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黄菁, 沈红梅, 巫云立. 加味养阴清肺汤联合营养干预对鼻咽癌放疗患者营养状态及疗效的影响[J]. 肿瘤防治研究, 2019, 46(2): 159-163. DOI: 10.3971/j.issn.1000-8578.2019.18.0814
引用本文: 黄菁, 沈红梅, 巫云立. 加味养阴清肺汤联合营养干预对鼻咽癌放疗患者营养状态及疗效的影响[J]. 肿瘤防治研究, 2019, 46(2): 159-163. DOI: 10.3971/j.issn.1000-8578.2019.18.0814
HUANG Jing, SHEN Hongmei, WU Yunli. Effect of Modified Yangyin Qingfei Decoction Combined with Nutritional Intervention on Nutritional Status and Curative Effect of Nasopharyngeal Carcinoma Patients Undergoing Radiotherapy[J]. Cancer Research on Prevention and Treatment, 2019, 46(2): 159-163. DOI: 10.3971/j.issn.1000-8578.2019.18.0814
Citation: HUANG Jing, SHEN Hongmei, WU Yunli. Effect of Modified Yangyin Qingfei Decoction Combined with Nutritional Intervention on Nutritional Status and Curative Effect of Nasopharyngeal Carcinoma Patients Undergoing Radiotherapy[J]. Cancer Research on Prevention and Treatment, 2019, 46(2): 159-163. DOI: 10.3971/j.issn.1000-8578.2019.18.0814

加味养阴清肺汤联合营养干预对鼻咽癌放疗患者营养状态及疗效的影响

Effect of Modified Yangyin Qingfei Decoction Combined with Nutritional Intervention on Nutritional Status and Curative Effect of Nasopharyngeal Carcinoma Patients Undergoing Radiotherapy

  • 摘要:
    目的 探讨加味养阴清肺汤联合营养干预对鼻咽癌放疗患者营养状态及疗效的影响。
    方法 将120例接受放射治疗的鼻咽癌初治患者,随机分为加味养阴清肺汤联合营养干预组(A组)、加味养阴清肺汤组(B组)、营养干预组(C组)和单纯放疗组(D组),每组各30例,各组患者均观察11~13周,(1)检测四组患者放疗前、中、后的生化指标;(2)观察四组患者放疗前、中、后期营养不良发生率和程度;(3)评价四组患者放疗结束时和放疗结束后1月的疗效。
    结果 (1)治疗中及治疗后四组患者的ALB、PAB、TRF、LC平均水平差异均有统计学意义(P < 0.05);(2)放疗中(DT=40 Gy)和放疗后(DT=70 Gy)四组患者的Ⅰ、Ⅱ、Ⅲ和Ⅳ度营养不良发生率差异均有统计学意义(均P < 0.05);(3)四组患者疾病缓解率的差异在放疗结束后1月时差异有统计学意义(96.67% vs. 93.33% vs. 93.33% vs. 89.66%, 均P < 0.05)。
    结论 加味养阴清肺汤联合营养干预能更好的改善患者营养状况和生化指标,保证放疗进度和疗效。

     

    Abstract:
    Objective To investigate the effect of modified Yangyin Qingfei decoction combined with nutritional intervention on the nutritional status and the efficacy of nasopharyngeal carcinoma patients treated with radiotherapy.
    Methods A total of 120 patients with nasopharyngeal carcinoma who received radiotherapy were randomly divided into four groups: modified Yangyin Qingfei decoction combined with nutritional intervention group (group A, n=30), modified Yangyin Qingfei decoction group (group B, n=30), intervention group (group C, n=30) and radiotherapy group (group D, n=30). All groups were observed for 11-13 weeks. (1) The biochemical indexes of four groups before, during(DT=40 Gy) and after(DT=70 Gy) radiotherapy were detected; (2) The incidence and degree of malnutrition were observed at the three time points above; (3) The therapeutic effects of four groups at the end of radiotherapy and one month after radiotherapy were evaluated.
    Results (1) There were significant differences in the average levels of ALB, PAB, TRF, LC at DT=40 Gy and 70 Gy among four groups(P < 0.05); (2) There were significant differences in the incidence of malnutrition at DT=40 Gy and 70 Gy among four groups(P < 0.05); (3) There was statistical significance in disease remission rate among four groups at one month after radiotherapy(96.67% vs. 93.33% vs. 93.33% vs. 89.66%, all P < 0.01).
    Conclusion Modified Yangyin Qingfei decoction combined with nutritional intervention could improve the nutritional status and biochemical indexes of nasopharyngeal carcinoma patients receiving radiotherapy, and ensure the progress and efficacy of radiotherapy.

     

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