Reducing postsurgical exudate in breast cancer patients by using San Huang decoction to ameliorate inflammatory status: a prospective clinical trial

Current oncology

Z. Y. Zhu¹  J. X. Xue²  L. X. Yu³ 

[1] Affiliated Hospital of Nanjing University of Traditional Chinese Medicine, P.R.C;Hospital of Catholic University of Daegu;Hospital of Nanjing University of Traditional Chinese Medicine

关键词: Breast cancer surgery;    complementary medicine;    exudate;    flaps;    inflammation;    inflammatory factors;    San Huang decoction;    Traditional Chinese Medicine;    tcm;   

DOI  :  10.3747/co.25.4108

学科分类：肿瘤学

来源: Multimed, Inc.

【 摘 要 】

BackgroundReducing inflammatory factors in wound exudate is a promising treatment approach for healing wounds in postsurgical breast cancer patients. Traditional Chinese Medicine (tcm) treatments have been shown to be beneficial and safe for optimal regulation of oxidative stress during the postoperative period. In the present clinical trial, we evaluated the effectiveness of a promising Chinese herbal formula, San Huang decoction [shd (Radix astragali, Radix et rhizoma rhei, and Rhizoma curcuma longa, 3:1:1; supplemental Table 1)], on wound inflammatory response after mastectomy. MethodsThe study randomized 30 patients with breast cancer who fulfilled the inclusion and exclusion criteria to either a treatment ( n= 15) or a control group ( n= 15). Patients in the treatment group received liquid shd, taken twice daily with or without food. Treatment was given for 1 day before surgery and for 7 days postoperatively. Participants in the control group received a placebo on the same schedule as the treatment group. Outcomes measured in every subject included clinical tcm and wound inflammation symptom scores, daily and total amounts of drainage fluid, and levels of inflammatory factors in the exudate [tumour necrosis factor α (tnf-α), interleukins 6 (il-6), 8 (il-8), and 2R (il-2R), human C-reactive protein (crp)] at 2 hours and on days 1, 3, and 7 postoperatively. ResultsThe total amount of drainage fluid over 7 days was significantly lower in the treatment group (572.20 } 93.95 mL) than in the control group (700.40 } 107.38 mL). The tcm symptom score was also lower in treatment group (day 7: 1.87 } 0.83 vs. 4.80 } 3.61,p= 0.049), as was the inflammatory symptom score (day 7: 0.67 } 0.72 vs. 3.67 } 2.50,p= 0.001). Levels of tnf-α, il-6, il-8, il-2R, and crp in drainage fluid were significantly lower with shd treatment. ConclusionsPerioperative treatment with shd effectively lessened postoperative exudate and ameliorated inflammatory symptoms in patients who underwent surgery for breast cancer..

【 授权许可】

Unknown