台灣中醫住院對癌症病患的輔助治療之評估

The Therapeutic Efficacy of Traditional Chinese Medicine Hospitalization Combined with Conventional Western Medicine among Cancer Patients in Taiwan

楊晉瑋(Ching-Wei Yang) ； 楊賢鴻(Sien-Hung Yang) ； 吳宜鴻(Yi-Hong Wu) ； 喬聖琳(Shen-Lin Chiao) ； 陳星諭(Hsing-Yu Chen) ； 陳俊良(Jiun-Liang Chen)

《中醫藥雜誌》 23卷2期 (2012/12) Pp. 153-163

https://doi.org/10.6940/JCM.201212_23(2).05

摘要

Objective: To investigate the therapeutic efficacy of adjuvant traditional Chinese medicine (TCM) hospitalization among cancer patients in Taiwan. Materials and Methods: 30 cancer patients were enrolled in this retrospective study. To analyze and compare the quality of life in cancer patients before and after TCM hospitalization, we collected the data of body weight change and the EORTC QLQ-C30 scores. The results were analyzed by paired and independent t-test statistic methods via SPSS (version 19.0) with P-value less than 0.05 being significant. Results: (1) The average weight elevation (P=0.003) and the global health status improvement (P=0.001) were found in all patients, irrespective of gender or cancer type. (2) A decrease of fatigue in patients with oral and nasopharyngeal cancer compared with other cancer was also noticeable (P=0.021). Conclusion: This article was the first pilot study to explore the therapeutic efficacy of TCM hospitalization combined with conventional western medicine among cancer patients in Taiwan. Weight gain and improved global health status were found in all patients, irrespective of gender or cancer type. Fatigue in patients with oral and nasopharyngeal cancer also lessened. No severe adverse complications happened during TCM hospitalization. It will need more patients and more rigorous clinical studies to confirm the true adjuvant medical value in the future. In addition, bedside teaching at the TCM wards compensated for the lack of clinical teaching in Chinese medicine, which was usually carried out through out-patient clinics and consultation in Taiwan.

關鍵字

腫瘤 ； 化學治療 ； 放射線治療 ； 傳統中醫 ； 體重減輕 ； 生活品質

並列摘要

Objective: To investigate the therapeutic efficacy of adjuvant traditional Chinese medicine (TCM) hospitalization among cancer patients in Taiwan. Materials and Methods: 30 cancer patients were enrolled in this retrospective study. To analyze and compare the quality of life in cancer patients before and after TCM hospitalization, we collected the data of body weight change and the EORTC QLQ-C30 scores. The results were analyzed by paired and independent t-test statistic methods via SPSS (version 19.0) with P-value less than 0.05 being significant. Results: (1) The average weight elevation (P=0.003) and the global health status improvement (P=0.001) were found in all patients, irrespective of gender or cancer type. (2) A decrease of fatigue in patients with oral and nasopharyngeal cancer compared with other cancer was also noticeable (P=0.021). Conclusion: This article was the first pilot study to explore the therapeutic efficacy of TCM hospitalization combined with conventional western medicine among cancer patients in Taiwan. Weight gain and improved global health status were found in all patients, irrespective of gender or cancer type. Fatigue in patients with oral and nasopharyngeal cancer also lessened. No severe adverse complications happened during TCM hospitalization. It will need more patients and more rigorous clinical studies to confirm the true adjuvant medical value in the future. In addition, bedside teaching at the TCM wards compensated for the lack of clinical teaching in Chinese medicine, which was usually carried out through out-patient clinics and consultation in Taiwan.

並列關鍵字

cancer ； chemotherapy ； radiation therapy ； traditional Chinese medicine ； weight loss ； quality of life