阳中求阴法治疗鼻咽癌患者放疗后口干症51例

Efficacy Observation of Obtaining yin from yang Method in the Treatment of Xerostomia After Radiotherapy in Patients with Nasaopharyngeal Carcinoma

  • 摘要: 目的 探讨中药阳中求阴法治疗鼻咽癌放疗后口干症患者的临床疗效。方法 2016年6月-2017年6月,我科门诊和住院收治的102例鼻咽癌放疗后患者随机分为2组各51例,对照组采用滋阴生津方,治疗组在采用滋阴生津方基础上加味桂枝、炮姜以阳中求阴。3个疗程后观察治疗前后2组口干程度评分和刺激性唾液流量。结果 治疗后2组口干程度、刺激性唾液流量与治疗前均有所改善(P<0.05~0.01),治疗组优于对照组(P<0.01)。治疗组综合有效率88.23%,优于对照组(66.66%,P<0.05)。结论 阳中求阴法治疗鼻咽癌患者放疗后口干症疗效显著,可明显改善口干程度,对唾液腺有一定程度的保护作用。

     

    Abstract: OBJECTIVE To observe the clinical effect of obtaining yin from yang method in the treatment of xerostomia after radiotherapy in patients with nasaopharyngeal carcinoma. METHODS 102 patients with nasaopharyngeal carcinoma after radiotherapy received in outpatient and inpatient department of our hospital from June 2016 to June 2017 were randomly divided into two groups. On the basis of the formula of the control group, guizhi (Ramulus Cinnamomi) and paojiang (Rhizoma Zingiberis Praeparatum) were added in for the treatment group to obtain yin from yang. Three courses later, degree of dry mouth score and irritant saliva flow in both groups were compared before and after the treatment. RESULTS Degree of dry mouth score and irritant saliva flow in both groups were improved compared with those before the treatment (P<0.05,P<0.01), and the treatment group was better than the control group (P<0.01). The comprehensive effective rate of the treatment group was 88.23%, which was better than that of the control group (66.66%, P<0.05). CONCLUSIONS Obtaining yin from yang method has significant effect for xerostomia after radiotherapy in patients with nasaopharyngeal carcinoma. It can obviously improve the degree of dry mouth, and has a certain protecting effect for salivary glands.

     

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