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中药四藤方加减对结肠癌术后患者生活质量的影响
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摘要
目的:探究四藤方加减对结肠癌患者的生活质量造成的影响因素,并观察患者的改善情况。方法:在我院中对71例结肠癌术后患者进行临床研究,依据随机抽样法将全部患者分为两组,对照组(35例)接受6个疗程华蟾素注射液加参麦注射液的基础治疗(华蟾素注射液,10ml,静滴,1次/日;参麦注射液,50ml,静滴,1次/日),实验组(36例)则在此治疗过程中辅助服用加减四藤方进行治疗。每疗程30日。两组患者均进行半年的治疗,观察其生活质量变化。结果:在本次实验之后,对照组患者的行动能力恢复情况较好的例数有12例,其社会能力恢复较好的有10例,总生活质量仅达到了62.85%;实验组患者的行动能力恢复例数达到了20例,社会能力有14例恢复较好,其总生活质量达到了94.44%,实验组患者的生活质量明显高于对照组,并且P<0.05,呈现出临床不均衡性;对于中医症候评分而言,两组患者在未服药之前,中医症候评分并无明显差异,即P>0.05不具有统计学意义;而在经过半年的服药之后,中医症候评分更为明显且P<0.05,组间差异性较大,存在可比性,具有统计学意义。结论:经过本次实验之后,四藤方加减能够明显提高患者的生活质量,是一种极其值得临床推广的方法。
objective: to explore the four cane side add and subtract the joint impact of chemotherapy to the patient's quality of life factors, and improvement of the patients were observed. Methods: in our hospital were analyzed retrospectively in 71 cases of postoperative patients, according to the random sampling approach will be divided into two groups, all patients in the controlgroup(35 cases) for patients with chemotherapy treatment; The experimental group(36 cases) in the treatment process of auxiliary plus or minus four cane for treatment. Two groups of patientswere treated for half a year, observe the quality of life. Results: after the experiment, the control ability of recovery of the patient's life good cases in 12 cases, their social ability to restore goodin 10 cases, the total quality of life only reached 62.85%; Experimental ability to restore the number of cases of the patient's life has reached 20 cases, social ability with 14 cases of good recovery, achieved 94.44% of the total quality of life, quality of life of patients was obviously higher than that of controls, and P < 0.05, showing a clinical imbalance; For the TCM symptom score, two groupsof patients before did not take medicine, Chinese medicine symptom score was no significant difference, P > 0.05 is not statistically significant, And after half a year's medicine, Chinese medicinesymptom score more obvious and P < 0.05, differences between groups is bigger, are comparable, with statistical significance. Conclusion: after the experiment, four cane add and subtract MDTcan obviously improve the patient's quality of life, is a very worthy of clinical promotion approachs.
引文
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