Jia Ying-Jie, Li Xiao-Jiang, Li Chao, Zhao Cheng
Department of Tumor, First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China.
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2013 Apr;33(4):448-51.
To observe the clinical efficacy of yiqi jiedu quyu recipe (YJQR) combined endocrine therapy in treating advanced prostate cancer (APC).
Totally 44 APC patients were randomly assigned to the combination group (23 cases) and the control group (21 cases). All patients received endocrine therapy for treating PC in Guidelines for Diagnosis and Treatment of Urological Diseases in China. After 6 months of treatment serum prostate specific antigen (PSA), free PSA (f-PSA), hemoglobin (Hb), Tcell subsets, natural kill (NK) cells, QLQ-C30 scale, Chinese medical symptoms score, I -PSS score, as well as the incidence of tidal fever were observed.
After treatment the PSA, f-PSA, and Hb were improved in the combination group, showing statistical difference when compared with before treatment (P <0.05). Besides, better effects were obtained in the combination group (P <0.05, P <0.01). After treatment CD3, CD4, CD8, CD4/CD8, and NK cell levels were also improved in the combination group, showing statistical difference when compared with before treatment (P <0.05). Besides, better effects were obtained in the combination group (P <0.01). The quality of life (QOL), emotional function, Chinese medical symptoms score, and I -PSS symptom score were improved in the two groups (P <0. 05,P <0. 01). Besides, better effects in the aforesaid indices and the incidence of tidal fever were obtained in the combination group (P <0.05).
YJQR combined endocrine therapy could obviously improve APC patients' QOL, reduce adverse reactions of Western medical treatment, improve the immune function, and enhance therapeutic effects of endocrine therapy.
观察益气解毒祛瘀方(YJQR)联合内分泌治疗晚期前列腺癌(APC)的临床疗效。
将44例APC患者随机分为联合组(23例)和对照组(21例)。所有患者均按照《中国泌尿外科和男科疾病诊断治疗指南》接受内分泌治疗前列腺癌。治疗6个月后,观察血清前列腺特异性抗原(PSA)、游离PSA(f-PSA)、血红蛋白(Hb)、T细胞亚群、自然杀伤(NK)细胞、QLQ-C30量表、中医症状评分、国际前列腺症状评分(I-PSS)以及潮热发生率。
治疗后联合组的PSA、f-PSA及Hb均有所改善,与治疗前比较差异有统计学意义(P<0.05)。此外,联合组疗效更佳(P<0.05,P<0.01)。治疗后联合组CD3、CD4、CD8、CD4/CD8及NK细胞水平也有所提高,与治疗前比较差异有统计学意义(P<0.05)。此外,联合组疗效更佳(P<0.01)。两组患者的生活质量(QOL)、情感功能、中医症状评分及I-PSS症状评分均有所改善(P<0.05,P<0.01)。此外,联合组在上述指标及潮热发生率方面疗效更佳(P<0.05)。
益气解毒祛瘀方联合内分泌治疗可明显改善APC患者的QOL,减轻西医治疗的不良反应,提高免疫功能,增强内分泌治疗的疗效。