发性肝癌的临床观察[J].四川中医,2017,35(5):104-107,4.

四川中医

OACSTPCD

1000-3649

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