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中药治疗化疗所致周围神经病变的效果

李元青 孙红 薛冬 李占东 许轶琛 王薇 李萍萍

中国康复理论与实践2017,Vol.23Issue(11):1321-1325,5.
中国康复理论与实践2017,Vol.23Issue(11):1321-1325,5.DOI:10.3969/j.issn.1006-9771.2017.11.017

中药治疗化疗所致周围神经病变的效果

Effects of Chinese Medicine on Chemotherapy-induced Peripheral Neuropathy:A Randomized, Double-blind, Placebo-controlled Clinical Trial

李元青 1孙红 1薛冬 1李占东 1许轶琛 1王薇 1李萍萍1

作者信息

  • 1. 北京大学肿瘤医院暨北京市肿瘤防治研究所,恶性肿瘤发病机制及转化研究教育部重点实验室,北京市100142
  • 折叠

摘要

Abstract

Objective To investigate the efficacy of a Chinese Medicine formula on chemotherapy-induced peripheral neuropathy (CIPN).Methods From April,2013 to December,2014,56 patients were randomized blindly to receive granulas of Chinese Medicine of modified Huangqi-Guizhi Wuwu and Shentong-Zhuyu(treatment group,n=28)or placebo(control group,n=28),for a month.They were as-sessed with Number Rating Scale (NRS) of symptoms of CIPN, National Cancer Institute's Common Terminology Criteria for Adverse Events (NCI-CTCAE) version 4.0, and European Organization for Research and Treatment of Cancer Quality of Life Questionnaire-30 (EORTC QLQ-C30)before,and four weeks,eight weeks and twelve weeks after treatment.Results The score of NRS(F>9.518,P<0.01) and grade of NCI-CTCAE(Z>3.887,P<0.05)improved in the treatment group compared with those in the control group eight weeks and twelve weeks after treatment.The scores of EORTC QLQ-C30 also improved twelve weeks after treatment, but only significantly in the symptom of fatigue(t=-2.971,P<0.01).Conclusion The Chinese Medicine can release the symptoms of CIPN,decrease the grade of neuro-toxicity,and may improve the quality of life somewhat.

关键词

周围神经病变/化学疗法/中药/黄芪桂枝五物汤/身痛逐瘀汤

Key words

peripheral neuropathy/chemotherapy/Chinese Medicine/Huangqi-Guizhi-Wuwu Decoction/Shentong-Zhuyu Decoction

分类

医药卫生

引用本文复制引用

李元青,孙红,薛冬,李占东,许轶琛,王薇,李萍萍..中药治疗化疗所致周围神经病变的效果[J].中国康复理论与实践,2017,23(11):1321-1325,5.

基金项目

北京市中医药科技项目(No.JJ2012-27). (No.JJ2012-27)

中国康复理论与实践

OA北大核心CSCDCSTPCD

1006-9771

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