扶正生津汤配合放射治疗鼻咽癌150例远期疗效观察

本文以我院协定的扶正生津汤配合放射治疗鼻咽癌150例作远期疗效观察,证明本方确能减轻放疗副反应,减少远期后遗症,5年生存率58%,10年生存率30.8%,比国内同时期报道的单纯放疗病例疗效提高。观察证明生存率的高低,与病期的早晚、中西医结合治疗是否及时、服药时间的长短呈正相关,放疗过程中对少数有严重副反应病例,除应用扶正生津汤外,最好放疗暂停1～2周,进行中西医结合对症处理,然后再行放疗既可减轻副反应,同时可提高疗效。

英文摘要:

With the purpose of observing the long term curative effect of nasopharyngeal cancer treated with combined treatment of traditional Chinese medicine and western medicine,150 cases of nasopharyngeal cancer have been chosen and treated with our jointly prescribed Fu Zheng Sheng Jin decoction(decoction of promotion of the natural host defense and the seceretion of saliva or body fluid)in conjunction with radiotherapy from 1965 to 1975. In these 150 cases the patients took the decoction orally and intermittently for 2-3 years or more after the conclusion of radiotherapy,the least amount of dosage is 100 doses,the maximum 1200 and the average about 400. The clinical observation and follow-ups have proved that this prescription can really reduce the side-effects through the course of radiotherapy,strengthen its curative effect and minimize the long term sequelea.The 5-year survival rate is 58%,and the 10-year survival rate 30.8%,both being higher than those reported domestically with radiotherapy alone in the corresponding period. Observation has proved that the high or low survival rate is in positive correlation with early or late course of the disease,the length of period ofdosing and the promptness of the combined treatment of TCM-WM.Serious side- effects were found in a few cases during the course of radiotherapy.Combined treatment of TCM-WM is used to suit the remedy to the cases besides the application of Fu Zheng Sheng Jin decoction;radiotherapy should be stopped temporarily for 1-2 weeks,to be renewed after the recovery.This will lighten the side-effects and enhance or heighten the curative effect at the same time.

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