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Treatment of advanced non-small cell lung cancer with extracorporeal high frequency thermotherapy combined with Chinese medicine 下载免费PDF全文
Objective: To observe the clinical efficacy and benefit response of extracorporeal high frequency thermotherapy (EHFT) combined with Chinese medicine (CM) in the treatment of patients with advanced non-small cell lung cancer. Methods: The study adopted a prospective, small sample and randomized controlled method, and the advanced non-small cell lung cancer patients were assigned to two groups according to the table of random digits, one having the treatment of EHFT combined with CM (the treatment group), the other only with CM (the control group). The patients in the treatment group were treated with EHFT one hour once per day, together with CM differentiation decoction, 250 mL orally taken, twice daily for 14 days as one cycle, and 3-4 cycles was performed. The patients in the control group were treated only with CM differentiation decoction using the same dose as the treatment group. The efficacies were evaluated after three to four cycles of treatment. Primary endpoints were disease control rate (DCR) and time to progression (TTP). Secondary endpoints were overall survival time and 1-year survival rate. Results: Sixty-six patients accomplished the study. After the patients underwent different treatments, none of the patients got a complete response or partial response in both groups. In the treatment group, DCR was 72.2%, and 10 had progression of disease (28.8%), while the DCR of the control group was 63.3%, and 11 had progression of disease (36.7%); there was a significant statistical difference (P0.05), suggesting that the combined regimen had superiority on the DCR. As for long-term efficacy, the median survival time (MST) of the treatment group was 7.5 months, TTP was 5.5 months, and 1-year survival rate was 21.4 %; in the control group, the results were 6.8 months, 4.5 months and 16.6% respectively. There was significant statistical difference on TTP (P0.05), but no difference on MST or 1-year survival rate. Conclusion: EHFT combined with CM differentiation has better tolerance and short-term efficacy in the treatment of patients with advanced NSCLC. 相似文献
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目的:探讨肝细胞肝癌(HCC)患者综合介入治疗联合中药对其长期生存的影响。方法:回顾性分析22例接受介入微创联合中药治疗或介入微创联合手术及中药治疗,或介入微创联合中药并细胞因子诱导杀伤(CIK)治疗的HCC患者,获取患者4年以上生存时间的临床资料和随访资料,分析其介入微创综合治疗情况、患者术后生存情况、治疗前后肿瘤反应性、肝功能情况、肝内复发及远处转移情况。结果:采用介入微创+中药治疗9例,介入微创+中药+手术治疗5例,介入微创+中药+CIK治疗8例。最终患者共接受T ACE等介入微创治疗203次,人均9.23次。其中手术患者(5例)共接受介入微创治疗6 8次,占3 3.5%,人均6.8次;未手术患者直接接受介入微创治疗13 5次,占6 6.5%,人均11.25次。所有患者均存活4年以上,其中现仍存活14例,肝癌Ⅱ期20例(9 0.9%),Ⅲ期2例(9.1%);Ch ild-Pugh分级A级19例(86.4%),B级8例(13.6%);患者5、7、9年累积生存率分别为9 0.2%、7 6.6%和51.0%;中位生存期(9.3 5±0.6 0)年。患者接受介入综合治疗的完全缓解率、部分缓解率均较介入综合治疗前升高(P0.05)。介入综合治疗后,患者的ALT、T Bil指标较治疗前降低(P0.05),白蛋白水平较治疗前升高(P0.05);AFP指数转阴4例,原本AFP阴性的6例患者在后期随访中持续升高。随访期间发生肝内转移10例(占45.5%),肝外转移7例(占27.3%)。结论:介入微创联合中医药等综合治疗方法是提高肝细胞肝癌患者长期生存的的重要手段之一。 相似文献
