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[目的]观察香砂六君子汤高位保留灌肠联合地塞米松与昂丹司琼治疗化疗后呕吐疗效。[方法]使用随机平行对照方法,将67例住院患者按信封法随机分为两组。对照组33例地塞米松,5~10mg/d;昂丹司琼,4mg/q8h;顺铂化疗方案,连用5d;5-FU方案,连用2~5d;其他方案,只用1d。治疗组34例化疗第1d开始用,香砂六君子汤(人参、茯苓、炒白术、木香、砂仁、半夏、陈皮各9g,甘草3g,生姜9g),1剂/d,水煎500mL,2次/d,高位保留灌肠;西药治疗同对照组。连续治疗7d为1疗程。观测临床症状、不良反应。治疗1疗程,判定疗效。[结果]治疗组有效33例,无效1例,总有效率97.05%。对照组有效28例,无效5例,总有效率84.84%。治疗组疗效优于对照组(P<0.05)。[结论]香砂六君子汤高位保留灌肠联合地塞米松与昂丹司琼治疗化疗后呕吐,疗效满意,无严重不良反应,值得推广。
[Objective] To observe the effect of high retention enema of Xiangsha Liujunzi Decoction combined with dexamethasone and ondansetron on vomiting after chemotherapy. [Methods] Using randomized parallel control method, 67 inpatients were randomly divided into two groups according to the envelope method. The control group of 33 cases of dexamethasone, 5 ~ 10mg / d; ondansetron, 4mg / q8h; cisplatin chemotherapy regimen for 5d; 5-FU regimen for 2 ~ 5d; other programs, only 1d. The treatment group, 34 cases of chemotherapy started 1d, Xiangsha Liujunzi Tang (ginseng, Poria, Atractylodes, Woody, Amomum, Pinellia, Citrus each 9g, licorice 3g, ginger 9g), 1 / d, decoction 500mL, 2 times / d, high retention enema; western medicine treatment with the control group. Continuous treatment 7d for a course of treatment. Observed clinical symptoms, adverse reactions. Treatment of a course of treatment to determine the efficacy. [Results] The treatment group was effective in 33 cases, ineffective in 1 case, the total effective rate was 97.05%. In the control group, 28 cases were effective, 5 cases were ineffective, and the total effective rate was 84.84%. The treatment group was better than the control group (P <0.05). [Conclusion] Xiangsha Liujunzi Decoction high retention enema combined with dexamethasone and ondansetron vomiting after chemotherapy, with satisfactory results, no serious adverse reactions, it is worth promoting.