目的:研究中药治疗晚期乳腺癌患者内分泌治疗效果及生存期。方法:采用多中心、开放、队列研究方法,选择激素受体阳性的乳腺癌、有骨或软组织转移或无临床症状的肺、肝等脏器转移的晚期乳腺癌患者,三线内分泌治疗选择,接受不同中药治法,试验组配合应用“调畅气机”乳岩宁汤、对照组配合应用其它中医药治疗,观察两组内分泌治疗方案数、生存期的差别。结果:试验组(1个中心,33例)与对照组(4个中心,17例)相比,内分泌治疗方案数明显增多(P〈0.01),复发、转移后的生存期也显著延长(P〈0.01)。结论:中药治疗晚期乳腺癌患者,可以改善内分泌药物使用的依从性,配合内分泌药序贯治疗可能延长激素受体阳性晚期乳腺癌的生存期。
Objective:To study the correlation between strategies of endocrine therapy and the survival of advanced breast cancer patients with the treatment of TCM. Methods :To observe the differentiation of survival between the trial group with the decoction of Ruyanning and control group with other decoctions using multi - centre, open trial. Patients in two groups were treated with endocrine. The breast cancer patients are all postmenopausal with positive hormone receptor,with bone or soft tissue or lung,live metastasis. Results :Endocrine program number was more in the experimental group ( one center, 33 cases ) than in the control group ( four centers, 17 cases). And the survival was prolonger. Conclusion:The method of decoction of Ruyanning and endocrine treatment can prolong the survival of the breast cancer patients with positive hormone receptor.