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題 名 | 輔助性中醫治療對於接受放射及化學治療之頭頸癌住院病人之效益=The Efficiency of Adjuvant Chinese Herbal Medicine on the Prevention and Treatment of Chemotherapy- and Radiotherapy-Related Toxicities in Hospitalized Head and Neck Cancer Patients |
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作 者 | 何善台; | 書刊名 | 中醫藥年報 |
卷 期 | 25:1 2007.10[民96.10] |
頁 次 | 頁67-145 |
專 輯 | 中醫藥療效評估之研究 |
分類號 | 413 |
關鍵詞 | 中醫藥; 住院病人; 臨床療效; 頭頸癌; 放射治療; 化學治療; 療費用; 接受度; Traditional Chinese herbal medicine; Head and neck cancer patients; Radiotherapy; |
語 文 | 中文(Chinese) |
中文摘要 | 頭頸部癌症病患接受化學及放射治療後常使得口腔發炎、口乾等問題,直接影響病人進食,而且往往疼痛異常,使此類癌症患者極為痛苦。本研究透過中西醫師之共同合作,針對頭頸癌住院病人使用中醫中藥之療效作多層面的評估,其目的包括:(1)比較頭頸癌住院病人使用中西醫整合與西醫治療效益之差異;(2)輔助性中醫藥治療對於預防與處理頭頸癌住院病人放射及化學治療副作用之療效評估;(3)輔助性中醫藥治療對於接受化學或放射治療頭頸癌症住院病人生活品質之影響;(4)評估頭頸癌住院病人使用輔助性中醫中藥治療之接受度與醫療費用調查。 本計畫針對經診斷證實為頭頸部癌症病人,於放化療期間藉由量化主觀的症狀與生活品質量表與客觀的實驗室指標評估有無中醫藥介入之臨床療效差異。本研究將採前瞻、隨機、對照、雙盲之設計,依癌症種類與治療方式隨機分層分配成二組,分別為實驗組與安慰劑組,其分配結果由主持人保存。結果顯示中藥介入對頭頸癌病患放療前後之EORTC-C30、EORTC-H&N35、實驗室數值、急性放療毒性的影響,兩組藥物並無顯著差異。在化療的毒副作用方面,在第二次化療時實驗組較安慰劑口乾之「毒性副作用」之比較少,而且研究結果意外發現在合併放化療組(CCRT組)中,中藥對不同實驗組別頭頸癌病患之各放療時程的EORTC-H&N35之平均值比較中可觀察到其臨床症狀中:吞嚥、與人進食、覺得不適、社會接觸、黏痰及體重減輕方面,實驗組在各療程的改變上較安慰劑明顯。對不同實驗組別病患之放療前後的「急性毒性副作用」之比較:實驗組在味覺喪失較安慰劑組佳,並達統計上顯著之效應,故我們可初步推論天王補心丹對頭頸癌患者合併放化療治療之味覺喪失、吞嚥、與人進食,覺得不適、社會接觸、黏痰及體重減輕方面反應可能有助益,有待進一步之驗證。 頭頸部癌症患者在有無接受中醫輔助治療期間之醫療費用在統計上並無明顯差異。而病患實際接受中醫輔助治療後,其認知、態度、行為的整體分數均提高,除態度分數未達統計上的顯著意義外,其餘均達統計上顯著意義,其影響亦相當正面,且認知、態度與行為之間的相關程度,均有相關,亦達統計上之顯著意義。 |
英文摘要 | In head and neck cancer, treatment using chemo-radiotherapy usually induces mucositis, dry mouth, and many others, causing agony for the patients and very often resulting in interruption of treatment. Chinese medicine has been a popular alternative treatment in our society among cancer patients, and allegedly remarkable treatment results are often heard of. The Department of Radiation Oncology and Traditional Chinese Medicine have observed significant benefits of traditional Chinese medicine on cancer patients. We design a randomized double-blind clinical trial, through cooperation between the Western and Chinese medicine and using an objective and quantitative evaluation approach, to examine the efficiency of adjuvant Chinese herbal medicine on the prevention and treatment of chemotherapy- and radiotherapy-related toxicities in hospitalized head and neck cancer patients, and its impact on their quality of life. In our study 73 patient were separated to two group (placebo group and Cardiotonic Pill group) by the principle of double blind and random. We assed the effect of adjuvant Chinese medicine of head and neck cancer patients on the toxicities of chemotherapy and radiotherapy using the criteria of RTOG and toxicity criteria (National Cancer Institute). Compared the total scales of EORTC-C30, EORTC-H&N35, acute radiotherapy-related toxicities and Complete Blood Count, before and after the radiotherapy, there is no significant difference between two group. But in the chemotherapy-related toxicities, the side effect “Dry mouth” is significant difference between two group. Besides, we have an interesting finding in the group of CCRT that the Cardiotonic Pill group is better than the consolation group in these side effect “Loss taste”, “Swallow difficult”, “Feel discomfort”, “Take food with the other one”, “The community contact”, “Sticky sputum” and “Body weight loss”. We also have established a routine forum in which the members of both the Western and Chinese medicine can hold regular discussion on various aspects of the study, and establishing a spirit of teamwork and process. |
本系統中英文摘要資訊取自各篇刊載內容。