| Research background:Pleural effusion of lung cancer is one of the most common and unbearable symptoms of lung cancer advanced stage, has no surgical opportunity, because lung cancer pleural effusion stubborn, and seriously affect the quality of life of patients with survival time,it is not only increase rapidly, but also difficult to control. A large number of malignant pleural effusion even press the heart, lung and mediastina, lead to the no-function of respiratory and circulatory system. This symptom pained lots of lung cancer patients. Severely affect the quality of life and life cycle. Along with the change of the mentality about the treatment of tumor, symptom control has became an important part of the improvement of patients'living quality, also became the embody of respect of life. Now western medicine adopt thoracentesis and draninage, systemic chemotherapy, pleural chemotherapy to treat pleural effusion of lung cancer, but chemotherapy commonly has adverse effect and tend to recur, pre pleural fluid can alleviate temporarily puncture pumping symptoms, but the liquid can be reunited quickly, repeated pleural punctured protein and immune cells to consume, with more and more weak constitution, while hypoalbuminemia and can accelerate the pleural effusion reunion, also can cause pleural effusion, even a few patients intercurrent infection make progress. As the result, pure water pump on chest, systemic chemotherapy and local chemotherapy, can not solve such pleural effusion, curative effect is not ideal, serious effect on mood, diet, for patients with the physical, to decrease lung cancer patients constitution, the surial of patients with influence and the quality of life. In the current clinic application, to treat pleural effusion of lung cancer from deficiency of vital energy.imbalance of yin and yang, deficiency of spleen yang, damp evil gathered into phlegm and retained fluid, is necessary and workable for further research. As the result, control pleural effusion, alleviate the symptoms, and improve the quality of life in the treatment of lung cancer is the main purpose of the pleural effusion. If these targets can be realized, it must can develop new methods for the Chinese traditional medicine treatment of Pleural effusion of lung cancer, with some guidande, and also can produce certain social benefit, Therefore, in the treatment of lung pleural effusion research into the present research is an important subject.Research purpose and meaning:Lung cancer is terminal lung cancer patients with pleural effusion, indicating the common complications caused by invading pleural pleural effusion, lung cancer is increasing rapidly, transudate fluid, to control and eliminate. The subject will be adopted in clinical from deficiency of spleen yang, damp evil gathered into phlegm and retained fluid, so as to research warming therapy the petention of phlegm and fluids cooperate pleural chemotherapy to treat the curative effect of Spleen phlegmy wet type pleural effusion of lung cancer.commentary the safty and availability of combination of Chinese traditional and Western medicine, at the same time to commentary the improvement of patients'living quality, for breaking a new path to treat the pleural effusion of lung cancer, for accumulating the experience of study, finally come to improving the patients'living quality and prolong life.Research methods:Use forward-looking approach to the randomized controlled clinical study, establish diagnostic criteria for sample inclusion criteria, exclusion criteria and standards for the suspension of clinical trials, Observation of 60 cases of hospitalized patients were randomly assigned to 32 in treatment group and control group 28 people. In the chest downward anesthesia closed drainage, try to put all pleural effusion, General drainage 3-5 days. After confirmed by X-ray injected saline 20ml plus Nedaplatin 80mg closed tube, ask patients constantly rotating pose, in order to make liquor and pleural full contact benefit, regular use 20mg Frusemide and Ondansetron 8mg intravenous diuresis and prevent vomiting, Use 1 day, observing four days, 1 week for a period, continue to suit support treatment, no body radiation and chemotherapy. Treatment group:Nedaplatin to platinum chest reperfusion, while take medicine tastes JiangXinShang gump lingya, one day, two times daily dose for two weeks. control group:Pure platinum chest to Nedaplatin reperfusion, before and after the treatment, check the X-Ray, of routine blood, liver and kidney, records of each course before and after the treatment of pleural effusion and survival quality rating scale, and statistical processing.Research conclusion:Treatment group total effectiveness is 94%, control the total effective rate was 82%, there are always two groups efficiency by the X2 test, P<0.05, statistically significant difference, two groups of quality of life score after treatment, by the T test, P<0.05, statistically significant difference, two groups of treatment that survival in patients with pleural effusion quality can be produced positive influence, improve the life quality of patients, but the treatment group than in the control group was significant difference。The research results:Lung pleural effusion belongs to the motherland medicine phlegm retention category, the total of lung pleural effusion deficiency symptoms, the pathogenesis of pixu phlegmy wet, therefore, in treatment, WenYun spleen Yang is the fundamental. Lung cancer caused by pleural effusion, therefore, and lung cancer pathological factors are closely related, lung cancer is insufficient, because the upright, and lung, evil came up, propaganda lost TanNing phlegm, qi, nucleation, formation of lung cancer, lung qi deficiency, long, son, cause illness and temper, and soil and water deficiency, not to drink and the inner source of growth, spleen Yang transport and dereliction of weak positive function, subtle bodies, not to drink, and to stop by to leave, the pleural effusion. Warming therapy the petention of phlegm and fluids is effective means of pleural effusion of lung cancer, improve survival quality, therefore as the clinical treatment of lung cancer by means of pleural effusion, finally come to improving the patients'living quality and prolong life, for the treatment of lung pleural effusion and explore new methods, new experience.Keywords:Warming therapy the petention of phlegm and fluids, Pleural effusion of lung cancer, Clinical Observation, Spleen phlegmy wet, Lingya JiangXinShang tastes Kennedy...
|
PDF Full Text Request