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目的:观察加味身痛逐瘀汤联合唑来磷酸治疗恶性肿瘤骨转移的疗效。方法:70例患者随机分为治疗组和对照组各35例,治疗组予加味身痛逐瘀汤联合唑来磷酸治疗,对照组予唑来磷酸治疗。结果:治疗后2组骨痛分级程度均有下降,治疗组止痛总有效率为77.14%,对照组为71.43%,2组比较,差异无显著性意义(P>0.05)。治疗组止痛起效时间短于对照组,维持时间长于对照组,差异均有显著性意义(P<0.05)。2组不良反应多为轻中度,经对症处理能缓解。不良反应主要表现为发热、恶心呕吐、肌肉酸痛等,2组不良反应发生率比较,差异均有显著性意义(P<0.05),治疗组明显低于对照组。结论:加味身痛逐瘀汤结合唑来磷酸能有效改善恶性肿瘤骨转移患者的疼痛评分及生活质量。
Objective: To observe the effect of Jiaweizhi Zhuyu Decoction combined with zoledronic acid in the treatment of bone metastases of malignant tumors. Methods: Seventy patients were randomly divided into treatment group (35 cases) and control group (35 cases). The treatment group was treated with Weibeiling Tongzhu decoction combined with zoledronic acid and the control group with zoledronic acid. Results: After treatment, the grade of bone pain decreased in both groups. The total effective rate of pain relief was 77.14% in the treatment group and 71.43% in the control group. There was no significant difference between the two groups (P> 0.05). The onset time of analgesia in the treatment group was shorter than that in the control group, and the maintenance time was longer than that in the control group, with significant difference (P <0.05). Two groups of adverse reactions are mostly mild to moderate symptomatic treatment can be alleviated. Adverse reactions mainly manifested as fever, nausea and vomiting, muscle soreness, the incidence of adverse reactions in two groups, the differences were significant (P <0.05), the treatment group was significantly lower than the control group. Conclusion: Jiaweizhi Zhuyu Decoction combined with zoledronic acid can effectively improve the pain score and quality of life in patients with malignant tumor with bone metastasis.