黄芪桂枝五物汤治疗奥沙利铂化疗后周围神经毒性24例
Clinical Study on Huangqi Guizhi Wuwu Decoction Treating the Neuro-sensory Toxicity Caused by Oxaliplatin
-
摘要: 目的 观察黄芪桂枝五物汤减轻对奥沙利铂神经毒性的疗效。方法 对接受FOLFOX6方案化疗的48例大肠癌患者,随机分为对照组和治疗组。对照组单接受化疗,治疗组在接受奥沙利铂化疗的同时配合服用黄芪桂枝五物汤中药治疗。奥沙利铂引起的周围神经毒性评定参考Levi专用标准。结果 治疗组24例,发生周围神经毒性1级8例,2级1例,3级0例,4级0例,总发生率为37.5%。对照组24例中发生周围神经毒性1级13例,2级3例,3级3例,4级0例,总发生率为79.17%。2组比较,治疗组在接受奥沙利铂治疗时神经毒性的发生率及3~4级毒性反应发生程度明显减低,差异有统计学意义(P<0.01)。结论 黄芪桂枝五物汤能有效防治奥沙利铂的周围神经毒性。Abstract: OBJECTIVE To observe the curative effect of Huangqi Guizhi Wuwu Decoction in the treatment of neuro-sensory toxicity caused by oxaliplatin. METHODS 48 cases of colorectal cancer were randomly divided into the control group (24 cases) treated with chemotherapy alone and the treatment group (24 cases) treated with Huangqi Guizhi Wuwu Decoction additionally. The neuro-sensory toxicity caused by oxaliplatin was judged by Levi standard. RESULTS Among 24 cases in treatment group, 8 cases presentedⅠclass, 1 patientⅡclass, and 0 patients Ⅲ / Ⅳclass, the total occurrence being 79.17%. In the control group, 13 cases presentedⅠclass, 3 patientⅡclass, 3 patients Ⅲ class and 0 case Ⅳclass. Compared with control group, there were less patients got Ⅲ/Ⅳ class toxic reaction in treatment group, which suggested a significant difference (P<0.01). CONCLUSION Huangqi Guizhi Wuwu Decoction has a significant effect on the neuro-sensory toxicity caused by oxaliplatin.
-
Key words:
- Huangqi Guizhi Wuwu Decoction /
- oxaliplatin /
- neuro-sensory toxicity
-
[1] 孙燕,石远凯.临床肿瘤内科手册[M].5版.北京:人民卫生出版社,2007:829. [2] Sun Y, Shi YK. Manual of clinical oncology[M]. 5th edition. Beijing: People's Medical Publishing House, 2007: 829. [3] Lévi F, Misset JL, Brienza S, et al. A chronopharmacologic phase II clinical trial with 5-fluorouracil, folinic acid, and oxaliplatin using an ambulatory multichannel programmable pump. High antitumor effectiveness against metastatic colorectal Cancer[J]. Cancer, 1992, 69(4): 893-900. [4] Misset JL. Oxaliplatin in practice[J]. Br J Cancer, 1998, 77(Suppl 4): 4-7. [5] Armand JP, 孙燕,管忠震,等.草酸铂(奥沙利铂)治疗大肠癌的研究进展[J].癌症,1999,18(6):624-630. [6] Armand JP, Sun Y, Guan ZZ, et al. Research progress of oxaliplatin treating colorectal cancer[J]. Chin J Cancer, 1999, 18(6): 624-630. [7] Holmes J, Stanko J, Varchenko M, et al. Comparative neurotoxicity of oxaliplatin, cisplatin, and ormaplatin in a Wistar rat model[J]. Toxicol Sci, 1998, 46(2): 342-351. [8] 蒋一玲,陆帅.葡萄糖酸钙和硫酸镁预防奥沙利铂对晚期结直肠癌患者的神经毒性[J].肿瘤学杂志,2012, 18(12):960-963. [9] Jiang YL, Lu S. Calcium gluconate and Magnesium preventing of oxaliplatin induced neurotoxicity in patients with advanced colorectal Cancer[J]. J Chin Oncol, 2012, 18(12): 960-963. [10] 区梅,叶冬梅.甲钴胺治疗化疗后周围神经病变的疗效观察[J].中国临床新医学,2009, 2(8):846-847. [11] Qu M, Ye DM. Curative observation of mecobalamine treating peripheral neuropathy after chemotherapy[J]. New Clin Med, 2009, 2(8): 836-847. [12] 汪机.医学原理[M].北京:中国中医药出版社,2009:455. [13] Wang J. Medical Fundmental[M]. Beijing: Chinese Medicine press, 2009:455. [14] 张仲景.金匮要略[M].北京:化学工业出版社,2010:55. [15] Zhang ZJ. Essentials from the Golden Cabinet[M].Beijing:Chemical industry press,2010:55. [16] 冉先德.中药药海[M].哈尔滨:哈尔滨出版社,1998:1201. [17] Ran XD. Collection of Chinese herbs[M]. Ha'erbin: Ha'erbin press, 1998: 1201. [18] 霍介格,胡莹,杨杰,等.黄芪桂枝五物汤对化疗致大鼠周围神经损伤的作用[J].中医杂志,2012, 53(23):2031-2034. [19] Huo JG, Hu Y, Yang J, et al. Effect od Huangqi Guizhi Wuwu Decoction on chemotherapy-induced peripheral nerve injury in rats[J]. J Tradit Chin Med, 2012, 53(23): 2031-2034.
点击查看大图
计量
- 文章访问数: 1040
- HTML全文浏览量: 1
- PDF下载量: 1334
- 被引次数: 0