小柴胡汤合蒿芩清胆汤治疗化疗所致恶心呕吐的临床疗效
Clinical efficacy Xiaochaihu Decoction together with Haoqin gallbladder-clearing Decoction in the treatment of chemotherapy-induced nausea and vomiting
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摘要: 目的 探讨对化疗后恶心呕吐患者采用小柴胡汤合蒿芩清胆汤治疗的临床疗效.方法 选择80例化疗后恶心呕吐患者进行观察,采用随机数字表法将患者分为研究组和对照组,各40例.对照组运用阿瑞匹坦治疗,研究组采用蒿芩清胆汤、小柴胡汤联合治疗.治疗1周,观察2组治疗效果.随访2周,观察2组恶心呕吐症状改善情况及食欲恢复情况.结果 研究组治疗总有效率、食欲恢复正常患者比例显著优于对照组,比较差异有统计学意义(P<0.05).结论 化疗后恶心呕吐患者采用蒿芩清胆汤、小柴胡汤联合治疗的疗效安全可靠,患者的耐受性好.在改善患者恶心呕吐症状的同时保护胃肠道功能,增强食欲,提高患者的营养状况.Abstract: Objective To discuss clinical efficacy Xiaochaihu Decoction together with Haoqin gallbladder-clearing Decoction in the treatment of chemotherapy-induced nausea and vomiting.Methods A total of 80 cases with nausea and vomiting after chemotherapy in our hospital were divided into study group and control group,with 40 cases per group,treated by Aprepitant,Xiaochaihu Decoction together with Haoqin gallbladder-clearing Decoction,respectively.After one week of treatment,the treatment efficacy was observed.After 2 weeks of follow-up,improvement of nausea and vomiting and recovery of appetite were observed.Results The total response rate,and the proportion of patients with normal appetite in the study group were better than the control group (P < 0.05).Conclusion Xiaochaihu Decoction together with Haoqin gallbladder-clearing Decoction is safe and reliable in curative efficacy in nausea and vomiting after chemotherapy.And it can improve gastrointestinal function,increase appetite and nutritional status of patients.