中西医结合治疗消化道肿瘤的临床研究

发布时间：2018-08-31 12:44

【摘要】：目的:探讨消化道肿瘤采用中西医结合治疗的临床效果,为消化道肿瘤患者的临床治疗提供更好的依据。方法:选取2011年12月—2014年1月收治的消化道肿瘤患者96例进行研究,按照临床试验数字随机的方法将患者分为两组,每组各48例,其中对照组采用常规的西医进行治疗,治疗组在此基础上联合中药进行治疗,观察两组患者治疗后的疗效、生活质量评分及相关并发症比较。结果:治疗组完全缓解20例、部分缓解17例、无变化8例、恶化3例,总有效率为77.08%,对照组完全缓解14例、部分缓解15例、无变化11例、恶化8例,总有效率为60.42%,两组患者治疗后总有效率相比,差异有统计学意义,P0.05;治疗组患者的生活质量明显优于对照组,两组相关生活指数相比,具有统计学差异,P0.05;两组患者术后均有不同程度的吻合口感染以及切口感染的并发症发生,治疗组总的并发症发生率为12.50%,明显优于对照组的33.33%,差异具有统计学意义,P0.05;且治疗组患者的住院天数明显短于对照组,两组相比,差异具有统计学意义,P0.05。结论:消化道肿瘤患者在手术切除和化疗的基础上联合中药进行治疗效果显著,且显著提高了患者的生活质量。
[Abstract]:Objective: to explore the clinical effect of integrated traditional Chinese and western medicine in the treatment of digestive tract tumor, and to provide better basis for clinical treatment of digestive tract tumor. Methods: 96 patients with digestive tract tumor were selected from December 2011 to January 2014. According to the clinical trial numbers, the patients were randomly divided into two groups, 48 cases in each group, and the control group was treated with routine western medicine. The therapeutic effect, quality of life score and related complications were compared between the two groups. Results: in the treatment group, there were 20 cases of complete remission, 17 cases of partial remission, 8 cases of no change, 3 cases of deterioration, and the total effective rate was 77.08. The control group had 14 cases of complete remission, 15 cases of partial remission, 11 cases of no change and 8 cases of deterioration. The total effective rate was 60.42, the difference between the two groups was statistically significant (P 0.05). The quality of life in the treatment group was significantly better than that in the control group, and the relative life index between the two groups was higher than that in the control group. There was significant difference between the two groups (P 0.05). The complications of anastomotic infection and incision infection occurred in different degree after operation in both groups. The incidence of complications in the treatment group was 12.50, which was significantly better than that in the control group (33.3333), the difference was statistically significant (P0.05), and the hospitalization days of the patients in the treatment group were significantly shorter than those in the control group (P 0.05). Conclusion: on the basis of surgical excision and chemotherapy, the treatment of digestive tract tumor patients combined with traditional Chinese medicine is effective, and the quality of life of the patients is improved significantly.
【作者单位】：浙江省肿瘤医院;
【基金】：国家自然科学基金项目(81071981)
【分类号】：R735

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