highly significantp < 0.001
Intragroup comparisons revealed significant improvement in the control group ( p = 0.024) and a highly significant improvement in the treatment group ( p < 0.001), indicating that the combined regimen achieved a more pronounced and clinically meaningful effect ( Table 2 ) 3.3 Survival analysis During the 6-month follow-up period, survival rates showed a gradual decline in both groups; however, the treatment group consistently demonstrated significantly higher survival rates than the control group at all predefined assessment time points (30, 90, and 180 days).