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孙颖, 李志明, 康宁, 王文雯, 王爱丽, 李仝. “健脾益气养血止痛”法治疗乳腺癌骨转移患者的临床研究[J]. 肿瘤防治研究, 2024, 51(4): 259-264. DOI: 10.3971/j.issn.1000-8578.2024.23.1126
引用本文: 孙颖, 李志明, 康宁, 王文雯, 王爱丽, 李仝. “健脾益气养血止痛”法治疗乳腺癌骨转移患者的临床研究[J]. 肿瘤防治研究, 2024, 51(4): 259-264. DOI: 10.3971/j.issn.1000-8578.2024.23.1126
SUN Ying, LI Zhiming, KANG Ning, WANG Wenwen, WANG Aili, LI Tong. Clinical Study on Treatment of Bone Metastasis from Breast Cancer with Method of "Jian Pi Yi Qi Yang Xue Zhi Tong"[J]. Cancer Research on Prevention and Treatment, 2024, 51(4): 259-264. DOI: 10.3971/j.issn.1000-8578.2024.23.1126
Citation: SUN Ying, LI Zhiming, KANG Ning, WANG Wenwen, WANG Aili, LI Tong. Clinical Study on Treatment of Bone Metastasis from Breast Cancer with Method of "Jian Pi Yi Qi Yang Xue Zhi Tong"[J]. Cancer Research on Prevention and Treatment, 2024, 51(4): 259-264. DOI: 10.3971/j.issn.1000-8578.2024.23.1126

“健脾益气养血止痛”法治疗乳腺癌骨转移患者的临床研究

Clinical Study on Treatment of Bone Metastasis from Breast Cancer with Method of "Jian Pi Yi Qi Yang Xue Zhi Tong"

  • 摘要:
    目的 探讨“健脾益气养血止痛”法治疗乳腺癌骨转移患者的疗效及改善疼痛症状的临床效果。
    方法 纳入80例乳腺癌骨转移患者临床资料,将其按照数字表法随机分为观察组与对照组。对照组使用唑来膦酸治疗,观察组以对照组为基础,应用自拟健脾益气养血止痛方口服治疗。对比不同治疗方案对患者疼痛症状、体力状况、肿瘤坏死因子-α(TNF-α)、白介素-6(IL-6)、C反应蛋白(CRP)和生活质量的影响。
    结果 治疗前两组患者疼痛评分、体力状况评分、CRP、IL-6、TNF-α水平、睡眠和生活质量评分均无明显差异(均P>0.05),治疗后1、2、4个月时两组患者疼痛评分均下降,且观察组低于对照组(P<0.05),观察组患者疼痛总缓解率高于对照组(P<0.05);治疗后两组患者CRP、IL-6、TNF-α水平和睡眠质量评分均下降,且观察组低于对照组(P<0.05);治疗后两组体力状况和生活质量评分均提高,且观察组高于对照组(P<0.05)。
    结论 乳腺癌骨转移患者以健脾益气养血止痛方口服治疗效果显著,可明显改善疼痛症状,并改善患者睡眠质量与生活质量,降低CRP、IL-6、TNF-α水平。

     

    Abstract:
    Objective To explore the therapeutic effect of "jian pi yi qi yang xue zhi tong" for treating bone metastasis of breast cancer and the clinical effect of improving pain symptoms.
    Methods A total of 80 patients with bone metastases from breast cancer were admitted. They were randomly divided into an observation group and a control group according to the random-number-table method. The control group was treated with zoledronic acid, whereas the observation group was treated with jian pi yi qi yang xue zhi tong prescriptions based on the control group. We compared the differences in the effects of different treatment plans on patients' pain symptoms, physical condition, and quality of life, as well as TNF-α, IL-6, and CRP levels.
    Results No significant difference was found in pain scores, physical condition scores, sleep quality scores, and quality of life scores, as well as CRP, IL-6, and TNF-α levels between the two groups of patients before treatment (all P > 0.05). At one, two, and four months after treatment, the pain scores of both groups of patients decreased, with the observation group having lower scores than the control group (P < 0.05). The total pain-relief rate of the observation group was higher than that of the control group (P < 0.05). After treatment, the sleep quality scores and the levels of CRP, IL-6, and TNF-α decreased, with the observation group having lower values than the control group (P < 0.05). The physical condition scores and the quality of life scores of both groups improved, with the observation group having higher values than the control group (P < 0.05).
    Conclusion In patients with bone metastases from breast cancer, oral treatment with jian pi yi qi yang xue zhi tong prescription has a significant effect. It substantially improves the pain symptoms, enhances the quality of sleep and life of patients, and reduces the levels of CRP, IL-6, and TNF-α.

     

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