Retrospective Study on Compound Actinidia Arguta(藤梨根) Preparation Adjuvant Chemotherapy in Treating 62 Cases of Advanced Colon Cancer with Spleen Deficiency Syndrome
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Retrospective Study on Compound Actinidia Arguta(藤梨根) Preparation Adjuvant Chemotherapy in Treating 62 Cases of Advanced Colon Cancer with Spleen Deficiency Syndrome
Journal of Traditional Chinese MedicineVol. 59, Issue 15, Pages: 1310-1313(2018)
DONG Jing, SHI Hang. Retrospective Study on Compound Actinidia Arguta(藤梨根) Preparation Adjuvant Chemotherapy in Treating 62 Cases of Advanced Colon Cancer with Spleen Deficiency Syndrome[J]. Journal of Traditional Chinese Medicine2018, 59(15): 1310-1313.
DONG Jing, SHI Hang. Retrospective Study on Compound Actinidia Arguta(藤梨根) Preparation Adjuvant Chemotherapy in Treating 62 Cases of Advanced Colon Cancer with Spleen Deficiency Syndrome[J]. Journal of Traditional Chinese Medicine2018, 59(15): 1310-1313.DOI: 10.13288/j.11-2166/r.2018.15.013.
Retrospective Study on Compound Actinidia Arguta(藤梨根) Preparation Adjuvant Chemotherapy in Treating 62 Cases of Advanced Colon Cancer with Spleen Deficiency Syndrome
Objective To evaluate the clinical efficacy of Chinese medicine compound Actinidia arguta( 藤梨根) preparation adjuvant chemotherapy in the treatment of advanced colon cancer with spleen deficiency
and to analyze the related factors affecting the progression-free survival of patients. Methods A retrospective analysis of 62 patients with advanced colon cancer admitted to the Department of Oncology
Ningbo City Hospital of Traditional Chinese Medicine from June 2013 to June 2016 was conducted. All patients received a daily dose of compound Actinidia arguta preparation and combined with XELOX or FOLFIRI regimen chemotherapy
with 42 days as a course of treatment
until the disease progresses. Traditional Chinese medicine( TCM) syndrome scores were evaluated before treatment and after 1 course of treatment
including food intake
body fatigue
abdominal distension
and stool abnormalities; the progression-free survival of patients was observed and its influencing factors were analyzed; The shortterm clinical efficacy
TCM syndrome efficacy and quality of life efficacy after 1 course of treatment were evaluated.Results The scores of TCM syndromes were significantly lower after treatment for 1 course of treatment( P < 0. 05).After 1 course of treatment
the patient ’s short-term clinical efficacy was 58. 1%
and the clinical benefit rate was82. 3%. TCM syndrome efficacy: 34 cases were markedly effective
15 cases were effective
13 cases were ineffective. Efficacy on quality of life: 10 cases were significantly improved
25 cases were improved
14 cases were stable and 13 cases were decreased. The median progression-free survival was 28 weeks. Univariate analysis showed that progression-free survival was associated with previous radical surgery
number of cancer metastases
visceral metastasis
and metastatic organ( P < 0. 05). Multivariate analysis showed that the progression risk was increased by 5. 733 times for each increase of number of cancer metastasis
and the risk of visceral metastasis was 10. 100 times higher than that of no visceral metastasis. The risk was increased by 1. 680 times for each progression of metastatic organs.Conclusion The effective rate of compound Actinidia arguta preparation adjuvant chemotherapy in the treatment of advanced colon cancer patients with spleen deficiency is as high as 58. 1%
and the patients with smaller number of cancer metastases
no visceral metastasis and fewer metastatic organs have longer progression-free survival period.
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