本文關(guān)鍵詞： 大腸癌術(shù)后 益氣消散法 療效觀察 中醫(yī)藥治療　出處：《遼寧中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

【摘要】：目的:觀察并分析益氣消散法對大腸癌術(shù)后患者的治療效果。材料與方法:回顧性分析在2014年3月至2015年3月期間在遼寧中醫(yī)藥大學(xué)附屬醫(yī)院腫瘤科住院的48例大腸癌患者,在常規(guī)治療的基礎(chǔ)上應(yīng)用中醫(yī)辨證之益氣消散法中藥復(fù)方治療,并對其中藥治療前后的中醫(yī)臨床癥候緩解情況,一般體力的改善程度等情況進行記錄,以量化評分作為療效評價指標(biāo),結(jié)果采用統(tǒng)計學(xué)軟件SPSS 19.0進行統(tǒng)計學(xué)分析處理。結(jié)果:1.統(tǒng)計48例大腸癌患者的臨床主要癥狀和體征其中:便血6例,腹脹10例,納差26例,乏力34例,腹痛32例,腹瀉17例,消瘦36例,便秘13例,惡心嘔吐9例,發(fā)熱6例。2.由中醫(yī)臨床癥候量化評分標(biāo)準(zhǔn)對患者前后癥狀和體征對比得出其有效率:便血50.0%,納差69.2%,腹痛81.2%,乏力73.5%,腹瀉76.5%,消瘦77.8%,嘔惡55.6%,便秘53.8%,腹脹61.9%,發(fā)熱83.4%。治療前后評分通過配對t檢驗得出P值均0.05,說明治療前后評分有差異,在統(tǒng)計學(xué)中有意義。3.患者KPS評分改善者13例,穩(wěn)定者30例,降低者5例,改善加穩(wěn)定率為89.6%,P0.05,有統(tǒng)計學(xué)意義。結(jié)論:在中醫(yī)癥候改善方面:納差,腹痛,腹瀉,消瘦,發(fā)熱等癥治療前后改善明顯;腹脹和乏力兩癥狀較之前也都有所轉(zhuǎn)變;嘔惡,便血,便秘等有一定改觀,但總體療效上不如其他癥狀。通過KPS評分前后比對和綜合整體比較,以應(yīng)用益氣消散法的綜合治療方法對大腸癌術(shù)后患者的總體評價是具有一定臨床療效的,可以增加患者體力,改善臨床癥狀最終以達到提高生活治療,延長生存期的目的。
[Abstract]:Objective: to observe and analyze the therapeutic effect of Yiqi dissipation method on postoperative patients with colorectal cancer. Materials and methods:. A retrospective analysis of 48 patients with colorectal cancer from March 2014 to March 2015 in Department of Oncology, affiliated Hospital of Liaoning University of traditional Chinese Medicine. On the basis of routine treatment, the traditional Chinese medicine syndrome differentiation and qi dissipating method was used to treat the traditional Chinese medicine compound, and the relief of TCM clinical symptoms and the improvement of general physical strength were recorded before and after the traditional Chinese medicine treatment. The quantitative score was used as the evaluation index of curative effect. Results the main clinical symptoms and signs of 48 patients with colorectal cancer were analyzed by statistical software SPSS 19.0.Results among them, 6 cases were hematochezia and 10 cases were abdominal distension. There were 26 cases of anorexia, 34 cases of asthenia, 32 cases of abdominal pain, 17 cases of diarrhea, 36 cases of wasting, 13 cases of constipation and 9 cases of nausea and vomiting. Febrile 6 cases. 2. The effective rate of TCM clinical symptoms and signs before and after the comparison of symptoms and signs: 50. 0% of blood, 69. 2% of anorexia, 81.2% of abdominal pain. Fatigue 73.5, diarrhea 76.5am, wasting 77.8am, nausea and evil 55.6, constipation 53.8am, abdominal distension 61.9%. Before and after treatment, the scores of P were 0.05, which indicated that there were differences in the scores before and after treatment, which was significant in statistics. The KPS score of 13 patients improved. There were 30 cases of stable, 5 cases of decrease, and the rate of improvement and stability was 89.6% (P0.05). Conclusion: in the improvement of TCM symptoms: dysphoria, abdominal pain, diarrhea, wasting. Fever was obviously improved before and after treatment. The symptoms of abdominal distension and fatigue were also changed. Nausea, constipation, constipation and so on have some improvement, but the overall efficacy is not as good as other symptoms. Through KPS scores before and after comparison and comprehensive overall comparison. The general evaluation of postoperative patients with colorectal cancer by the comprehensive therapy of Yiqi dissipating method has certain clinical curative effect, which can increase the physical strength of patients and improve the clinical symptoms so as to improve the treatment of life. The purpose of prolonging survival.
【學(xué)位授予單位】：遼寧中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2016
【分類號】：R273
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本文編號：1466278