ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2025-04-003 中医学研究 2025, (04)

平消方辅助西医标准化疗对中晚期结直肠癌患者近期疗效及远期预后的影响

徐州市中医院

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摘要

目的 探讨平消方联合西医标准化疗对中晚期结直肠癌患者近期疗效、生活质量、远期预后及不良反应的影响。方法 回顾性分析 2022 年 1 月至 2023 年 6 月我院收治的 86 例中晚期结直肠癌患者的临床资料,按治疗方案分为联合治疗组和平行对照的化疗组,各 43 例。联合组在常规化疗(FOLFOX 或 FOLFIRI)方案基础上加用平消方干预,治疗周期 3 个月。比较两组患者的近期疗效(按 RECIST 1.1 评估)及生存指标[非进展生存期(PFS)和总生存期(OS)] 。结果 联合治疗组客观缓解率(ORR)与疾病控制率(DCR)均显著高于化疗组(P<0.05);Kaplan-Meier 生存分析显示,联合组中位 PFS 和 OS 明显优于化疗组(P<0.05)。结论 平消方联合西医化疗方案可提高中晚期结直肠癌患者近期疗效,延长生存时间,具有较好的临床应用价值。

Abstract

Objective To explore the effects of Pingxiao Formula combined with standardized chemotherapy on shorttermefficacy, quality of life, long-term prognosis and adverse reactions of patients with advanced colorectal cancer. Methods The clinical data of 86 patients with advanced colorectal cancer treated in our hospital from January 2022 to June 2023 were retrospectively analyzed. The patients were divided into a combined treatment group and a chemotherapy alone group according to the treatment plan, with 43 cases in each group. The combined group was treated with Pingxiao Formula on the basis of the conventional chemotherapy regimens (FOLFOX or FOLFIRI), with a treatment cycle of 3 months. The short-term efficacy (assessed by RECIST 1.1) and survival indicators [ progression-free survival (PFS) and overall survival (OS) ] were compared between the two groups. Results The objective response rate (ORR) and disease control rate (DCR) of the combined group were significantly higher than those of the chemotherapy group (P<0.05). Kaplan-Meier survival analysis showed that the PFS and OS of the combined group were significantly better than those the chemotherapy group (P<0.05). Conclusion The combined treatment of Pingxiao Formula and chemotherapy regimen can improve the short-term efficacy of patients with advanced colorectal cancer, and prolong the survival time, which has good clinical value.

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[1]纪小志,印竹胜.平消方辅助西医标准化疗对中晚期结直肠癌患者近期疗效及远期预后的影响[J],2025,01(04):.