简体中文

·腹部疾病·

103例中西医结合治疗肝癌疗效观察

作者:罗华兵

所属单位:河南省周口市中医院肝病科 (河南 周口 466000)

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摘要

目的 分析探讨中西医综合治疗原发性中晚期肝癌的临床疗效,制定合理的治疗方法。方法 回顾性收集2013年6 月-2015年6月收治我科原发性肝癌患者103例,均为无手术适应症者。将其为分为观察组和对照组,其中观察组57 例,给予中西医治疗相结合:在西医治疗基础上,进行中医分型辨证施治;对照组46例,给予西医药治疗。两组连 续治疗3个月后比较其临床疗效,对两组患者进行随访1年,观察其生存质量。结果 观察组患者血清ALT含量明显低 于对照组,治疗效果明显高于对照组(P<0.05),对两组患者进行随访3个月、6个月、12个月发现,观察组经过治疗 后生存质量明显高于对照组(P<0.05)。结论 中西医结合综合治疗中晚期肝癌患者效果好,预后良好,值得临床上 推广使用。

Objective To analyze the clinical curative effect of traditional Chinese herbal medical and western medical integratedly treatment for terminal-stage primary liver cancer, formulate reasonable treatment. Methods Retrospectively collected in June 2013-June 2015, I division of 103 patients with primary liver cancer, who are no surgical indications. They are divided into two groups: observation group and control group, 57 cases of observation group, treatment: the combination of Chinese herbal medicine and western medical treatment, based on the classification of traditional Chinese medicine syndrome differentiation. The control group, 46 cases given western medical treatment. After 3 months compare the clinical curative effect, the two groups patients were followed-up for 3months, 6months, 12months, then compare their survival quality. Results Compared with control group, the level of ALT /AST in serum is lower in the observation group, the treatment effect is significantly higher in the observation group (P<0.05), the two group patients were followed-up for 3 months, 6 months and 12 months, we found that after treatment, the survival quality of observation group is obviously higher than that of control group (P<0.05). Conclusion Combination of Chinese herbal medicine and western medical treatment for terminal-stage primary liver cancer, cause good affect, and can enhance the patients’ survival quality, is worth popularizing clinically used.

【关键词】原发性中晚期肝癌;中医分型;中西医结合

【中图分类号】R735.7

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2016.05.013

前言

原发性肝癌是较为常见的恶性肿瘤之一,其中 90% 为肝细胞癌。在我国常见的恶性肿瘤中,其发病 率及病死率分别位居第3位和第2[1]。它具有进展快、 恶性度高、预后差等特点。且由于其早期症状无特异 性,患者被发现时多处于中晚期,手术切除等治疗 的比率小于25%[2]。因此延长原发性肝癌患者生命, 提高其生存质量显得尤为重要。2013年6月~2015年 6月,笔者采用中西医结合治疗我科原发性肝癌103 例,现总结报道如下。