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Clinical Discipline Of Chinese And Western Integrative Medicine

Posted on:2020-03-06Degree:MasterType:Thesis
Country:ChinaCandidate:Y B QinFull Text:PDF
GTID:2404330578462070Subject:Integrative Medicine
Abstract/Summary:PDF Full Text Request
Objective:This study on patients with digestive tract cancers of cancer-related fatigue,invigorating blood to party on the digestive tract cancer of cancer-related fatigue and improve immune function,and the method of invigorating blood to the digestive tract cancer patients with cancer-related fatigue of the clinical curative effect,which discuss the invigorating blood to party on the function of digestive tract cancers of cancer-related fatigue and curative effect.Methods:In this study,a total of 60 cases of qualified patients with cancer-related fatigue of digestive tract cancers were included according to the exclusion criteria and randomly divided into the experimental group and the control group.On the basis of supportive treatment and symptomatic treatment in the two groups,the experimental group was added with the formula for strengthening the spleen and enriching the blood at the same time with dialectical addition and subtraction,one dose per day,decoction to 400 ml,oral administration twice in the morning and evening,and continuous observation for 4 weeks.By observing the changes of fatigue scale and quality of life scale,TCM symptoms,KPS score and immune function related indicators before and after treatment,the efficacy was comprehensively evaluated.Results:1.Comparison of fatigue scale scores:the total fatigue scores of the two groups before and after treatment were compared,and the total fatigue scores of the experimental group were significantly improved after treatment(P<0.01),and the difference between the two groups after treatment was statistically significant(P<0.05).2.Comparison among the scores of the fatigue scale:by comparing the scores of behavior,emotion,somatosensory and cognitive emotion between the two groups,the experimental group had statistical significance before and after treatment(P<0.01).After treatment,there was statistical significance compared with the control group(P<0.01),among which,in terms of grading improvement,emotional>somatosensory>behavior,>cognitive emotion,indicating that the effect of jianpi buxue recipe is better than that of behavioral and cognitive aspects in improving patients' emotion and physical fatigue.3.Comparison between the quality of life scale:in the field of function,have statistical significance,the experimental group the quality of life improved significantly after treatment(P<0.01),including points in improving comparison,role function>>social function body function>>emotional function,cognitive function that spleen blood side effect in improving its role function in patients with it;In the field of symptoms,the results before and after treatment in the experimental group showed that the improvement of fatigue,nausea and vomiting was statistically significant(P<0.05),but the results of pain showed that P=0.303,which was not statistically significant(P>0.05).In the field of total health,the results of the experimental group before and after treatment were statistically significant(P<0.01).4.Comparison of total scores of TCM syndromes:the total scores of TCM syndromes in the experimental group after treatment were statistically significant(P<0.05).The total score of TCM syndromes in the control group was not statistically significant after treatment(P>0.05).The total scores of TCM syndromes in the experimental group after treatment were statistically different from those in the control group after treatment(P<0.05).In terms of TCM syndrome improvement after treatment,the total effective rate of the experimental group was 87.5%,while that of the control group was 64.3%,Z=-2.373,P=0.018,which was statistically significant(P<0.05),indicating a difference in TCM syndrome improvement.5.Comparison of KPS scores before and after treatment between the two groups:compared with the control group,there was a statistically significant difference in Karnofsky(KPS)score between the experimental group and the control group(P<0.05).6.Comparison of immune function indicators between the two groups:the immune function of the experimental group was significantly improved(P<0.05),and the difference between the two groups after treatment was statistically significant(P<0.05).Safety:Liver function,renal function,electrocardiogram and blood analysis were monitored before and after the treatment.No serious adverse reactions occurred in the two groups of patients during the treatment,and no drug allergic reactions occurred,indicating that jianpi buxue decoction was safe and had no obvious adverse reactions.Conclusion:In patients with digestive tract cancers of cancer-related fatigue in the roll of clinical observation found that spleen and blood from the medical point of view,can significantly improve the body function,reduce the TCM symptoms such as fatigue,nausea,vomiting,improve the TCM syndrome integral,in western medicine point of view,can obviously improve patients' social function,improve the patients quality of life,reduce the patients degree of fatigue,relieve fatigue,and can enhance the immune function in patients with.Its side effect is small,safety is high,take medicine simple and convenient,clinical can further research and popularize application.
Keywords/Search Tags:jianpi buxue decoction, malignant tumor of digestive tract, Cancer-related fatigue, Clinical observation, Immune function
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