益气消散法治疗大肠癌术后患者疗效观察

发布时间：2018-01-26 18:22

  本文关键词： 大肠癌术后 益气消散法 疗效观察 中医药治疗　出处：《辽宁中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察并分析益气消散法对大肠癌术后患者的治疗效果。材料与方法:回顾性分析在2014年3月至2015年3月期间在辽宁中医药大学附属医院肿瘤科住院的48例大肠癌患者,在常规治疗的基础上应用中医辨证之益气消散法中药复方治疗,并对其中药治疗前后的中医临床症候缓解情况,一般体力的改善程度等情况进行记录,以量化评分作为疗效评价指标,结果采用统计学软件SPSS 19.0进行统计学分析处理。结果:1.统计48例大肠癌患者的临床主要症状和体征其中:便血6例,腹胀10例,纳差26例,乏力34例,腹痛32例,腹泻17例,消瘦36例,便秘13例,恶心呕吐9例,发热6例。2.由中医临床症候量化评分标准对患者前后症状和体征对比得出其有效率:便血50.0%,纳差69.2%,腹痛81.2%,乏力73.5%,腹泻76.5%,消瘦77.8%,呕恶55.6%,便秘53.8%,腹胀61.9%,发热83.4%。治疗前后评分通过配对t检验得出P值均0.05,说明治疗前后评分有差异,在统计学中有意义。3.患者KPS评分改善者13例,稳定者30例,降低者5例,改善加稳定率为89.6%,P0.05,有统计学意义。结论:在中医症候改善方面:纳差,腹痛,腹泻,消瘦,发热等症治疗前后改善明显;腹胀和乏力两症状较之前也都有所转变;呕恶,便血,便秘等有一定改观,但总体疗效上不如其他症状。通过KPS评分前后比对和综合整体比较,以应用益气消散法的综合治疗方法对大肠癌术后患者的总体评价是具有一定临床疗效的,可以增加患者体力,改善临床症状最终以达到提高生活治疗,延长生存期的目的。
[Abstract]:Objective: to observe and analyze the therapeutic effect of Yiqi dissipation method on postoperative patients with colorectal cancer. Materials and methods:. A retrospective analysis of 48 patients with colorectal cancer from March 2014 to March 2015 in Department of Oncology, affiliated Hospital of Liaoning University of traditional Chinese Medicine. On the basis of routine treatment, the traditional Chinese medicine syndrome differentiation and qi dissipating method was used to treat the traditional Chinese medicine compound, and the relief of TCM clinical symptoms and the improvement of general physical strength were recorded before and after the traditional Chinese medicine treatment. The quantitative score was used as the evaluation index of curative effect. Results the main clinical symptoms and signs of 48 patients with colorectal cancer were analyzed by statistical software SPSS 19.0.Results among them, 6 cases were hematochezia and 10 cases were abdominal distension. There were 26 cases of anorexia, 34 cases of asthenia, 32 cases of abdominal pain, 17 cases of diarrhea, 36 cases of wasting, 13 cases of constipation and 9 cases of nausea and vomiting. Febrile 6 cases. 2. The effective rate of TCM clinical symptoms and signs before and after the comparison of symptoms and signs: 50. 0% of blood, 69. 2% of anorexia, 81.2% of abdominal pain. Fatigue 73.5, diarrhea 76.5am, wasting 77.8am, nausea and evil 55.6, constipation 53.8am, abdominal distension 61.9%. Before and after treatment, the scores of P were 0.05, which indicated that there were differences in the scores before and after treatment, which was significant in statistics. The KPS score of 13 patients improved. There were 30 cases of stable, 5 cases of decrease, and the rate of improvement and stability was 89.6% (P0.05). Conclusion: in the improvement of TCM symptoms: dysphoria, abdominal pain, diarrhea, wasting. Fever was obviously improved before and after treatment. The symptoms of abdominal distension and fatigue were also changed. Nausea, constipation, constipation and so on have some improvement, but the overall efficacy is not as good as other symptoms. Through KPS scores before and after comparison and comprehensive overall comparison. The general evaluation of postoperative patients with colorectal cancer by the comprehensive therapy of Yiqi dissipating method has certain clinical curative effect, which can increase the physical strength of patients and improve the clinical symptoms so as to improve the treatment of life. The purpose of prolonging survival.
【学位授予单位】：辽宁中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R273
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本文编号：1466278