Chen Liyao, Lu Fei, Qian Haihong, Wang Hua, Zhang Feiyue
Department of Oncology, The Sixth Affiliated Hospital of Kunming Medical University, Peoples' Hospital of Yuxi City, Yuxi, China.
Department of Radiation Oncology, The Third Affiliated Hospital of Kunming Medical University, Tumor Hospital of Yunnan Province, Kunming, Yunnan, China.
Adv Radiat Oncol. 2023 Dec 30;9(4):101434. doi: 10.1016/j.adro.2023.101434. eCollection 2024 Apr.
To compare the efficacy and safety of Kangfuxin solution and lvpao powder on mucositis induced by radiation therapy in head and neck carcinoma patients. We retrospectively analyzed 114 patients with head and neck malignant tumors in our center.
Patients were given Kangfuxin solution to rinse the mouth or Lvpao powder sprayed on oral mucosa after the solution use. The side effect was evaluated by Common Terminology Criteria for Adverse Events version 4.0.
The grade 3 mucositis occurred in 32.9% (23/70) and 11.4% (5/44) in Kangfuxin solution group and Kangfuxin solution + lvpao powder group, respectively ( = .009). The pain score of the Kangfuxin solution group was significantly higher than that of the Kangfuxin solution and lvpao powder group, with 4.26 ± 0.81 versus 3.75 ± 1.03 ( = .007). The time of symptom relief in the combined group was significantly shorter than that in the single drug group, with 3 days versus 6 days ( = .000). The weight loss of the former groups was bigger than that of the latter group (6.67 ± 1.20 kg vs 5.95 ± 0.94 kg; = .001). There was no statistical difference in the limitations in mouth opening ( = .164).
Lvpao powder is safe and effective as a mucosal repair drug in accelerating the recovery of patients and reducing their body weight.
比较康复新液与绿袍散对头颈部癌患者放疗所致口腔黏膜炎的疗效及安全性。我们回顾性分析了本中心114例头颈部恶性肿瘤患者。
患者使用康复新液漱口或在使用溶液后将绿袍散喷于口腔黏膜。采用不良事件通用术语标准4.0版评估副作用。
康复新液组和康复新液+绿袍散组3级口腔黏膜炎的发生率分别为32.9%(23/70)和11.4%(5/44)(P = 0.009)。康复新液组的疼痛评分显著高于康复新液+绿袍散组,分别为4.26±0.81和3.75±1.03(P = 0.007)。联合组症状缓解时间显著短于单药组,分别为3天和6天(P = 0.000)。前一组的体重减轻大于后一组(6.67±1.20 kg对5.95±0.94 kg;P = 0.001)。张口受限方面无统计学差异(P = 0.164)。
绿袍散作为一种黏膜修复药物,在加速患者康复和减轻体重方面安全有效。