调枢化瘀方干预血瘀体质肺结节的临床研究
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重庆市科卫联合中医药科研重点项目(2024ZYZD003);


Clinical study on the intervention of blood stasis constitution pulmonary nodules with Tiao Shu Hua Yu Formula
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    摘要:

    目的:探讨调枢化瘀方对血瘀体质肺结节的临床疗效及安全性。方法:纳入60例血瘀体质肺结节患者为研究对象,按照治疗方式不同将患者分为治疗组与对照组,每组各30例。治疗组采用调枢化瘀方治疗,治疗周期为3个月;对照组不予干预。结果:治疗组肺结节治疗总有效率为33.33%,中医证候疗效愈显率为66.67%,均优于对照组(P<0.01)。治疗后,两组肺结节直径、横截面积缩小,血瘀体质症候积分降低,差异有统计学意义(P<0.01)。多元有序Logistic回归分析显示,病程、性别、肺结节性质对疗效有显著影响(P<0.05)。药物安全性评价表明,调枢化瘀方安全性较好。结论:调枢化瘀方能改善血瘀体质肺结节患者的血瘀体质相关症状,缩小部分肺结节的面积,且安全性良好。

    Abstract:

    Objective:To investigate the clinical efficacy and drug safety of the Tiaoshu Huayu Formula in the treatment of pul-monary nodules in patients with blood stasis constitution.Methods:60 patients with pulmonary nodules and blood stasis constitution were selected and divided into the treatment group and the control group according to different treatment methods,with 30 cases in each group.The treatment group was treated with the Tiaoshu Huayu Formula for a treatment period of 3 months,while the control group re-ceived no intervention.Results:Between-group comparison showed that the total effective rate of pulmonary nodules in the treatment group was 33.33%,and the significant improvement rate of TCM syndrome was 66.67%,both of which were superior to those in the control group,with significant differences(P<0.01).Within-group comparison showed that after treatment,the diameter and cross-sec-tional area of pulmonary nodules decreased,and the syndrome score of blood stasis constitution reduced,with significant differences(P<0.01).Multivariate ordinal Logistic regression analysis indicated that disease duration,gender,and the nature of pulmonary nod-ules had significant effects on the therapeutic effect(P<0.05).Drug safety evaluation demonstrated that the Tiaoshu Huayu Formula had good safety.Conclusion:The Tiaoshu Huayu Formula can improve the symptoms related to blood stasis constitution in patients with pulmonary nodules,reduce the area of some pulmonary nodules,and has good safety.

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周钰浩;张鑫;刘文华;李巧;万佳颖;谢才德;万鹏;.调枢化瘀方干预血瘀体质肺结节的临床研究[J].川北医学院学报,2025,40(5):611-614.

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  • 在线发布日期: 2025-07-09
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