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榄香烯乳注射液对化疗引起的易栓状态干预作用观察

Observation of Intervention Effect of Elemene Emulsus Injecta on Thrombophilia Caused by Chemotherapy

  • 摘要: 目的 (1)从改善化疗后易栓状态的角度,揭示活血化瘀治法减轻化疗引起不良反应新的内涵。(2)以榄香烯乳注射液防治化疗引起的易栓状态为切入口,为从祖国传统医学中寻找有效、经济、安全的抗栓药物提供实验依据,为预防和治疗化疗引起易栓状态提供新的方法。方法采用前瞻性、平行对照、分层区组随机临床试验设计方法,共临床观察60例肿瘤患者,其中治疗组30例予化疗+健脾益肾方+榄香烯乳注射液;对照组30例予化疗+健脾益肾方。两组分别于治疗前后进行血瘀证症状和体征评分,并进行易栓状态指标相关检查。结果(1)对照组中肿瘤患者化疗后的血瘀证症状加重,体征较前明显,凝血及纤溶指标均上升,差异具有统计学意义(P<0.05),其中1例患者有血栓的形成。(2)治疗组恶性肿瘤患者化疗后的血瘀证症状减轻,血小板数量、血小板比容、纤维蛋白原均较化疗前各项指标明显下降,差异具有统计学意义(P<0.05)。结论(1)化疗是造成肿瘤易栓状态的重要因素之一 。(2)榄香烯乳注射液可防治化疗引起的易栓状态。

     

    Abstract: Objective (1)In the view of condition of thrombophilia after the improvement of chemotherapy,to manifest the new scientific connotation of the alleviation of the therapeutic principle of activating blood circulation to dissipate blood stasis for toxicity caused by chemotherapy.(2)To provide evidences of experiment of seeking effective,economic and safe antithrombotic medicines from traditional Chinese medicine (TCM) and new methods of the prevention and treatment of condition of thrombophilia caused by chemotherapy from the beginning of the prevention and treatment of condition thrombophilia in Elemene Emulsion Injection. Methods Clinical experimental methods of design including foresight,parallel control and stratified blocked randomization.The clinical research amounts to 60 cases for observation in which 30 cases in treatment group were treated continuously for fourteen days by chemotherapy,taking Jianpiyishen Compound and intravenous infusion of Elemene Emulsion Injection.The 30 patients in control group were treated by chemotherapy and Jianpiyishen Compound.The two groups before and after therapy were carried out the assessment of symptoms of blood stasis syndrome and signs and the related investigation of indicators of condition of thrombophilia,respectively. Results (1)In the control group,the symptoms and signs of blood stasis syndrome of tumor patients after chemotherapy were aggravated than those before chemotherapy,and their indicators of coagulation and fibrinolysis were both raised(P<0.05),and the formation of thrombus was found in one case.(2)In the treatment group,the symptoms and signs of malignant tumor patients after chemotherapy were alleviated and the number of platelets,plateletcrit PCT and fibrinogen all were apparently decreased(P<0.05). Conclusion (1)Chemotherapy is one of important factors causing condition of thrombophilia of tumor.(2)Elemene Emulsion Injection can prevent and cure condition of thrombophilia caused by chemotherapy.

     

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