1.Randomly comparative study on the therapeutic effects of Fufangkushen injection and Aidi injection on improving quality of life for patients with advanced lung cancer
Xuemin ZHANG ; Jie CHEN ; Xiaodong GUO ; Weiwei ZHANG ; Guoqun XIE ; Keqi HAN
Cancer Research and Clinic 2012;24(3):153-156
Objective To explore and compare the therapeutic effects of Fufangkushen injection and Aidi injection on improving quality of life for patients with advanced lung cancer. Methods 60 patients in late stage of lung cancer with pathological diagnosis were split into two groups randomly. 30 patients in Kushen group received Fufangkushen injection plus base therapy, 30 patients in Aidi group received Aidi injection plus base therapy.The data was analyzed on term of tumour size,clinical symptoms,Karnofsky score,cancer marker CA125,CEA,before and after treatment in two groups.The therapeutic effects were evaluated after two circles of treatment. Results Compared the short term therapeutic effect, Kushen group had the stability rate for 83.3 %(25/30),and 80.0 %(24/30) for Aidi group.There was no significant difference.(P>0.05).Compare the clinical therapeutic effect,Kushen group had the improving rate for 83.3 %(25/30),and 80.0 %(24/30) for Aidi group.There was no significant difference(P>0.05).Compare the Karnofsky score,two groups had equal increasing stability rate (P>0.05). Compare decreasing ratio of CEA and CA125 after treatment in two groups,there was no significant difference (P>0.05). Conclusion Fufangkushen injection and Aidi injection both have acceptable therapeutic effects in the treatment of patients with later stage lung cancer.The result is equal. As well as they have some other characters themselves to improve lung cancer related symptoms. Fufangkushen injection is better to improve symptoms of heat toxin, and Aidi injection is better to improve symtoms of deficiency Qi. For Fufangkushen injection, it can also adjust disorder of liver function and relieve pain.
2.High intensity focused ultrasound in the treatment of advanced pancreatic cancer
Guoqun XIE ; Zhengjun HU ; Xiaocui ZHOU ; Xiaodong GUO ; Jingxia WANG ; Liubo LI ; Qiulin XU
Tumor 2023;43(10):799-808
Objective:To evaluate the efficacy and safety of ultrasound-guided high intensity focused ultrasound(HIFU)on pain intensity,pain sensation and overall survival in patients with advanced pancreatic cancer. Methods:Clinical data of advanced pancreatic cancer patients treated by HIFU were collected from the patients enrolled during August 2020 to September 2022 at the second department for oncology of Yueyang Hospital of Integrated Chinese and Western Medicine affiliated to Shanghai University of Traditional Chinese Medicine.In this study,SPSS 26.0 software was used for the statistical analysis of NRS score and BPI score.The Kaplan-Meier survival analysis method was applied to calculate the median overall survival(OS)and then the survival curve was drawn.At the same time,the incidence of related adverse reactions during and after HIFU treatment was counted. Results:(1)Among the 45 patients,30 patients received HIFU combined with chemotherapy,and the other 15 patients only received HIFU.(2)Among the 45 patients,32 patients had pain relief after HIFU treatment,and the NRS score kept decreased across 1 week,2 weeks,3 weeks and 1 month after HIFU treatment(P<0.05).The pain sensation score of BPI scale also decreased correspondingly,and the difference was statistically significant(P<0.05).(3)The median OS of 45 patients was 11.1 months(95%Cl:9.30-1 2.90),of which 30 patients treated with HIFU combined chemotherapy had a median OS of 12.4 months(95%Cl:9.1 8-15.62),and 15 patients treated with HIFU only had a median OS of 4.6 months(95%Cl:1.11-8.10).(4)No serious adverse events were observed in all patients during and after HIFU treatment.Only 5 patients had asymptomatic mild elevation of blood amylase,and the incidence of mild adverse reactions was 11.1%. Conclusion:HIFU can effectively relieve pain and prolong the median survival time in patients with advanced pancreatic cancer.
3.The effect of warm needling pretreatment for endometrial receptivity of frozen embryo transfer.
Guoqun LUO ; Wenwu SU ; Wenmin MA ; Yanqiu SITU ; Chongju XIE ; Meiqiong YANG
Chinese Acupuncture & Moxibustion 2017;37(8):831-835
OBJECTIVETo explore the effect of warming needling pretreatment for endometrial receptivity before frozen-thawed embryo transfer (FET).
METHODSFifty-six repeatedly embryo transfer (ET) failure patients with ultrasound showing follicular phase endometrium of C type, hysteroscopy examination presenting endometritis were randomly assigned into an observation group (25 cases) and a control group (31 cases). The patients in the observation group three months before ET were treated with antibiotics in the menstrual period, warming needle (once a day) at Zhongwan (CV 12), Tianshu (ST 25), Guanyuan (CV 4), Zhongji (CV 3), Zigong (EX-CA 1), Liangu (ST 34), Zusanli (ST 36), Shangjuxu (ST 37), Xiajuxu (ST 39) after menstruation until the ovulation stopped, and oral administration of progesterone was applied after ovulation. The patients in the control group three months before ET were treated with antibiotics in the menstrual period, and oral administration of progesterone was applied after ovulation. Continuous three menstrual periods were carried out for the both groups. The changes of endometrial thickness, type and endometrial blood flow and the outcome of FET were observed.
RESULTSEndometrial morphology and blood flow were improved after treatment in the two groups (all<0.01), with better results in the observation group (both<0.01). The embryo transplantation rate and pregnancy rate in the observation group were higher than those in the control group (both<0.01), and the early abortion rate decreased (<0.01).
CONCLUSIONSWarm needling may improve endometrial receptivity, embryo transplantation rate and pregnancy rate and decrease early abortion rate by regulating endometrial morphology and blood flow.