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The Clinical Research Of Strengthening The Spleen Replenishing Qi Nourishing Yin Promoting Blood Circulation Formula Combined With MDCF Chemotherapy In The Treatment Of Advanced Middle-late Gastric Cancer

Posted on:2013-09-23Degree:MasterType:Thesis
Country:ChinaCandidate:B XuFull Text:PDF
GTID:2234330374951277Subject:Chinese medicine
Abstract/Summary:PDF Full Text Request
Objectives:We pre-study found that traditional Chinese medicine syndrome features of the regular changes Before and after chemotherapy in patients with gastric cancer. The majority of patients prior to chemotherapy QDBS,but after chemotherapy qi deficiency, yin deficiency aggravated, blood stasis to alleviate. A prospective study of this subject, the application of the spleen qi and nourishing yin and activating blood circulation side (Jianpiyiqi, nourishing yin and drug-based, Huoxue drug supplement), Given herbal intervention in the two weeks before the initial chemotherapy and during chemotherapy with the modified DCF regimen spleen and stomach Qi Toxin resistance type of advanced gastric cancer compared with chemotherapy alone to evaluate these two dosing rate of improvement in clinical symptomsdifferences in quality of life, and examine their safety. Verify the concept of our proposed intervention in medicine before chemotherapy treatment, and explore Chinese medicine to participate in the chemotherapy of the best time to improve the clinical efficacy of gastric cancer.Methods:Take the computer randomized controlled clinical trial design,40patients with advanced gastric cancer patients were randomly divided into2groups,20cases of which treatment group (spleen qi, nourishing yin and activating blood circulation side+modified DCF regimen therapy), the control group (simple improvementDCF regimen) in20cases. DCF chemotherapy,21days for a treatment process, observe the three courses. Treatment group after the first chemotherapy two weeks before each chemotherapy d6-d21began to oral medicine, one a day. We recorded before and after treatment of tumor objective response and laboratory findings, TCM Syndrome, the observation of the quality of life, safety index, toxicity and other indicators, the results using statistical software for statistical analysis.Result:TCM symptoms, symptoms, physical status and quality of life, the two groups after treatment between the two groups, the difference was statistically significant, suggesting that the spleen qi and nourishing yin and activating blood circulation side early intervention can improve patients with more than three; in the gastric cancerobjective response, tumor markers, and safety indicators, the two groups after treatment between the two groups, the difference was not significant, suggesting that under the conditions of the spleen qi and nourishing yin and activating blood circulation early intervention to three advantage. Conclusion:Spleen and stomach qi deficiency, yin deficiency and blood stasis syndrome symptoms in the early intervention under the premise of spleen qi and nourishing yin and activating blood circulation can improve the chemotherapy, to improve patients’ quality of life better than chemotherapy alone, chemotherapy alone in terms of security indicators relative tothan no obvious advantage.
Keywords/Search Tags:Early intervention, in advanced gastric cancer, spleen qi and nourishing yin andactivating blood circulation side, modified DCF chemotherapy, clinical research
PDF Full Text Request
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