中西醫整合治療更有效

恭賀!

      本院傳統醫學科戴承杰主任及血液腫瘤科戴承正主任論文「用中藥對接受化療癌症病人肝臟保護及完成化療之成效 」,於200910月被美國實證醫學期刊接受

Mei-Ling Liu, Li-Yin Chien,Cheng-Jeng Tai, Kuan-Chia Lin, Chen-Jei Tai*. Effectiveness of Traditional Chinese Medicine for Liver Protection and Chemotherapy Completion among Cancer Patients, (2009.10) eCAM - ECAM-09-0193.R2 (Accepted)

*通訊作者

Abstract

Purpose:

While traditional Chinese medicine (TCM) is widely used  among Chinese patients with cancer, studies evaluating the effectiveness of TCM using objective indicators are rare. We examined the effectiveness of TCM for liver protection and completion of chemotherapy among patients with cancer receiving chemotherapy.

Patients and methods:

We used a case-control design to examine the medical records of patients with cancer who received chemotherapy in a teaching hospital in Taipei in 2004. A total of 184 courses of chemotherapy among 89 patients were studied. Of the 184 courses, 42 used TCM jointly with chemotherapy served as cases, while the remaining 142 courses served as controls. Outcome variables included counts of cancelled or delayed chemotherapies and liver function (aspartate aminotransferase, AST and alanine aminotransferase, ALT) 1 week before, during, and 2 week after chemotherapy. Generalized estimating equations were used to analyze the data.

Results:

Patients who had concomitant TCM with chemotherapy had lower serum ALT and AST during chemotherapy than the controls given that the age, sex, cancer stage, radiotherapy sites, cancer diagnosis, and potential hepatotoxicity of the chemotherapeutic drugs were controlled for in the model (β = -3.48, 95% CI: -10.08 3.11 for AST; β = -5.95, 95% CI: -11.47 – -0.44 for ALT). There was no significant difference between the case and control groups for odds of completing one course of chemotherapy.

Conclusion:

Use of TCM with chemotherapy resulted in protection of the liver during chemotherapy, as manifested by lower serum AST and ALT levels.

 

Key words: traditional Chinese medicine, liver function, chemotherapy

  

 

結論:中藥能有效保護因化療期間導致之肝功能異常