董澤清 劉玉學(xué) 徐紹敏 李陸平 魏 斐
(山東省壽光市中醫(yī)醫(yī)院外三科,山東 壽光 262700)
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益氣養(yǎng)陰聯(lián)合呼吸功能鍛煉對肺癌患者術(shù)后臨床癥狀的影響
董澤清 劉玉學(xué) 徐紹敏 李陸平 魏 斐
(山東省壽光市中醫(yī)醫(yī)院外三科,山東 壽光 262700)
【摘要】目的 探討中醫(yī)益氣養(yǎng)陰法對開胸肺癌患者術(shù)后臨床癥狀的影響。方法 選取我院經(jīng)開胸治療后的肺癌患者70例隨機分為兩組,每組35例。對照組患者給予氨溴索口服液治療;治療組患者給予益氣養(yǎng)陰湯劑口服,兩組均給予呼吸功能鍛煉,經(jīng)8 d治療后,比較兩組患者治療后炎性反應(yīng)及總有效率的差異。結(jié)果 治療組患者白細(xì)胞數(shù)和C反應(yīng)蛋白均明顯低對照組(P<0.05);治療組總有效率(91.43%)明顯高于對照組(80.00%)(P<0.05)。結(jié)論 中醫(yī)益氣養(yǎng)陰法對開胸肺癌患者術(shù)后臨床癥狀效果顯著。
【關(guān)鍵詞】益氣養(yǎng)陰;肺癌術(shù)后;呼吸功能鍛煉;臨床癥狀
近年來,在我國惡性腫瘤中肺癌發(fā)病率逐漸增高,中醫(yī)認(rèn)為正氣不足貫穿肺癌發(fā)病的始終,其中氣陰兩虛者尤為多見。應(yīng)當(dāng)益氣養(yǎng)陰以治本,采用傳統(tǒng)辨證論治方法,調(diào)整臟腑功能,恢復(fù)患者的元氣。本文探討中醫(yī)益氣養(yǎng)陰法對開胸肺癌患者術(shù)后臨床癥狀的影響,報道如下。
1.1資料:壽光市中醫(yī)醫(yī)院2015年3月至2015年10月收治的70例肺癌術(shù)后患者,隨機分為對照組和治療組,每組35例。入選標(biāo)準(zhǔn):開胸手術(shù)行肺葉切除+縱隔淋巴結(jié)清掃;術(shù)后中醫(yī)辯證屬于氣陰兩虛型者。兩組患者的一般資料對比等均無統(tǒng)計學(xué)意義(P>0.05)。
1.2方法:對照組術(shù)后給予氨溴索口服液30 mg口服(2次/天),治療組術(shù)后給予益氣養(yǎng)陰法湯劑口服(2次/天),給予呼吸功能鍛煉,療程均為8 d。益氣養(yǎng)陰法方劑:生黃芪45 g,茯苓15 g,炒白術(shù)10 g,北沙參30 g,太子參30 g,麥冬15 g,五味子10 g,山萸肉10 g,女貞子15 g,浙貝母10 g,桃仁10 g,炙甘草6 g。每天1劑,水煎取400 mL,分早、晚2次飯后溫服。呼吸功能鍛煉方法:術(shù)后第1天開始由護(hù)士指導(dǎo)進(jìn)行腹式呼吸和膈肌呼吸鍛煉。訓(xùn)練過程注意傷口情況及患者反應(yīng),每天3次,并記錄鍛煉情況。
1.3觀察指標(biāo)和療效標(biāo)準(zhǔn)。①觀察指標(biāo):記錄患者術(shù)后第2天、4天、6天、8天的監(jiān)測數(shù)據(jù),實驗室檢查白細(xì)胞計數(shù)(WBC)和C反應(yīng)蛋白值(CRP),根據(jù)《中藥新藥臨床研究指導(dǎo)原則》中的肺癌中醫(yī)證候的標(biāo)準(zhǔn)進(jìn)行評價,根據(jù)臨床觀察分為4級。0級為無癥狀,1級為輕
表1 兩組患者治療后WBC和CRP的比較
表2 兩組患者治療后總有效率的比較
中圖分類號:R734.2
文獻(xiàn)標(biāo)識碼:B
文章編號:1671-8194(2016)04-0010-02
Clinical Research for the T reatment of Postoperative Lung Cancer by T onifying Qi and Nourishing Y in Method Combined with Respiratory Function Exercise
DONG Ze-qing, LIU Yu-xue, XU Shao-min, LI Lu-ping, WEI Fei
(Department of the Three Surgery, the Traditional Chinese Medicine Hospital of Shouguang, Shouguang 262700, China)
[Abstract]Objectives To investigate the traditional Chinese medicine of tonifying Qi and nourishing Yin method to lung cancer patients with open chest postoperatively of clinical symptoms infuence. Methods Selection of patients with lung cancer after treatment with thoracotomy in our hospital 70 cases randomly were divided into two groups, each 35 cases. The control group was given oral use of postoperative of ambroxol hydrochloride oral solution,the treatment group was treated by tonifying Qi and nourishing Yin decoction. The two groups were given respiratory function exercise, after 8 days after treatment, two groups after treatment in patients with infammatory reaction and the total effective rate difference were compared. Results The treatment group patients' white blood cell count and C-reactive protein were signifcantly lower in the control group (P<0.05); the treatment group total effective rate (91.43%) were signifcantly higher than control group (80.00%) (P<0.05). Conclusions The traditional Chinese medicine of tonifying Qi and nourishing Yin method to lung cancer patients with open chest postoperatively of clinical symptoms effect were obvious.
[Key words]Tonifying Qi and nourishing Yin; Postoperative lung cancer; Respiratory function exercise; Clinical symptoms