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温经通络方内服加外泡对奥沙利铂化疗所致周围神经毒性的 防治作用研究
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R735.3

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Study on the prevention and cure effect of Wenjing Tongluo Formula for internal use plus external bath on peripheral neurotoxicity induced by Oxaliplatin chemotherapy
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    摘要:

    目的 探究温经通络方内服并温水外泡方式在防治因奥沙利铂化疗所致周围神经毒性中的有效性,为减轻化疗患者神经损 伤、降低周围神经毒性的发生提供参考依据。方法 选取 2020 年 10 月至 2022 年 1 月于宜兴市肿瘤医院行肠癌根治术后辅助化疗的患者 50 例,依据随机数字表法分为对照组与观察组,各 25 例。两组患者均行 XELOX 方案(奥沙利铂、卡培他滨)化疗,期间对照组患者行 温水温浴四肢辅助治疗,观察组患者接受温经通络方内服加外泡治疗,两组患者均治疗 21 d。对比两组患者治疗后的临床疗效,周围神经 毒性反应情况,治疗前后运动、感觉神经传导速度及中医证候积分、欧洲癌症研究与治疗组织生活质量测定量表(EORTC QLQ-C30)、体 力状况(PS)评分。结果 治疗后观察组患者临床总有效率高于对照组,周围神经毒性反应总发生率低于对照组;与治疗前比,治疗后两 组患者运动、感觉神经中正中神经、左腓总神经、右腓总神经传导速度均加快,且观察组快于对照组;治疗后两组患者 EORTC QLQ-C30 评分均升高,且观察组高于对照组;中医证候积分、PS 评分均降低,且观察组低于对照组(均P<0.05)。结论 温经通络方内服加温水 外泡方式能有效提升肿瘤患者的身体机能,防治奥沙利铂所致周围神经毒性对患者造成的神经损伤,降低周围神经毒性,改善患者周围 神经传导功能,进而缓解其临床症状,提高生活质量。

    Abstract:

    Objective To explore the effectiveness of Wenjing Tongluo Formula for internal use plus external bath in the prevention and treatment of peripheral neurotoxicity induced by Oxaliplatin chemotherapy, and to provide reference for reducing the occurrence of nerveinjury and peripheral neurotoxicity in chemotherapy patients. Methods 50 patients who received adjuvant chemotherapy after radical resection of colorectal cancer in Yixing Cancer Hospital from October 2020 to January 2022 were selected and divided into the control group and the observation group according to random number table, 25 patients in each group. Both groups of patients received XELOX regimen (Oxaliplatin, Capecitabine) chemotherapy, during this period, the patients in the control group received adjuvant treatment of warm bath for the limbs with warm water, while the patients in the observation group received Wenjing Tongluo Formula for internal use plus external bath, and both groups were treated for 21 days. The clinical efficacy and peripheral neurotoxicity after treatment, motor and sensory nerve conduction velocity, TCM syndrome score, European Organization for Research and Treatment of Cancer Quality of Life Scale Core Questionnaire 30 (EORTC QLQ-C30) and physical condition (PS) score before and after treatment of the two groups were compared. Results After treatment, the total clinical effective rate of patients in the observation group was higher than that in the control group, and the total incidence of peripheral neurotoxicity was lower than that in the control group; compared with those before treatment, the conduction velocity of median nerve, left common peroneal nerve and right common peroneal nerve of motor and sensory nerves of the patients in the two groups were faster after treatment, and the observation group was faster than the control group; after treatment, the EORTC QLQ-C30 scores of patients in both groups increased, and the observation group was higher than the control group; TCM syndrome score and PS score decreased, and the observation group was lower than the control group (all P<0.05). Conclusion Wenjing Tongluo Formula for internal use plus external bath can effectively improve the body function of tumor patients by taking orally and external bath, prevent and treat the nerve injury caused by Oxaliplatin induced peripheral neurotoxicity, reduce the peripheral neurotoxicity, improve the peripheral nerve conduction function of patients, thereby relieving their clinical symptoms and improving their quality of life.

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  • 在线发布日期: 2023-01-19
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