摘要
Objective To investigate the clinical efficacy of modified Banxia Houpu Decoction plus Deanxit for the treatment of cancer-related depression(CRD)of phlegm blended with qi type.Methods Sixty-four CRD patients with phlegm blended with qi type were randomly divided into the treatment group and the control group,with 32 patients in each group.The control group was given oral use of Deanxit,and the treatment group was treated with modified Banxia Houpu Decoction plus Deanxit orally.The course of treatment covered 4 weeks.The changes of Karnofsky Performance Status(KPS)scores,self-rating depression scale(SDS)scores,and traditional Chinese medicine(TCM)syndrome scores in the two groups were observed before and after the treatment.Moreover,the efficacy for improving KPS scores and TCM syndrome efficacy in the two groups were also evaluated.Results(1)After 4 weeks of treatment,the total effective rate for improving KPS scores in the treatment group was 90.63%(29/32),and that in the control group was 78.13%(25/32).The intergroup comparison showed that the efficacy for improving KPS scores in the treatment group was significantly superior to that in the control group(P＜0.01).(2)In terms of the efficacy of TCM syndromes,after 4 weeks of treatment,the total effective rate for improving TCM syndrome scores in the treatment group was 87.50%(28/32),and that in the control group was 40.63%(13/32),and the efficacy of TCM syndromes in the treatment group was significantly superior to that in the control group(P＜0.05).(3)After treatment,the KPS scores in the treatment group were significantly increased compared with those before treatment(P＜0.05),and the KPS scores in the control group tended to increase compared with those before treatment,but the difference was not statistically significant(P＞0.05).The intergroup comparison showed that the effect on increasing KPS scores in the treatment group was significantly superior to that in the control group(P＜0.05).(4)After treatment,the SDS scores in the two groups were lower than those before treatment(P＜0.05),and the effect on lowering SDS scores in the treatment group was significantly superior to that in the control group(P＜0.05).(5)After treatment,the TCM syndrome scores of the two groups were lower than those before treatment(P＜0.05),and the effect on lowering TCM syndrome scores in the treatment group was significantly superior to that in the control group(P＜0.05).Conclusion Modified Banxia Houpu Decoction plus Deanxit exerts certain effect for the treatment of CRD of phlegm blended with qi type.The combined therapy can effectively improve the depression mood and quality of life of the patients,and its efficacy is superior to that of Deanxit alone.
摘要
Objective:The study aimed to characterize the difference of the fungal microbiota between the inflamed and non-inflamed intestinal mucosa in patients with Crohn's disease (CD) and explore the potential relation between their changes and the pathogenesis of CD.Methods:Seven patients with active CD were enrolled and the specimens was obtained from the inflamed and non-inflamed mucos a during operation.Tissue DNA was extracted and then amplified by nested polymerase chain reaction (PCR) with the premier sets NS 1/FR1 and EF390/GC-FR1.Denaturing gradient gel electrophoresis was subsequently conducted to profile the structure and composition of the fungal microbiota.Results:Compared to those of noninflamed region,the species richness and diversity of the fungal microbiota in inflamed region were significantly increased (P ＜ 0.05).The predominant fungal composition in inflamed region was significantly altered,mainly characterized by the increase of opportunistic pathogens including Candida albicans,Candida tropicalis,Gibberella moniliformis,Alternaria brassicicola and Cryptococcus neoformans relative to that of noninflamed region (P ＜ 0.05),compared with those of noninflamed region.Conversely,the proportion of the commensals,for example Saccharomyces cerevisiae,Saccharomy,ces castellii,Penicillum chrysogenum and Laccaria bicolor,were significantly decreased in inflamed region (P ＜ 0.05).Conclusion:The fungal microbiota of the inflamed intestinal mucosa is severely dysbiotic in CD patients.The colonization of some pathogenic fungi could participate and result in inflammatory damage.