中醫治療肺癌化療後氧氣供氧量減輕案例報告

Chinese Medicine Treatment Reduced the Amount of Oxygen Supply after Lung Cancer Chemotherapy-A Case Report

林琬羚(Wan-Ling Lin) ； 蔡金川(Chin-Chuan Tsai)

《中醫內科醫學雜誌》 11卷2期 (2013/12) Pp. 27-37

https://doi.org/10.7102/JTCIM.201312_11(2).0004

摘要

肺癌為台灣十大癌症死因之首，肺癌病人在選擇治療的方式之中，由於疾病嚴重程度或屬性，選擇化學治療者相較手術、放射線治療、免疫治療或是緩和照護所佔的比率較多。化學治療雖然可以有效的遏止疾病的發展，但依所使用的治療製劑，有時會導致令人不舒服的副作用。此篇文章報告一例患者在接受肺癌化學治療後衍生肺部積水、氧氣需求不足的情況下，接受中藥生脈散加減方治療後，症狀改善並於狀況穩定下出院。

關鍵字

肺癌 ； 化學治療 ； 生脈散

並列摘要

Lung cancer is the first lead cause of cancer death in Taiwan in 2012. Most patients with lung cancer choose chemotherapy as treatment other than surgery, radiation therapy, immune therapy or palliative therapy according to their stage of disease. Chemotherapy is an effective way to stop the progression of lung cancer. However, it brings some side effects. This study reports complementary Chinese Medicine treatment was applied for a patient with lung cancer who received Chemotherapy and pleura effusion occurred. The oxygen demand was decreasing under the complementary Chinese Medicine treatment. The patient then discharged under a stable condition.

並列關鍵字

lung cancer ； chemotherapy ； Shen-Mai San

參考文獻

衛生福利部統計處：http://www.mohw.gov.tw/cht/DOS/Statistic.aspx?f_list_no=312&fod_list_no=2746

衛生福利部國民健康署：http://www.hpa.gov.tw/BHPNet/Web/Stat/StatisticsShow.aspx?No=201305060001

Rajeswaran, A,Trojan, A,Burnand, B(2008).Efficacy and side effects of cisplatin- and carboplatin-based doublet chemotherapeutic regimens versus non-platinum-based doublet chemotherapeutic regimens as first line treatment of metastatic non-small cell lung carcinoma: A systematic review of randomized controlled trials.Lung Cancer.59,1-11.

Azzoli, Christopher G.,Baker, Sherman, Jr,Temin, Sarah,Pao, William,Aliff, Timothy,Brahmer, Julie,Johnson, David H.,Laskin, Janessa L.,Masters, Gregory,Milton, Daniel,Nordquist, Luke,Pfister, David G.,Piantadosi, Steven,Schiller, Joan H.,Smith, Reily,Smith, Thomas J.,Strawn, John R.,Trent, David,Giaccone, Giuseppe(2009).American Society of Clinical Oncology Clinical Practice Guideline Update on Chemotherapy for Stage IV Non-Small-Cell Lung Cancer.JCO.27(36),6251-6266.

Liu, P,Cao, Y,Qiao, X(2000).Clinical study on shenmai injection in promoting postoperative recovery in patients of breast cancer.Zhongguo Zhong Xi Yi Jie He Za Zhi.20,328-329.