冬凌草滴丸对鼻咽癌患者同步放化疗疗效和毒副反应的影响
作者:
作者单位:

武汉大学人民医院 肿瘤中心,湖北 武汉,430062

作者简介:

周金,女,博士,主治医师,研究方向:肿瘤学。

通讯作者:

胡钦勇,男,博士,主任医师,研究方向:肿瘤学。

中图分类号:

R739.6

基金项目:


Effects of Rabdosia rubescens dropping pills on the curative effect and side effects of concurrent chemoradiotherapy in patients with nasopharyngeal carcinoma
Author:
Affiliation:

Department of Oncology, Renmin Hospital of Wuhan University, Wuhan, 430062, Hubei, China

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    摘要:

    目的 观察冬凌草滴丸对鼻咽癌同步放化疗患者的临床疗效及毒副反应的影响。方法 选择78例鼻咽癌同步放化疗患者,随机分为治疗组和对照组。其中治疗组40例,采用同步放化疗,再配合冬凌草滴丸,一次24丸,一日3次,用温水送服,从放化疗开始连续服用至放化疗结束;对照组38例,采用同步放化疗治疗。以KPS行为状况评分标准,分别在治疗前后对患者进行评分,并分析两组临床疗效。结果 两组治疗后近期疗效比较,总有效率均高于90%,差异无统计学意义(P>0.05)。治疗组急性口腔黏膜炎程度较轻,对照组较重;放射性损伤高风险患者中,治疗组Ⅰ级急性口腔黏膜炎发生率高于对照组,而对照组Ⅳ级急性口腔黏膜炎发生率高于治疗组,差异均有统计学意义(P<0.05)。两组患者放射性唾液腺损伤均集中在Ⅰ-Ⅲ级,总发生率比较,差异有统计学意义(P<0.05);两组患者其他不良反应发生率及治疗后KPS评分比较,差异均无统计学意义(P>0.05)。结论 冬凌草滴丸配合同步放化疗治疗鼻咽癌患者,能有效降低同步放化疗相关毒副反应,从而提高治疗效果。

    Abstract:

    Objective To study the therapeutic effect and side effects of Rabdosia rubescens dropping pills on the nasopharyngeal carcinoma patients with concurrent chemoradiotherapy.Methods A total of 78 nasopharyngeal carcinoma patients with concurrent chemoradiotherapy were randomly divided into a treatment group and a control group. All patients were treated with concurrent chemoradiotherapy. The 40 patients in the treatment group were added with 24 Rabdosia rubescens dropping pills at a time, three times a day, from the start of chemoradiotherapy to the end of chemoradiotherapy. The Karnofsky performance status (KPS) scores of all patients were valued before and after treatment. The clinical efficacy were analyzed and compared between the two groups.Results As for short-term efficacy, the local control rate of the two groups were more than 90%, and there was no significant differences between the two groups (P>0.05). The degree of acute oral mucositis was lighter in the treatment group than in the control group (P<0.05). Among the patients with high risk of radiation injury, the incidence of grade Ⅰ acute oral mucositis was higher in the treatment group than in the control group (P<0.05), while the incidence of grade Ⅳ acute oral mucositis was higher in the control group than in the treatment group (P<0.05). Both groups had radioactive salivary gland injury concentrated in grade Ⅰ-Ⅲ, and the total incidence was statistically different between the two groups (P>0.05). There were no significant differences in the incidences of other adverse reactions and in post-treatment KPS scores between the two groups (P>0.05).Conclusion Rabdosia rubescens dropping pills combined with concurrent chemoradiotherapy can effectively reduce the toxic and side effects of concurrent chemoradiotherapy in the treatment of nasopharyngeal carcinoma patients, so as to improve the therapeutic effect.

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周金,陈罗军,龚倩妮,李倩,胡钦勇.冬凌草滴丸对鼻咽癌患者同步放化疗疗效和毒副反应的影响[J].肿瘤药学,2023,13(2):200-204 ( in Chinese)

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  • 在线发布日期: 2023-05-11
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