中医药研究论丛

233.4 霍香正气散对大肠癌术後与化疗後之中医体质量表(BCQ)问卷疗效评估
TJ TCM.23(3) : 35-64,2020
霍香正气散对大肠癌术後与化疗後之中医
体质量表(BCQ)问卷疗效评估
To Evaluate the Curative Effect of Huoxiang Zhengqi San on Postoperative and Postoperative
Chemotherapy for Colorectal Cancer with a Body Constitution Questionnaire (BCQ) 
张伶祝1 许中华2*
1 台北市立联合医院中兴院区药剂科,台北,台湾
2 台北市立联合医院林森中医昆明院区,台北,台湾
【摘要】
背景:卫福部国民健康署民国102 年癌症报告:结肠及直肠恶性肿瘤(以下统称为大肠癌)发生率排名於男性第1 位,女性第2 位;当年总计有15,140 位、平均每天有41 人罹患大肠癌。大肠癌也高居十大癌症死因第3 名,民国101年共有5,131 人、平均每天有19 人因大肠癌丧命。中医已有数千年历史,中医药是我国重要传统文化之ㄧ,国人对於中医接受度也很高。
方法:本研究收集民国105 年1 月1 日~106 年12 月31 日期间,诊断大肠癌(C18、C19、C20)有接受西医手术与化疗。预计收案24 位分成2 组各12 位,一组只接受西医手术与化疗後大肠癌病人另一组除了接受西医手术与化疗治疗且有中医药(霍香正气散)介入。以问卷方式评估病人是否因中医药(霍香正气散)介入而改善其副作用。
结果:在自己健康满意度分数项目、身体状态评估项目、对自己健康状态项目、营养状况项目:受试组都优於照组评比,体重变化分析:受试组与对照组平均下降比(3.3 公斤:7.8 公斤),两组病人体重变化以Mantel-Haenszel Chi-Square 进行分析是有统计学意义。
结论:中医体质量表(BCQ)问卷,体质类型分为三类型:阴虚、阳虚、痰湿淤滞。分别统计三项分数,三类型评比受试组是优於对照组是有统计学意义。
【关键词】大肠癌、霍香正气散、中医体质量表
 
Lin- Chu Chang1Chung-Hua Hsu2*
1Department of Pharmacy, Zhongxing Branch, Taipei City Hospital, Taipei, Taiwan
2Department of Chinese Medicine, Taipei City Hospital, Linsen, Chinese Medicine, and
Kuming Branch, Taipei, Taiwan
【Summary】
Background: Weifu Ministry of National Health 2013 Cancer Report: The incidence of colon and rectal malignancies (hereinafter collectively referred to as colorectal cancer) ranked first in men and second in women; in total, 15,140 in that year, an average of 41 people per day suffered from large intestine cancer., Colorectal cancer is also ranked third among the top ten cancer deaths. In the Republic of China, there were 5,131 people in 101, and an average of 19 people died every day due to colorectal cancer. Chinese medicine has existed for thousands of years. Chinese medicine is one of the important traditional cultures in our ry. People in China are also very receptive to Chinese medicine.
Method: This study collected the diagnosis of colorectal cancer (C18, C19, C20) from January 1, 2016 to December 31, 2017. It is estimated that 24 patients will be divided into two groups of 12, and one group will only receive Western medicine surgery and chemotherapy. The other group of patients with colorectal cancer will be treated with Western medicine and chemotherapy instead of traditional Chinese medicine (Huoxiang Zhengqi San) improve significantly.
Result: The results of the questionnaire were better than the group evaluation in the self-health satisfaction score item, the physical state assessment item, the self-healthstatus item, and the nutritional status item. The weight change analysis: the average decrease ratio of the test group and the control group (3.3 Kg: 7.8 kg), the changes in body weight of the two groups were statistically significant by Mantel-Haenszel Chi-Square.
Conclusion: Chinese Medicine Body Constitution Questionnaire (BCQ) questionnaire, the physical types are divided into three types: yin deficiency, yang deficiency, phlegm and stasis. Three scores were ed separately, and the three types of evaluation were statistically significant compared with the control group.
【Keywords】Colorectal cancer; Huoxiang Zhengqi San; Body Constitution Questionnaire (BCQ)