清肺合剂对晚期非小细胞肺癌化疗患者免疫功能的影响
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R734.2

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浙江省杭州市科委项目(20150633830)


Effect of Qingfei Mixture on Immune Function in Patients with Advanced NSCLC
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    摘要:

    目的:观察清肺合剂对晚期非小细胞肺癌化疗患者免疫功能的的影响。方法:纳入82例晚期非小细胞肺癌患者,随机分为观察组和对照组各41例。对照组采取常规剂量化疗,观察组在化疗基础上予清肺合剂连续治疗8周。观察2组患者治疗前后T淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)、自然杀伤细胞(NK)、血清免疫球蛋白(IgA、IgG、IgM)等指标的变化,采用CT评价实体肿瘤大小。结果:治疗后,观察组实体瘤疗效总有效率为68.29%,高于对照组的43.90%,差异有统计学意义(P<0.05)。对照组CD8+水平较治疗前下降(P<0.05),其他指标与治疗前比较均无统计学差异(P>0.05);观察组NK、CD3+、CD4+和CD4+/CD8+均较治疗前升高(P<0.05),并高于对照组(P<0.05),CD8+水平较治疗前下降(P<0.05),并低于对照组(P<0.05)。观察组IgG、IgA、IgM水平较治疗前升高(P<0.05),并高于对照组(P<0.05)。结论:在化疗的同时采用清肺合剂治疗晚期热毒炽盛型非小细胞肺癌患者,可改善患者的免疫功能,提高治疗效果。

    Abstract:

    Objective:To observe the effect of Qingfei mixture on immune function in patients with advanced non-small cell lung cancer with chemotherapy.Methods:Divided 82 cases of patients with advanced non-small cell lung cancer into observation group and the control group,41 casesin each group.The control group receivedconventional dose chemotherapy,while the observation group was additionally given Qingfei mixture as treatment for 8 weeks based on chemotherapy.Detected the changes of T-lymphocyte subsets(CD3+,CD4+,CD8+,CD4+/CD8+),natural killer(NK),serum immune globulin(IgA,IgG,IgM)in two groups.Evaluated the solid tumor size with CT.Results:After treatment,the total effective rate for curative effect of solid tumor was 68.29%in the observation group,being higher than 43.90%in the control group(P<0.05).CD8+levels in the control group were decreased when compared with those before treatment(P<0.05),while no significant difference being found in other indexes when compared with before treatment(P< 0.05).The levels of NK,CD3+,CD4+,CD4+/CD8+in the observation group were increased when compared with those before treatment(P< 0.05)and were higher than those in the control group(P<0.05).The levels of CD8+were decreased when compared with those before treatment(P<0.05),and were lower than those in the control group(P<0.05).The levels of IgG,IgA,IgM were increased in the observation group when compared with those before treatment(P<0.05)and were higher than those in the control group(P< 0.05).Conclusion:Based on chemotherapy,additional application of Qingfei mixture in treating advanced toxic heat flourishing type patients with NSCLC can improve the curative effect and immune function of the patients.

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王丽丽,石磊,钱祥,李召东.清肺合剂对晚期非小细胞肺癌化疗患者免疫功能的影响[J].新中医,2018,50(1):105-107

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  • 在线发布日期: 2018-01-05
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