Cui Jingjing,Zhuang Wei,Feng Yingnan,et al.Clinical study on Kangliu Pill combined with conventional therapy in the treatment of malignant gliomas[J].,2022,44(06):616-620.[doi:10.3760/cma.j.cn115398-20210916-00231]
抗瘤丸结合西医常规疗法治疗恶性神经胶质瘤临床研究
- Title:
- Clinical study on Kangliu Pill combined with conventional therapy in the treatment of malignant gliomas
- 摘要:
- 目的 评价抗瘤 丸结合西医常规疗法治疗恶性神经胶质瘤术后患者的疗效。方法 将符合入选标准的 2017年1月-2019年11月行恶性神经胶质瘤(Ⅲ~Ⅳ级)手术切除患者100例,按治疗方法分为治疗组48例、对照组52例,对照组采用常规手术加放化疗治疗,治疗组在对照组基础上加服抗瘤丸。随访1~2年,记录患者生存率、无进展生存期、中位生存期,采用Karnofsky功能状态评分(KPS)、生活质量评分(QOL)评价患者生存及生活质量,观察治疗期间的不良反应。结果 治疗组 1年、2年生存率[97.92%(47/48)、68.75%(33/48)]高于对照组[80.77%(42/52)、42.31%(22/52)](χ2值分别5.847、7.051,P值分别为0.016、0.008);治疗组无进展生存期[(23.94±13.12)个月比(15.82±8.65)个月,t=3.63]高于对照组(P<0.01);采用寿命表法进行生存分析,得到治疗组中位生存期为21.13个月,对照组中位生存期为12.00个月,2组中位生存期、累计生存率比较差异均具有统计学意义(P=0.001);治疗组KPS、QOL评分均高于对照组,但组间比较差异均无统计学意义(P>0.05)。2组治疗期间均未发生严重不良反应。结论 抗瘤丸辅助治疗可提高恶性神经胶质瘤术后患者生存率,延长无进展生存期、中位生存期,改善生活质量,提高疗效,且安全性较好。
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备注/Memo
基金项目:北京市科委“十病十药”专项(Z171100001717006);北京市中医药科技项目(JJ-2016-10);国家中医药管理局全国中医药创新骨干人才培训项目(国中医药人教函〔2019〕128号)
更新日期/Last Update:
2022-06-17