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Study On Postoperative Related Symptoms Of Non - Small Cell Lung Cancer Based On Atmospheric Sag Theory

Posted on:2017-03-25Degree:MasterType:Thesis
Country:ChinaCandidate:C Y SuFull Text:PDF
GTID:2174330482984556Subject:Integrative Medicine
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Objective:The article aimed to study the postoperative symptoms distribution regularity of the non-small cell lung cancer patients. It also discusses the curative effect and role of the treatment of shengxian Decoction which is based on qi collapse theory for the postoperative symptoms of non-small cell lung cancer.Methods:We collect patients from the outpatient department. The patients who only meet the following conditions can be elected.1.The patient should be diagnosis non-small cell lung cancer.2.The first visit time should be six months after surgery and they do not accept radiotherapy,chemotherapy, biological therapy and Chinese medicine treatment.3.The age of the patient is between 18 to 70.4.The patient who do not suffer from serious diseases such as cardiovascular and kidney. We formulate the symptom observation scale with the symptom evaluation standard of "the guiding principle of clinical research on new drugs of traditional Chinese medicine" to observe the symptoms of the postoperative patients.We use EORTC QLQ LC13 evaluating the quality of their life.We use shengxian Decoction(shenghuangqi, zhimu, shengma, jiegeng, chaihu) which is based on the qi collapse theory to treat the patients.We will use erchen Decoction (chenpi, banxia, fuling) and shengxian Decoction to treat the patients with the behaviour of partial phlegm dampness syndrome.We will use xuefuzhuyu Decoction (chuanxiong, danggui, chishao, honghua, danshen) and shengxian Decoction to treat the patients with the behavior of Blood stasis syndrome.Besides, we also use some traditional Chinese medicine that can cure cancer such as baiyingjiangcan,baihuasheshecao and so on.Our treatment will continue 1 month.The patients need take one dose a day and take one at a time in the morning and evening.We will Evaluate the change of symptoms and quality of patients life after treatment.Results:1.The common symptoms of patients in the observation group include shortness of breath, fatigue, spontaneous sweating, cough, chest tightness etc.One month after surgery,the proportion of the patients with shortness of breath is100%,the proportion of patients with fatigue is 89.6%,the proportion of patients with cough is 91.7%,the proportion of patients with spontaneous sweating is 70.8%,the proportion of patients with chest tightness is 46%.Two month after surgery,the proportion of the patients with shortness of breath is97.9%,the proportion of patients with fatigue is 89.6%,the proportion of patients with cough is 66.7%,the proportion of patients with spontaneous sweating is 66.7%,the proportion of patients with chest tightness is 54.2%.Three month after surgery,the proportion of the patients with shortness of breath is93.75%,the proportion of patients with fatigue is 89.6%,the proportion of patients with cough is 66.7%,the proportion of patients with spontaneous sweating is 62.5%,the proportion of patients with chest tightness is 54.2%.Four month after surgery,the proportion of the patients with shortness of breath is97.9%,the proportion of patients with fatigue is 89.6%,the proportion of patients with cough is 66.7%,the proportion of patients with spontaneous sweating is 66.7%,the proportion of patients with chest tightness is 54.2%.Postoperative symptoms’ mean score of patients turn to the stabilize state on the second month after surgery.At the First months after the surgery, the average score was 19.65.At the second months after the surgery, the average score was 15.88.At the third months after the surgery, the average score was 15.63.At the forth months after the surgery, the average score was 15.56.At the first month after surgery, symptoms can get some certain recovery through diet and physical training but cannot complete remission.The symptom such as shortness of breath, fatigue, spontaneous sweating is the critical symptom which Influence rehabilitation of the patients.2.The treatment of shengxian Decoction can significantly improve body function with effective rate at 95%,role function with effective rate at 86%,emotional function with effective rate (98%), social function with effective rate at 100%, and the total health level with effective rate at 100%, so as to improve the quality of life of patients.In addition, the shengxian Decoction has obvious effect to improve postoperative discomfort such as Shortness of breath (before treatment the average score is 2.36±0.33,the average score after treatment is 1.27±0.36,p:=0),fatigue(before treatment the average score is 2.31±0.39,the average score after treatment is 1.23 ±0.43,P=0.04),cough(before treatment the average score is 1.44+0.15,the average score after treatment is 0.81 ±0.19,P=0.03).Conclusions:1.Postoperative discomfort symptoms in non-small cell lung cancer patients is are those cased by the Cardiopulmonary dysfunction which is led by qi collapse A month after surgery, symptoms can get some certain recovery.But they cannot complete remission.There still have some symptoms such as shortness of breath,fatigue,and so on that affect patients’ quality of life 2 mouths after surgery.2.The treatment for the postoperative patients that is based on the shengxian Decoction can effectively improve the symptoms, such as shortness of breath,fatigue,cough spontaneous sweating dry mouth symptoms.It can also improve the patient’s quality of life, especially in terms of quality of life improved significantly.It is worth of further study.
Keywords/Search Tags:treatment based on discriminate different syndrome, qi collapse, non-small cell lung cancer, postoperative symptoms
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