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参附注射液对NP方案治疗非小细胞肺癌减毒作用的临床研究 总被引:1,自引:0,他引:1
目的:观察参附注射液对NP方案治疗非小细胞肺癌的减毒作用。方法:对42例非小细胞肺癌患者随机分为2组,等21倒。观察1组第1周期用参附注射液加NP方案治疗,第2周期单纯用NP方案治疗;观察2组第1周期单纯用NP方案治疗,第2周期用参附注射液加NP方案治疗。主要观察参附注射液对NP方案毒性的影响。结果:参附注射液加NP方案的白细胞、中性粒细胞毒性和恶心呕吐、便秘症状均较NP方案低,差异有显著性或非常显著性意义(P〈0.05,P〈0.01),其余各项两方案相近(P〉0.05)。观察1组参附注射液加NP方案的白细胞、中性粒细胞毒性、恶心呕吐和便秘症状均较单纯用NP方案低,第1周期与第2周期比较,差异有显著性意义(P〈0.05)。气虚痰湿型患者中,参附注射液加NP方案的白细胞、中性粒细胞毒性较单纯用NP方案低,差异有显著性意义(P〈0.05)。结论:参附注射液能减轻NP方案治疗非小细胞肺癌的血液学和消化道毒性,对气虚痰湿型患者的减毒作用较明显。早期联合应用参附注射液,减毒作用更好。 相似文献
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目的:观察参附注射液对健择联合顺铂方案(GP)治疗非小细胞肺癌消化道副反应的影响。方法:3446例拟行CP方案化疗的非小细胞肺癌患者,分为参附先期治疗组(18例)和参附后期治疗组(每组1623例)。参附先期治疗纽:于第1疗程化疗前3d开始用参附注射液静脉滴注,化疗实施GP方案:第2疗程仅用GP方案作自身对照。参附后期治疗组:第1疗程仅实施GP化疗;第2疗程化疗前3d开始用参附注射液,后实施GP方案。通过随机自身前后交叉对照,观察参附注射液对GP方案消化道反应的影响。结果:GP方案主要消化道反应为Ⅰ-Ⅳ度呕吐和Ⅰ~Ⅱ度便秘。总体参附+GP方案的消化道呕吐反应均较GP方案低(P〈0.01),其中参附先期治疗组和参附后期治疗组参附+GP方案的消化道反应均血液毒性较GP方案低(P〈0.01,P〈0.05))。参附注射液对气虚痰湿型和气阴两虚型患者显示较好的止呕作用(P〈0.01或P〈0.05)。而参附后期治疗组两方案无显著差异。参附注射液对气虚痰湿型和气阴两虚型患者显示较好的减毒作用(P〈0.01或P〈0.05)。结论:参附注射液能减轻GP方案治疗非小细胞肺癌时的血液毒性和消化通呕吐反应,对气虚痰湿型和气阴两虚型患者的止呕作用较明显毒性,对气虚痰湿型和气阴两虚型患者的减毒作用较明显;。早期联合应用参附注射液显示出更好的,减毒作用更好。 相似文献
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目的:观察晚期(ⅢB/Ⅳ期)非小细胞肺癌(NSCLC)患者的中医证型特点和分布规律。方法:采取回顾性调查方式,对纳入121例ⅢB/Ⅳ期NSCLC的病例进行资料采集,数据输入数据库,中医辨证分型参照《肿瘤中医诊疗指南》,由3人以上经验丰富的住院及主治医师进行辨证分型,最后由科室主任审核并确定。结果:121例ⅢB/Ⅳ期NSCLC中医证型以脾虚痰湿型最多见,占52.1%(63/121),与其他中医证型相比较有显著差异(P<0.05)。分层分析:ⅢB期、IV期(M1a)期NSCLC中脾虚痰湿型分别占50.0%(14/28)、57.1%(20/35),均与其他中医证型相比较有显著差异(P<0.05);IV期(M1b)期NSCLC中以脾虚痰湿、气阴两虚型为主,分别占50.0%(29/58)、29.3%(17/58),脾虚痰湿型与其他中医证型相比较有显著差异(P<0.05)。结论:晚期(ⅢB/Ⅳ期)NSCLC的中医证型以脾虚湿瘀为主。 相似文献
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目的探讨原发性肝癌(primary liver cancer,PLC)中医证型分布以及各证型生存期差异。方法选择151例2007年5月-2009年3月在广东省中医院肿瘤科住院的PLC患者,进行中医辨证分型,统计患者生存期,采用Kaplan-Meier法计算患者的平均生存期及中位生存期,比较各证型生存期差异。结果PLC患者中医证型比例由高至低分别为湿瘀互结证(43.0%,65/151)、肝郁脾虚证(34.4%,52/151)、气滞血瘀证(9.3%,14/151)、湿热蕴结证(8.6%,13/151)及肝肾阴虚证(4.6%,7/151)。PLC患者各证型中位生存期由长至短分别为:肝郁脾虚证(14.77个月)、气滞血瘀证(6.13个月)、湿热蕴结证(5.27个月)、湿瘀互结证(4.78个月)、肝肾阴虚证(0.80个月);各证型平均生存期由长至短分别为:肝郁脾虚证(12.40个月)、气滞血瘀证(8.84个月)、湿瘀互结证(6.99个月)、湿热蕴结证(7.08个月)、肝肾阴虚证(0.72个月),不同证型间的生存期差异有统计学意义(P〈0.05)。结论肝郁脾虚证及湿瘀互结证是PLC最常见的证型;肝郁脾虚证与湿瘀互结证、湿热蕴结证及肝肾阴虚证的生存期有差异,湿瘀互结证与肝肾阴虚证亦有差异;肝郁脾虚证是预后最好的证型,而肝肾阴虚证预后最差。 相似文献
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