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健脾为基础中医药治疗对中晚期胰腺癌生存期影响的研究
引用本文:韩冰,赵爱光,赵刚,杨金坤,杨金祖,高峰,顾缨,徐燕,孙姗姗,吕仙梅.健脾为基础中医药治疗对中晚期胰腺癌生存期影响的研究[J].中国肿瘤,2011,20(3):213-218.
作者姓名:韩冰  赵爱光  赵刚  杨金坤  杨金祖  高峰  顾缨  徐燕  孙姗姗  吕仙梅
作者单位:1. 上海中医药大学附属龙华医院,上海,200032;北京市回民医院,北京,100054
2. 上海中医药大学附属龙华医院,上海,200032
3. 上海交通大学医学院附属仁济医院,上海,200127
基金项目:吴阶平医学基金会项目,上海市级医院新兴前沿技术项目
摘    要:目的]探讨健脾为基础中药治疗在中晚期胰腺癌综合治疗中对生存期的影响。方法]运用巢式病例对照研究,采用Cox多因素回归分析方法,研究影响中晚期胰腺癌总生存期(OS)的独立性相关因素,在基线平衡的条件下,进一步运用病例对照的方法对暴露因素(健脾为基础中药复方辨证治疗)对两组生存期的影响进行研究。结果]KPS(P=0.000)和健脾为基础中医药治疗(P=0.000)是影响中晚期胰腺癌OS的独立性相关因素。中药治疗组与非中药治疗组相比OS延长(P=0.000),服用中药的相对危险度为0.082(95%CI:0.050~0.135)。中药治疗组1、2、3年生存率分别为83%、54%、45%,非中药治疗组为23%、7%、7%。结论]KPS、健脾为基础的中医药治疗分别是影响中晚期胰腺癌OS的独立性相关因素;健脾为基础中医药治疗组较非中药治疗组显著改善患者的生存。

关 键 词:胰腺癌  健脾中药  生存期  病例对照研究

Impact of Spleen-invigorating-based Traditional Chinese Medicine Overall Survival of Advanced Pancreatic Cancer
HAN Bing,ZHAO Ai-guang,ZHAO Gang,et al..Impact of Spleen-invigorating-based Traditional Chinese Medicine Overall Survival of Advanced Pancreatic Cancer[J].Bulletin of Chinese Cancer,2011,20(3):213-218.
Authors:HAN Bing    ZHAO Ai-guang  ZHAO Gang  
Institution:HAN Bing1,2,ZHAO Ai-guang1,ZHAO Gang3,et al.(1.Longhua Hospital,Shanghai University of Traditional Chinese Medicine,Shanghai 200032,China,2.Beijing Huimin Hospital,Beijing 100053,3.Renji Hospital Affiliated to Shanghai Jiaotong University School of Medicine,Shanghai 200127,China)
Abstract:Purpose] To investigate the impact of spleen-invigorating-based traditional Chinese medicine on the overall survival(OS) of advanced pancreatic cancer.Methods] The independent factors influencing OS in advanced pancreatic cancer in a nested case-control study were studied by Cox multivariate regression.The difference of OS between the groups with and without Spleen-invigorating-based traditional Chinese medicine were compared by case-control study.Results] Karnofsky Performance Score(P=0.000) and spleen-...
Keywords:pancreatic cancer  spleen-invigorating-based traditional Chinese medicine  survival  case-control study  
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