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结直肠癌术后中医证型与预后相关性的巢式病例对照研究 被引量:7
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作者 邹超 林存洁 +4 位作者 赵诚和 王霞 孙凌云 易丹辉 杨宇飞 《世界科学技术-中医药现代化》 2016年第6期1040-1045,共6页
目的:本研究对Ⅱ、Ⅲ期结直肠癌术后中医证型与预后相关性进行探索分析。方法:采用巢式病例对照研究方法回顾就诊于中国中医科学院西苑医院肿瘤科的结直肠癌患者,对5年内出现复发转移的20例患者(观察组),按1:4匹配80例未复发转移患者为... 目的:本研究对Ⅱ、Ⅲ期结直肠癌术后中医证型与预后相关性进行探索分析。方法:采用巢式病例对照研究方法回顾就诊于中国中医科学院西苑医院肿瘤科的结直肠癌患者,对5年内出现复发转移的20例患者(观察组),按1:4匹配80例未复发转移患者为对照组,分别从肿瘤部位、TNM分期中医证型、术后辅助治疗及中药治疗时间等因素进行分析。结果:观察组以肝脾不和居多(P=0.027),对照组脾肾两虚更多(P=0.029)。Logistic回归模型显示中药治疗时间对预后是一种保护因素(OR<1),而肝肾阴虚证(OR>1)较脾肾两虚证的复发转移几率大大增加。结论:特定的中医证候与Ⅱ、Ⅲ期结直肠癌术后患者的预后可能具有相关性,中药治疗可能对预后具有改善作用。 展开更多
关键词 结直肠癌 中医证型 预后 巢式病例对照研究
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中医食疗系列方改善肿瘤患者化疗期间症状临床观察 被引量:10
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作者 赵诚和 谢雅之 +1 位作者 周韶梅 杨宇飞 《世界科学技术-中医药现代化》 CSCD 2017年第4期663-668,共6页
目的:观察中医食疗系列方改善肿瘤患者化疗期间临床症状的疗效。方法:根据纳入与排除标准,入选病例20例,采用自身前后对照随机双盲方法。A组为第1周期采用食疗方,第2周期采用对照方;B组为第1周期采用对照方,第2周期采用食疗方。如此自... 目的:观察中医食疗系列方改善肿瘤患者化疗期间临床症状的疗效。方法:根据纳入与排除标准,入选病例20例,采用自身前后对照随机双盲方法。A组为第1周期采用食疗方,第2周期采用对照方;B组为第1周期采用对照方,第2周期采用食疗方。如此自身前后对照形成的检测样本最终因脱落3例,最后A组8例,B组9例,共纳入17例病人,两组病人各2个周期总共观察病例34人次。最后观察中医食疗方和对照方在化疗期间的生活质量及不适症状评分(乏力、食欲不振、大便干结、稀便、恶心呕吐、盗汗、自汗、口干咽燥、口苦、疼痛、烦躁易怒、失眠、其它,13个症状)的差异。结果:生活质量比较,化疗第10天食疗组与对照组有显著性差异(P<0.05);不适症状总评分比较,化疗第10天两组有显著性差异(P<0.05);其中,两组在乏力和食欲不振中均有显著性差异(P<0.05)。结论:中医食疗系列方对化疗期间患者的临床症状有一定改善作用,化疗第10天的不适症状低于对照组(P<0.05),第10天的生活质量评分高于对照组(P<0.05)。进一步探讨后,食疗组在改善乏力和食欲上与对照组有统计学差异,显示中医食疗系列方能对化疗患者带来助益。 展开更多
关键词 肿瘤患者 食疗 化疗症状 自身随机对照试验
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Dietary Therapy of Qi-Yin-Reinforcing Porridge for the Alleviation of Chemotherapy Related Symptoms of Gastrointestinal Tumors:A Single-Case Randomized Controlled Study 被引量:1
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作者 赵诚和 何斌 +1 位作者 杨宇飞 廖娟 《Chinese Journal of Integrative Medicine》 SCIE CAS 2013年第6期418-423,共6页
Objective: To investigate the efficacy of dietary therapy of qi-yin-reinforcing porridge for the alleviation of clinical symptoms during FOLFOX chemotherapy. Methods: A single-case randomized controlled study was ca... Objective: To investigate the efficacy of dietary therapy of qi-yin-reinforcing porridge for the alleviation of clinical symptoms during FOLFOX chemotherapy. Methods: A single-case randomized controlled study was carded out. Fourteen patients with gastrointestinal tumors accepting FOLFOX chemotherapy were enrolled using self-crossover control design. On days 1-7 of chemotherapy, the dietary therapy expedmental group and the placebo control group were given dietary therapy of qi-yin-reinforcing porridge and dextrin-prepared porridge which had the same appearance, smell, color and taste as the qi-yin-reinforcing porridge, respectively. Fourteen clinical symptoms, including debility, vomiting and nausea, etc. were observed. Restdts: Ten patients completed the study and were estimable. The qi-yin-reinforcing porridge demonstrated certain efficacy in alleviating clinical symptoms of patients with gastrointestinal tumors during the pedod of chemotherapy. Better effect of alleviating debility was found in the dietary therapy expedmantal group than in the placebo control group, and the difference was statistically significant (Z=2.27, P=0.02). No statistically significant difference was found between the experimental group and the control group with respect to the effect of alleviating the other 13 clinical symptoms including anorexia, nausea, vomiting, dry stool, loose stool, etc. and body weight (P〉0.05). Conclusion: Dietary therapy of qi-yin-reinforcing porridge shows an additional benefit in alleviating debility of patients during chemotherapy and deserves clinical use and popularization. 展开更多
关键词 gastrointestinal tumors dietary therapy single-case randomized controlled study reinforcing both qi-yin FOLFOX chemotherapy
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