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扶正抑瘤汤对经尿道前列腺等离子电切术后晚期前列腺癌患者预后的影响
引用本文:李书剑,黄宝生. 扶正抑瘤汤对经尿道前列腺等离子电切术后晚期前列腺癌患者预后的影响[J]. 陕西中医, 2021, 0(1): 68-70,74. DOI: DOI:10.3969/j.issn.1000- 7369.2020.01.017
作者姓名:李书剑  黄宝生
作者单位:(1.沈阳市第四人民医院泌尿外科,辽宁 沈阳110031; 2.辽宁省人民医院泌尿外科,辽宁 沈阳110000)
基金项目:辽宁省自然科学基金资助项目(2017020281)。
摘    要:
目的:探究经尿道前列腺等离子电切术(TUPKP)后口服扶正抑瘤汤对晚期前列腺癌(PCa)患者预后的影响.方法:选取PCa患者142例,随机数表法分为观察组(n=71)和对照组(n=71),对照组给予TUPKP治疗,观察组给予TUPKP+扶正抑瘤汤治疗,比较两组生存期,分析中医症状积分、生活质量及免疫功能等指标.结果:治...

关 键 词:经尿道前列腺等离子电切术  扶正抑瘤汤  晚期前列腺癌  免疫功能  预后  生活质量

Effects of oral Fuzheng Yiliu decoction on prognosis of patients with advanced prostate cancer after transurethral plasmakinetic prostatectomy
LI Shujian,HUANG Baosheng. Effects of oral Fuzheng Yiliu decoction on prognosis of patients with advanced prostate cancer after transurethral plasmakinetic prostatectomy[J]. Shaanxi Journal of Traditional Chinese Medicine, 2021, 0(1): 68-70,74. DOI: DOI:10.3969/j.issn.1000- 7369.2020.01.017
Authors:LI Shujian  HUANG Baosheng
Affiliation:(Department of Urology,the Fourth People's Hospital of Shenyang,Shenyang 110031,China)
Abstract:
Objective:To explore effects of oral Fuzheng Yiliu decoction on prognosis of patients with advanced prostate cancer(PCa)after transurethral plasmakinetic prostatectomy(TUPKP).Methods:A total of 142 patients with advanced prostate cancer were enrolled as study objects.They were divided into observation group(n=71)and control group(n=71)by the random number table method.The control group underwent TUPKP,while observation group was given oral Fuzheng Yiliu decoction on this basis.The survival time was compared between the two groups.The effects on scores of TCM symptoms,quality of life and immune function were analyzed.Results:After treatment,the survival time and time to disease progression(TTP)of observation group were significantly longer than those in control group(P<0.05).After treatment,scores of TCM symptoms,levels of RV,PSA and CD 8+in both groups were significantly decreased,while QOL score,Qmax,levels of CD 3+,CD4+and CD 4+/CD 8+were significantly increased.Besides,scores of TCM symptoms,levels of RV,PSA and CD 8+in observation group were significantly lower than those in control group(P<0.05),while QOL score,Qmax,levels of CD 3+,CD 4+and CD 4+/CD 8+were significantly higher than those in control group(P<0.05).The incidence of adverse reactions in observation group was slightly higher than that in control group(4.23%vs 2.82%)(P>0.05).Conclusion:TUPKP combined with oral Fuzheng Yiliu decoction is effective in the treatment of advanced prostate cancer.It can significantly improve patients’clinical symptoms and urination,prolong their survival time and improve their immune function and quality of life.
Keywords:Transurethral plasmakinetic prostatectomy  Fuzheng Yiliu decoction  Advanced prostate cancer  Immunity  Prognosis  Quality of life
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