通过植物源物质的干预调节放射肿瘤疗法

Soledad Banega, Cintia Bertoncini, Mercedes Pascuccio, Alba Güerci
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摘要

导语:寻找能调节放疗不良反应的物质是优化放疗疗效和改善患者生活质量的关键。绿茶(山茶)具有抗氧化和消炎的特性,其多酚成分可降低放射敏感性并改善细胞恢复,因此我们认为对绿茶进行评估正合适。因此,我们的目标是评估这种输液在治疗头颈部癌症患者放射治疗期间出现的粘膜炎方面的疗效。材料和方法:我们对 20 名接受调强放射治疗(IMRT)的患者进行了前瞻性对照临床试验。使用绿茶漱口液(每天 4 次)进行干预的结果或遵守常规方案的情况,通过使用 RTOG 量表详细记录放射毒性来评估。统计分析采用 T 检验:结果:所有坚持并严格遵守输液方案的患者,虽然口腔状况没有明显恢复,但放射引起的急性效应(口腔干燥症和粘膜炎)得到了较好的控制。结论:虽然我们的研究结果还只是初步的,但我们可以认为,通过使用绿茶进行干预,可以调节辐射引起的急性效应。我们认为,使用绿茶进行干预是一个很好的时机,因为绿茶服用方便、容易获得、成本低,而且在各种剂量下都没有毒性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Modulation of radiant oncological therapy through the intervention with substances of vegetable origin
Introduction: the search for substances that modulate the adverse effects of radiotherapy is key to optimizing the efficacy of these treatments and improving the patient's quality of life. We consider the evaluation of green tea (Camellia Sinensis) opportune for its antioxidant and anti-inflammatory properties, while its composition in polyphenols would make it possible to reduce radiosensitivity and improve cell recovery. Thus, our objective was to assess the efficacy of this infusion in the management of mucositis developed during radiant treatment of patients with head and neck cancer. Materials and Methods: a prospective and controlled clinical trial was carried out on a population of 20 patients, under treatment with intensity modulated radiation (IMRT). The result of the intervention with green tea rinses (4 times/day) or compliance with the usual protocol, was assessed by detailed recording of radiotoxicity, using the RTOG scale. Statistical analysis was performed using the T-Test: Student's t-Mann-Whitney U. Results: all the patients who adhered to and exhaustively complied with the protocol with the infusion, although they did not significantly recover the state of the oral cavity, demonstrated better control of the radio-induced acute effects (xerostomia and mucositis). Conclusion: although our results are preliminary, they allow us to suggest that from the intervention with green tea, the acute radiation-induced effects could be modulated. We believe intervention with this substance is opportune, given its easy administration, availability, cost, and lack of toxicity in a wide range of doses.
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