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目的:观察加味五倍子散敷贴脐部治疗肿瘤化疗后多汗症不同证型的临床疗效.方法:将160例肿瘤化疗后多汗症患者随机分为治疗组80例,对照组80例.对照组予安慰剂贴敷,治疗组予中药贴敷,每天换药一次,7次为一疗程.结果:治疗组痊愈48例,好转25例,无效7例,其中肺卫不固证痊愈19例,好转10例,无效1例;气阴两虚证痊愈27例,好转9例,无效2例;阴虚火旺证痊愈3例,好转5例,无效4例.经统计学比较,治疗组整体疗效优于对照组均(P＜0.05),其中肺卫不固证、气阴两虚证两个分型疗效优于对照组(均P＜0.05),而阴虚火旺证疗效与对照组无明显差异(P＞0.05).结论:加味五倍子散敷脐可有效改善肺卫不固型和气阴两虚型肿瘤化疗患者的多汗症状,但对于辨证为阴虚火旺型的患者,疗效不佳.“,”Objective To observe the clinical efficacy of Jiāwèi Wǔbèizǐ sǎn(加味五倍子散,Supplemented Galla Chinensis Powder) application on the different syndromes of profuse sweating after tumor chemotherapy.Methods One hundred and sixty patients with profuse sweating after tumor chemotherapy were randomly divided into a control group (n=80) and a treatment group (n=80).Placebo application was carried out in the control group,and traditional Chinese medicine application was conducted in the treatment group.Treatment for 7 days was considered as 1 course of treatment.Results In treatment group,48 patients were cured,improvement was found in 25 cases,and ineffectiveness was seen in 7 cases.For the patients with lungwei insecurity syndrome,19 cases were cured,improvement was found in 10 cases,and ineffectiveness was seen in 1 case;for the patients with deficiency of both qi and yin,27 cases were cured,improvement was found in 9 cases,and ineffectiveness was seen in 2 cases;for the patients with vigorous fire due to yin deficiency,3 cases were cured,improvement was found in 5 cases,and ineffectiveness was seen in 4 cases.According to statistical analysis,the total efficacy of treatment group was superior to that of control group (P＜0.05).The efficacy on lung-weiinsecurity and deficiency of both qi and yin of treatment group was superior to that of control group (both P＜0.05),but there was no obvious difference between treatment group and control group in the efficacy on vigorous fire due to yin deficiency (P＞0.05).Conclusion Supplemented Galla Chinensis Powder application on the navel can effectively improve the profuse sweating syndrome of patients in the types of lung-wei insecurity and deficiency of both qi and yin after tumor chemotherapy,but the efficacy is not so good for the patients in the type of vigorous fire due to yin deficiency.