自拟扶正解毒方治疗胃癌患者化疗后癌因性疲乏的临床研究

Clinical Study on Self-Made Fuzheng Jiedu Formula in Treating Cancer-Related Fatigue of Patients with Gastric Cancer after Chemotherapy

  • 摘要: 目的  观察自拟扶正解毒方对胃癌患者化疗后癌因性疲乏(CRF)的影响。方法  将110例胃癌CRF患者采用随机数字表法分为治疗组和对照组各55例,治疗组予以扶正解毒方,对照组予以贞芪扶正胶囊,治疗前后2组患者分别进行癌因性疲乏量表(CFS)与简易疲乏量表(BFI)评分评估,检测T淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+),肿瘤标志物癌胚抗原(CEA)、糖类抗原199(CA-199)、糖类抗原724(CA-724)的水平。结果  治疗后,2组认知评分变化无差异(P>0.05),躯体、情感、总分和BFI评分下降,且治疗组优于对照组(P < 0.05,P < 0.01);2组CD3+、CD4+、CD4+/CD8+水平升高,CD8+水平下降,治疗组优于对照组(P < 0.05,P < 0.01);治疗组CEA、CA-199、CA-724水平下降(P < 0.05,P < 0.01),优于对照组(P < 0.05,P < 0.01)。结论  自拟扶正解毒方可明显改善患者免疫功能,降低肿瘤标志物水平,减轻胃癌患者CRF的程度。

     

    Abstract: OBJECTIVE  To observe the effect of self-made Fuzheng Jiedu Formula on cancer-related fatigue (CRF) of patients with gastric cancer after chemotherapy.METHODS  110 gastric cancer patients with cancer-related fatigue were randomly divided into the treatment group and the control group with 55 cases in each group. The treatment group was given self-made Fuzheng Jiedu Formula. The control group was given Zhenqi Fuzheng Capsule. The scores of Cancer Fatigue Scale(CFS)and Brief Fatigue Inventory(BFI)in both two groups before and after treatment were evaluated. The changes of T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+), tumor markers carcinoembryonic antigen (CEA), carbohydrate antigen 199 (CA-199) and carbohydrate antigen 724 (CA-724) were detected.RESULTS  After treatment, there was no difference in cognitive scores between the two groups (P>0.05). The scores of physical, emotional, total and BFI were decreased, which in the treatment group were better than those in the control group (P < 0.05, P < 0.01). The levels of CD3+, CD4+ and CD4+/CD8+ in the two groups were increased, and the levels of CD8+were decreased, which in the treatment group were betterer than those in the control group (P < 0.05). The levels of CEA, CA-199 and CA-724 in the treatment group were decreased (P < 0.05, P < 0.01), which were better than those in the control group (P < 0.05, P < 0.01).CONCLUSION  Self-made Fuzheng Jiedu Formula can significantly improve the immune function of patients, reduce the level of tumor markers, and relieve the degree of CRF in patients with gastric cancer.

     

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