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目的:研究经过中西医结合治疗后乳腺癌患者的生活能力评分,探讨中西医结合治疗乳腺癌在改善患者生活能力方面的作用。方法:将浙江中医药大学附属第二医院收治的乳腺癌患者120例随机分成观察组和对照组各60例,对照组采用常规的西医方法治疗,观察组在对照组基础上加用中药(生血汤)治疗,比较两组患者治疗后生活能力评分上的差异。结果:观察组肌力达到5级的有38例(63.33%),显著高于对照组的22例(36.67%)(P<0.05);观察组患者患肢外展、前屈、后伸、内旋、外旋以及手指的爬墙摸高高度等指标均优于对照组(P<0.05);两组采用ADL生活能力量表测定比较,观察组评分均显著高于对照组(P<0.01);观察组的躯体功能、情绪功能、角色功能、认知功能、社会功能改善效果均显著优于对照组(P<0.05)。结论:中西医结合治疗对乳腺癌患者生活能力改善明显优于单纯西医疗法。
Objective: To study the score of living ability of patients with breast cancer treated by Integrative Chinese and Western medicine and to explore the role of Integrative Medicine in the treatment of breast cancer in improving the living ability of patients. Methods: 120 cases of breast cancer admitted to the Second Affiliated Hospital of Zhejiang University of Traditional Chinese Medicine were randomly divided into observation group (60 cases) and control group (60 cases). The control group was treated with conventional western medicine. The observation group was treated with traditional Chinese medicine Soup) treatment, the difference between the two groups of patients after treatment of living ability score. Results: 38 cases (63.33%) had muscular strength of grade 5 in observation group, which was significantly higher than that of control group (22 cases, 36.67%) (P <0.05). In the observation group, limb abduction, flexion and extension, (P <0.05). The scores of ADL were significantly higher in the two groups than those in the control group (P <0.01), while those in the observation group were significantly higher than those in the control group ). The body function, emotion function, role function, cognitive function and social function improvement in the observation group were significantly better than those in the control group (P <0.05). Conclusion: Integrative Chinese and Western medicine treatment of breast cancer patients improved significantly better living ability than Western medicine alone.