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目的:观察补阳还五汤加味配合头部伽玛刀治疗气虚血瘀型肺癌脑转移的临床疗效。方法:将符合纳入标准的60例气虚血瘀型肺癌脑转移属患者随机分为治疗组与对照组各30例。治疗组予补阳还五汤加味配合头部伽玛刀治疗,对照组予单纯头部伽玛刀治疗。结果:近期疗效方面治疗组与对照组均显示了对于脑转移瘤良好的局部控制率,两组比较,差异无统计学意义(P>0.05);在提高肺癌脑转移患者的生活质量及改善患者临床症状方面,治疗组优于对照组(P<0.05)。结论:补阳还五汤加味配合头部伽玛刀治疗气虚血瘀型肺癌脑转移,可提高肺癌脑转移患者生活质量以及改善临床症状。
Objective: To observe the clinical efficacy of Buyang Huanwu Decoction plus head gamma knife in treating brain metastasis of lung cancer with qi deficiency and blood stasis syndrome. Methods: Sixty cases of brain metastasis of lung cancer with Qi-deficiency and blood-stasis syndrome which met the inclusion criteria were randomly divided into treatment group (30 cases) and control group (30 cases). The treatment group was treated with Buyang Huanwu Decoction plus head gamma knife and the control group with simple head gamma knife. Results: In the short term, both the treatment group and the control group showed good local control rate for brain metastases. There was no significant difference between the two groups (P> 0.05). In improving the quality of life and improving the quality of life of patients with brain metastases of lung cancer Clinical symptoms, the treatment group than the control group (P <0.05). Conclusion: Bu Yang Huan Wu Tang combined with head gamma knife treatment of brain metastasis of lung cancer with qi deficiency and blood stasis can improve the quality of life of patients with brain metastases of lung cancer and improve clinical symptoms.