1. 广州中医药大学第一附属医院肿瘤科
2. 中华中医药学会
3. 南方医科大学南方医院
4. 广州铁路中心医院
5. 天津中医学院第一附属医院
6. 中国人民解放军第四二一医院
7. 广州中药一厂
8. 吉林亚泰制药有限公司
9. 广州中医药大学第一附属医院肿瘤科 广东省广州市机场路16号,510405
纸质出版:2005
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[1]周岱翰,林丽珠,周宜强,罗荣城,刘魁凤,贾英杰,陈继跃,牛喜伟,苏碧茹,鲁江,王树堂.益气除痰法延长非小细胞肺癌中位生存期的作用[J].中医杂志,2005(08):600-602.
The Role of TCM Method for Invigorating Qi and Removing the Phlegm in Prolongating Median Survival Time in the Patient with Non-Small Cell Lung Cancer[J]. Journal of Traditional Chinese Medicine2005, (8): 600-602.
[1]周岱翰,林丽珠,周宜强,罗荣城,刘魁凤,贾英杰,陈继跃,牛喜伟,苏碧茹,鲁江,王树堂.益气除痰法延长非小细胞肺癌中位生存期的作用[J].中医杂志,2005(08):600-602. DOI: 10.13288/j.11-2166/r.2005.08.026.
The Role of TCM Method for Invigorating Qi and Removing the Phlegm in Prolongating Median Survival Time in the Patient with Non-Small Cell Lung Cancer[J]. Journal of Traditional Chinese Medicine2005, (8): 600-602. DOI: 10.13288/j.11-2166/r.2005.08.026.
目的:观察益气化痰法延长Ⅲ、Ⅳ期非小细胞肺癌(NSCLC)生存期的作用。方法:采用前瞻性、多中心、随机、对照的临床流行病学方法
将符合标准的病例按肺郁痰瘀型、脾虚痰湿型、阴虚痰热型及气阴两虚型四型辨证施治
辨病治疗以益气化痰法为主
辩证治疗分别以宣肺除痰、益气除痰、滋阴化痰、益气养阴法为主。用乘积极限(K-M)法分析不同证型的中位生存期及中位疾病进展时间。结果:肺郁痰瘀型、脾虚痰湿型、阴虚痰热型及气阴两虚型肿瘤总缓解率分别为9.1%、23.6%、11.5%、13.2%(P<0.05);瘤体总稳定率分别为69.7%、77.8%、69.2%、78.9%(P>0.05);中位生存期分别为308天、401天、300天和326天(P>0.05);1年累积生存率分别为45.63%、51.53%、41.95%、46.01%(P>0.05)。结论:益气化痰法可使Ⅲ、Ⅳ期 NSCLC 的中位生存期达到9个月
与化疗配合应用可达到12个月
是晚期非小细胞肺癌的一种有效治法。其中
脾虚痰湿型患者中位生存期达到13个月
有可能进一步提高疗效。
Objective:To observe the role of the TCM method for invigorating Qi and removing the phlegm in increasing the survival time of the patient with non-small cell lung cancer(NSCLC)at stages Ⅲ and Ⅳ.Methods:Muhicentral
randomized and controlled clinical epidemiological methods were adopted and the cases conformed with criteria were divided into 4 types
stagnation of the phlegm in the lung
the spleen deficiency and phlegm-dampness
Yin-deficiency and phlegm-heat
and deficiency of both Qi and Yin
and were treated based on syndrome differentiation
mainly with the methods for ventilating the lung and resolving phlegm
invigorating Qi and removing the phlegm
nourishing Yin to remove the phlegm and invigorating Qi and nourishing Yin
respectively
and the method for invigorating Qi to remove the phlegm was mainly used for treatment based on differentiation. Kaplam Meier(K-M)method was used to analyze median survival time(MST)and the time to progress(TTP)of different syndromes.Results:The total remission rate of the tumor was 9.1%
23.6%
11.5% and 13.2% in the 4 types
respectively(P< 0.05);The stable rate of the tumor was 69.7%
77.8%
69.2% and 78.9%(P>0.05);The MST was 308
401
300 and 326 days
respectively(P>0.05)
and the cumulative survival rate for one year was 45.63%
51.53%
41.95% and 46.01%
respectively.Conclusion:The TCM method for invigorating Qi and removing the phlegm makes the median survival time of the patient with NSCLC at stage Ⅲ or Ⅳ reach to 9 months
and the combination with chemotherapy can reach to 12 months
being an effective therapy for late NSCLC.It can reach to 13 months for the patient of spleen deficiency and phlegm dampness.
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