季德胜蛇药联合化疗治疗原发性肝癌的临床效果观察

Clinical effect of Ji Desheng snake medicine combined with chemotherapy in treating primary liver cancer

  • 摘要:
      目的  观察季德胜蛇药联合化疗治疗原发性肝癌的临床疗效。
      方法  选取江苏省南通市肿瘤医院住院治疗的原发性肝癌患者50例, 随机分成对照组和观察组。对照组给予FOLFOX4方案全身化疗,观察组在对照组基础上加用季德胜蛇药口服治疗。比较2组患者临床疗效、血清甲胎蛋白(AFP)反应率、治疗前后血清谷丙转氨酶(ALT)、总胆红素(TBIL)及白蛋白(ALB)水平、治疗前后生活质量量表(QOL)评分及毒副反应发生率。
      结果  观察组治疗后疾病控制率、血清AFP反应率均高于对照组,但差异无统计学意义(P>0.05)。2组患者治疗后ALT及TBIL水平均显著低于治疗前,且观察组显著低于对照组,差异有统计学意义(P < 0.05); 对照组治疗后ALB水平显著低于治疗前(P < 0.01), 而观察组治疗后ALB水平无显著变化(P>0.05), 且观察组治疗后ALB水平显著高于对照组(P < 0.05)。2组患者治疗后QOL评分均显著高于治疗前,且观察组显著高于对照组(P < 0.01)。2组患者毒副反应发生率无显著差异(P>0.05)。
      结论  季德胜蛇药联合化疗治疗原发性肝癌的临床疗效与化疗相当,但能明显改善患者肝功能及生活质量,不增加毒副反应。

     

    Abstract:
      Objective  To observe the Ji Desheng snake medicine combined with chemotherapy in treating primary liver cancer.
      Methods  A total of 50 patients with primary liver cancer hospitalized in Nantong Cancer Hospital were randomly divided into control group and observation group. The control group received FOLFOX4 regimen for systemic chemotherapy while the observation group received FOLFOX4 regimen combined with oral administration of Ji Desheng snake medicine. Clinical efficacy, response rate of serum alpha fetoprotein(AFP), serum alanine transaminase (ALT), total bilirubin (TBIL) and albumin (ALB) levels before and after treatment, Quality of Life (QOL) score and incidence of adverse events of the two groups were compared.
      Results  The disease control rate and serum AFP response rate in the observation group were higher than those in the control group, but the difference showed no significant differences(P>0.05). The levels of ALT and TBIL in the two groups were significantly lower than those before treatment, and the observation group after treatment were significantly lower than those in the control group (P < 0.05). The ALB level in the control group was significantly lower than before treatment (P < 0.01), while was not significantly decreased in the observation group after treatment (P>0.05), and the observation group was significantly higher than that of the control group (P < 0.05). The QOL scores in the two groups were significantly higher than before treatment, and the observation group was significantly higher than the control group (P < 0.01). There was no significant difference in the incidence of adverse events between the two groups (P>0.05).
      Conclusion  The clinical efficacy of Ji Desheng snake medicine combined with chemotherapy in the treatment of primary liver cancer is comparable to that of chemotherapy, but it can significantly improve the liver function and the quality of life, and does not increase the incidence of adverse events.

     

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