消痰通络凝胶联合甲钴胺片治疗化疗诱导性周围神经病变临床研究

2018-07-12 佚名 中国中医药信息杂志

 观察消痰通络凝胶联合甲钴胺片对化疗诱导性周围神经病变(CIPN)的临床疗效。

目的 观察消痰通络凝胶联合甲钴胺片对化疗诱导性周围神经病变(CIPN)的临床疗效。

方法 采用随机数字表法将67例CIPN患者随机分为治疗组36例及对照组31例。2组均予甲钴胺片,每次0.5 mg,每日3次,口服。治疗组同时予消痰通络凝胶,对照组予安慰剂凝胶,1 mL/cm2,每日9:00、21:00涂于患者感觉障碍部位,直径大于患处皮肤1 cm。2组均14 d为1个疗程,连续治疗2个疗程。观察2组患者周围神经毒性分级、中医症状积分、周围神经传导速度情况。

结果 治疗14、28 d,治疗组周围神经毒性症状疗效总有效率分别为75.00%、91.67%,对照组分别为38.71%、67.74%,治疗组明显优于对照组(P=0.002,P=0.005)。治疗14、28 d,治疗组中医疗效总有效率分别为75.00%、94.44%,对照组分别为45.16%、64.52%,治疗组明显优于对照组(P=0.018,P=0.005)。与本组治疗前比较,2组治疗14、28 d中医症状积分明显降低(P<0.01);2组治疗后同一时点比较,治疗组中医症状积分明显低于对照组(P<0.01)。与本组治疗前比较,2组治疗14、28 d腓神经、正中神经的感觉神经和运动神经传导速度明显增强(P<0.01);2组治疗后同一时点比较,治疗组腓神经、正中神经的感觉神经和运动神经传导速度明显优于对照组(P<0.05,P<0.01)。

结论 消痰通络凝胶联合甲钴胺片可有效改善CIPN患者周围神经毒性症状,改善中医症状,提高周围神经传导速度。

原始出处:
徐晶钰,张璇,王晓炜,等.消痰通络凝胶联合甲钴胺片治疗化疗诱导性周围神经病变临床研究[J].中国中医药信息杂志,2018,25(7):11-15.DOI:10.3969/j.issn.1005-5304.2018.07.004

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    2018-10-03 wgx306
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    2018-07-14 lishizhe
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    2018-07-14 axin012
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