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目的:观察介入疗法配合消癥扶正汤治疗肝癌的临床疗效。方法:将45例肝癌患者随机分为2组。治疗组24例,采用介入疗法(经肝动脉插管灌注化疗药物及栓塞剂)并联合应用消癥扶正汤(药用黄芪、白术、茯苓、龙葵、当归、生地黄、五灵脂、枸杞子、白芍、川芎、香附、牡丹皮等)口服治疗;对照组21例,单纯应用介入疗法治疗。结果:近期有效率治疗组为79.2%,对照组为47.6%,2组比较,差异有显著性意义(P<0.05)。治疗后血白细胞(WBC)治疗组与治疗前比较,差异无显著性意义(P>0.05);但对照组下降明显,与治疗前比较,差异有显著性意义(P<0.05);2组治疗后比较,差异有显著性意义(P<0.05)。治疗后2组血清AFP均明显下降,与治疗前比较,差异有显著性或非常显著性意义(P<0.05,P<0.01);2组治疗后比较,差异有显著性意义(P<0.05)。2组治疗后卡氏评分比较,差异有显著性意义(P<0.05),治疗组优于对照组。结论:介入疗法配合消癥扶正汤治疗肝癌可提高疗效,并明显改善患者生活质量。
Objective: To observe the clinical effect of interventional therapy combined with Xiaozheng Fuzheng Decoction in the treatment of liver cancer. Methods: 45 cases of liver cancer were randomly divided into two groups. In the treatment group, 24 cases were treated with interventional therapy (transcatheter hepatic artery infusion of chemotherapeutic drugs and embolic agents) and the combination of Xiaozheng Fuzheng Decoction (medicinal Astragalus, Atractylodes, Poria cocos, Solanum nigrum, Angelica, Rehmannia, Wollen Child, white peony root, Chuan Xiong, Cyperus rotundus, moutan, etc.) oral treatment; control group of 21 cases, the simple application of interventional therapy. Results: The recent effective treatment group was 79.2%, the control group was 47.6%, two groups, the difference was significant (P <0.05). There was no significant difference between the treatment group and the pre-treatment group (P> 0.05), but there was a significant decrease in the control group (P <0.05), and there was significant difference between the two groups After comparison, the difference was significant (P <0.05). After treatment, serum AFP in both groups significantly decreased, compared with before treatment, the difference was significant or very significant (P <0.05, P <0.01); 2 groups after treatment, the difference was statistically significant (P <0.05) . There was significant difference between the two groups after treatment (P <0.05), and the treatment group was superior to the control group. Conclusion: Interventional therapy combined with Xiaozheng Fuzheng Decoction in the treatment of liver cancer can improve the curative effect and significantly improve the quality of life of patients.