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目的 观察降逆汤加减治疗鼻咽癌患者放疗中出现的恶心、呕吐等胃肠反应的疗效 ,探讨其治疗价值。方法 将 86例经病理检查确诊为鼻咽癌 ,并接受全剂量外照射 ,放疗中出现较明显的胃肠反应的患者随机分成治疗组 (放疗 +降逆汤加减治疗 )和对照组 (放疗 +胃复安治疗 )。结果 治疗组痊愈 2 0例 (47.6 % ) ,显效 10例 (2 3.8% ) ,有效 8例 (19.1% ) ,无效4例 (9.5 % ) ,总有效率为 90 .5 % ;对照组痊愈 8例 (18.2 % ) ,显效 12例 (2 7.3% ) ,有效 14例(31.8% ) ,无效 10例 (2 2 .7% ) ,总有效率为 73.3%。两组比较差异显著。结论 降逆汤加减治疗鼻咽癌放疗所致的恶心、呕吐等胃肠副反应疗效显著 ,无任何副作用
Objective To observe the effect of Jiangni Decoction on the treatment of nausea, vomiting and other gastrointestinal reactions during radiotherapy in patients with nasopharyngeal carcinoma and to explore its therapeutic value. Methods Totally 86 cases diagnosed as nasopharyngeal carcinoma by pathological examination and received full dose of external radiation were randomly divided into treatment group (radiotherapy plus Jiangni Decoction) and control group (radiotherapy + Metoclopramide treatment). Results The treatment group was cured 20 cases (47.6%), markedly effective in 10 cases (2 3.8%), effective in 8 cases (19.1%), ineffective in 4 cases (9.5%), the total effective rate was 90.5% (18.2%), effective in 12 cases (2 7.3%), effective in 14 cases (31.8%), invalid in 10 cases (22.7%), the total effective rate was 73.3%. The difference between the two groups was significant. Conclusion Jiangni Decoction for the treatment of nasopharyngeal carcinoma caused by nausea, vomiting and other gastrointestinal side effects of significant effect, without any side effects