Intervention of Progressive Stage of Radiation Pneumonia with Tibetan Medicine Flos Saussureae Plus Glucocorticoid
10.13359/j.cnki.gzxbtcm.2017.02.009
- VernacularTitle:藏药雪莲联合糖皮质激素在放射性肺炎进展期的干预作用
- Author:
Rongzheng YUAN
;
Bingyan ZHAN
- Keywords:
post-chemotherapy for esophageal carcinoma;
radiation pneumonia;
progressive stage;
Flos Saussureae Injection;
glucocorticoid
- From:
Journal of Guangzhou University of Traditional Chinese Medicine
2017;34(2):185-188
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study the therapeutic effect of Tibetan medicine Flos Saussureae combined with glucocorticoid for progressive stage of radiation pneumonia.Methods A total of 65 post-chemotherapy radiation pneumonia patients with esophageal carcinoma were randomized into western medicine group(20 cases),combined group (21 cases) and Flos Saussureae group (24 cases),which were treated with prednisone (1 mg/kg,orally),prednisone (0.5 mg/kg,orally) plus Flos Saussureae Injection (2 mL/d,by intramuscular injection),and Flos Saussureae Injection (4 mL/d,by intramuscular injection) respectively.The medication lasted for 6 weeks.Before and after treatment,we investigated the scores of chest high resolution CT(HRCT),Leicester Cough Questionnaire (LCQ) scores,6-minute walk distance,pulmonary function indexes of vital capacity (VC),total lung capacity (TLC) and diffusion function DLco,and arterial oxygen partial pressure(PO2).Results (1) The scores of HRCT,6-minute walk distance and LCQ scores of the combined group were improved as compared with those of western medicine group and Flos Saussureae group (P < 0.05).The improvement of psychological scores,social function scores and overall socres of LCQ in Flos Saussureae group was superior to that in western medicine group (P <0.05).(2)After treatment,pulmonary function indexes and PO2 of the combined group and Flos Saussureae group were improved compared with those of western medicine group (P < 0.05),and the improvement of DLco and PO2 of the combined group was superior to that of Flos Saussureae group (P< 0.05).Conclusion Flos Saussureae Injection combined with glucocorticoid exerts certain therapeutic effect for progressive stage of radiation pneumonia,and large-dose Flos Saussureae Injection is beneficial to the improvement of symptoms and imaging features of the patients.