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目的:观察自拟中药充髓填精方防止恶性肿瘤化疗期骨髓抑制的临床疗效及安全性。方法:抽取于2011年12月~2012年12月我院收治的恶性肿瘤需化疗的患者74例,随机分为观察组与对照组,每组37例,观察组在化疗期间使用我院自拟的充髓填精方,对照组在化疗期间使用常规支持疗法及对症处理,比较两组患者化疗后的外周血象变化,并发症发生情况。结果:1观察组患者在化疗后的白细胞计数显著高于同期对照组,重度白细胞抑制与血小板抑制的发生率明显低于对照组,组间差异具统计学意义(P<0.05);2观察组共出现继发感染3例,占8.1%,对照组共出现继发感染7例,占18.9%,组间差异具统计学意义(P<0.05)。结论:充髓填精方可以抑制恶性肿瘤化疗患者白细胞下降,避免重度白细胞与血小板抑制,提高患者生存质量,且不良反应少,值得临床推广。
OBJECTIVE: To observe the clinical efficacy and safety of self-made Chinese medicine stuffed marrow injection to prevent myelosuppression in malignant tumor during chemotherapy. Methods: Seventy-four patients with malignant tumor undergoing chemotherapy in our hospital from December 2011 to December 2012 were randomly divided into observation group and control group, 37 cases in each group. The observation group used self-made The rats in the control group were treated with conventional supportive therapy and symptomatic treatment during chemotherapy. The changes of peripheral blood and postoperative complications were compared between the two groups. Results: 1 The observation group had a significantly higher leukocyte count after chemotherapy than the control group, and the incidence of severe leukopenia and platelet inhibition was significantly lower than that of the control group (P <0.05). 2 The observation group There were 3 cases of secondary infection, accounting for 8.1%. There were 7 cases of secondary infection in the control group, accounting for 18.9%. The difference between the two groups was statistically significant (P <0.05). CONCLUSION: Chongsui Recipe can inhibit leukopenia in patients with malignant tumor chemotherapy, avoid the inhibition of severe leukocyte and platelet and improve the quality of life of patients with less adverse reactions, which is worthy of clinical promotion.