大柴胡汤加减治疗肝癌TACE术后栓塞综合征

摘要

Objective To observe the efficacy of Dachaihu Decoction in the treatment of primary hepatoceilular carcinomarn(HCC) patients with embolism syndrome after inl.crvctil.iona] therapy. Methods 100 patients with HCC In oar hospital wererndivided Into treatment group (50 cases) and control group (50 cases). Both of the two groups were treated with generalrntreatment. Dacbaibu Decoction was administered in the treatment group for seven days after surgery. Results The durationrnof vomiting, fever and abdomen pain in the treatment group were shorter than those in the control group (P ＜ 0.05). Thernpatients with better quality of life in the treatment group more improved significantly than that In the control group (P =rn0.042). The levels of AST and ALT were lower after treatment in the treatment group than tbaose in the control group (P ＜rn0.05). Conclusion Dachaihu Decoction can improve embolism syndrome after Interventlonal therapy on HCC.%目的 探讨大柴胡汤加减治疗对原发性肝癌(HCC)肝动脉内化疗栓塞术(TACE)术后栓塞综合征症状持续时间、肝功能和生活质量的改善.方法 选取我院100例HCC TACE术后栓塞综合征患者,将其分为治疗组(50例)和对照组(50例).治疗组术后第1天给予大柴胡汤加减治疗,疗程为1周,其余处理同对照组;对照组给予常规对症治疗.结果 治疗组的腹痛、发热、呕吐持续时间均短于对照组(P<0.05),治疗组的生活质量好转稳定率较对照组显著提高(P=0.042),治疗组术后第7天谷丙转氨酶(ALT)、谷草转氨酶(AST)和总胆红素(TBIL)较术后第2天显著改善(P<0.01),ALT、AST改善疗效优于对照组(P<0.05).结论 大柴胡汤加减可改善肝癌介入术后栓塞综合征.