ABSTRACT
Objective::To discuss the efficacy of compound Huangteng mixture for acute radiation enteritis (ARE) and to investigate its regulatory effect on serum inflammatory factors. Method::One hundred and forty patients were randomly divided into control group (70 cases) and observation group (70 cases) by random number table. Patients in control group got precise radiotherapy. And take montmorillorillonite powder orally based on the treatment in control group, patients in observation group additionally received compound Huangteng mixture, 1 dose/day. The treatment was continued to the second week after the ending of radiotherapy in both groups. Time of appearance of ARE (1 and 2 levels), irradiation dose and incidence of severe ARE (3 and 4 levels) were recorded. Endoscope examination was conducted at the second week after the ending of radiotherapy. ARE symptom scores and KPS scores of quality of life were graded. Levels of serum interleukin-1 (IL-1), IL-4, IL-6, tumor necrosis factor-α (TNF-α) and C-reactive protein (CRP) were detected both before and after treatment. Result::Time of appearance of ARE (1 and 2 levels) in observation group was shorter than those in control group (P<0.01), and irradiation dose was more than that in control group (P<0.01). At the fourth and fifth week of radiotherapy and at the second week after the ending of radiotherapy, incidence rate of ARE (levels 2 and above) was 42.86%(30/70), 50.00%(35/70) and 54.29%(38/70), all lower than 61.43%(43/70), 68.57%(48/70) and 74.29%(52/70) in control group (χ2=4.837, P<0.05, χ2=5.001, P<0.05, χ2=6.097, P<0.05). After radiotherapy, incidence of ARE was 62.86%(44/70) in observation group, lower than 78.57%(55/70) in control group (χ2=4.173, P<0.05), and the incidence of severeARE was 13.64%(6/44) in observation group, lower than 32.73%(18/55) in control group (χ2=4.851, P<0.05). Scores of endoscope and ARE symptoms in observation group were lower than those in control group, while score of KPS was higher than that in control group (P<0.01). After radiotherapy, levels of IL-1, IL-6, TNF-α and CRP in observation group were lower than those in control group (P<0.01), while level of IL-4 was higher than that in control group (P<0.01). Conclusion::Compound Huangteng mixture combined with radiotherapy can reduce the incidence of ARE, postpone the occurrence of ARE, relieve the severity of ARE, regulate the expression of inflammatory factors, alleviate clinical symptoms, and improve the quality of life in patients withradiotherapy, thus it is conducive to the sequential development of radiotherapy.