补充药物减少乳腺癌患者化疗引起的副作用

J. Beuth, R. Böwe
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引用次数: 0

摘要

本临床研究旨在评估补充医学(CM)对接受辅助化疗(ChT)的乳腺癌患者的益处。患者和方法:患者(n=668)按照国际指南进行辅助ChT治疗。为了减少副作用,患者补充使用亚硒酸钠,蛋白质水解植物酶(菠萝碱和木瓜蛋白酶)和Lens culinaris凝集素联合治疗。在病例报告公式(CRFs)中,在辅助ChT和其他补充治疗期间的规定时间记录了对ChT副作用的评估。从1分(无副作用/最佳耐受性)到6分(极端副作用/极差耐受性)进行验证,然而,只有严重副作用(症状评分为4分及以上)的患者才被纳入本研究。结果:配合治疗明显减轻了ChT的不良反应严重程度。睡眠障碍、疲劳、缺乏动力的平均评分下降(p<0.05),关节痛、潮热、粘膜干燥、恶心、呕吐、腹泻、食欲不振、肿瘤疼痛的平均评分下降(p<0.001)。结论:本研究证实了亚硒酸钠、蛋白水解酶和鸡Lens culinaris凝集素联合治疗乳腺癌患者的适应症辅助治疗的益处,如减少辅助性ChT的副作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Reduction of Chemotherapy–Induced Side Effects by Complementary Medicine in Breast Cancer Patients
This clinical investigation was performed to evaluate the benefit of Complementary Medicine (CM) in breast cancer patients undergoing adjuvant Chemotherapy (ChT). Patients and Methods: The patients (n=668) were treated according to international guidelines with adjuvant ChT. As to reduce the side effects, the patients were complementarily treated with a combination of sodium selenite, proteolytic plant enzymes (bromelaine and papain) and Lens culinaris lectin. On Case Report Formulas (CRFs) assessment of side effects of ChT was documented at defined times during adjuvant ChT and additional complementary treatment. Validation was carried out by scoring from 1 (no side-effects/optimal tolerability) to 6 (extreme side-effects/extremely bad tolerability), however, only patients suffering from severe side effects (symptom scores 4 and higher) were enrolled into this investigation. Results: The severity of side-effects of ChT was significantly reduced by complementary treatment. Mean scores of symptoms declined for sleep disorder, fatigue, lack of drive (p<0.05) and for arthralgia, hot flushes, mucosal dryness, nausea, vomiting, diarrhea, loss of appetite, pain of tumour (p<0.001). Conclusion: This investigation confirms benefits of indication-based complementary treatment with the combination of sodium selenite, proteolytic enzymes and Lens culinaris lectin in breast cancer patients, e.g. reduction of side-effects of adjuvant ChT.
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