抗癌生髓煎防治中晚期非小细胞肺癌化疗后骨髓抑制临床研究
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R734.2

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浙江省中医药科技计划项目(2018ZB133)


Clinical Study on Kang'ai Shengsui Decoction for the Prevention and Treatment of Myelosuppression after the Chemotherapy in Intermediate and Advanced Non-small Cell Lung Cancer
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    摘要:

    目的:观察抗癌生髓煎防治中晚期非小细胞肺癌化疗后骨髓抑制的临床疗效。方法:将104例中晚期非小细胞肺癌患者随机分为对照组和观察组各52例。对照组患者予TP方案化疗,化疗过程中出现骨髓抑制则给予重组人粒细胞刺激因子注射液皮下注射,观察组在对照组基础上加用抗癌生髓煎治疗,21天为1个疗程,2组均连用3个疗程。观察患者骨髓抑制的发生情况,检测化疗前后T淋巴细胞亚群CD4+、CD8+,免疫球蛋白,自然杀伤(NK)细胞,白细胞计数(WBC),血红蛋白(Hb),血小板计数(BPC)水平,记录治疗过程中不良反应发生情况。结果:观察组、对照组的骨髓抑制发生率分别为13.46%、46.15%,观察组骨髓抑制发生率低于对照组(P<0.05)。治疗后,2组T淋巴细胞CD4+、CD4+/CD8+、IgA、IgG、IgM及NK细胞水平均较治疗前升高,CD8+水平均较治疗前下降,差异均有统计学意义(P<0.05)。与对照组比较,治疗后观察组上述6项指标上升/下降更明显(P<0.05)。治疗后,2组WBC、Hb、BPC含量均较治疗前降低(P<0.05)。治疗后组间比较,观察组WBC、Hb、BPC含量均高于对照组(P<0.05)。观察组、对照组不良反应发生率分别为11.54%、30.77%,观察组不良反应发生率低于对照组(P<0.05)。结论:抗癌生髓煎能降低中晚期非小细胞肺癌化疗后骨髓抑制发生率,提高患者的免疫功能,减轻不良反应。

    Abstract:

    Objective:To observe the clinical effect of Kang'ai Shengsui decoction for the preve ntion and treatment of myelosuppression after the chemotherapy in intermediate and advanced non-small cell lung cancer.Methods:Divided 104 cases of patients with intermediate and advanced non-small cell lung cancer into the control group and the observation group randomly,with 52 cases in each group.Both groups were given TP regimen intervention,and if myelosuppression occurred during the chemotherapy,the control group would be given subcutaneous injection of recombinant human granulocyte colony-stimulating factor, while the observation group was additionally given Kang'ai Shengsui decoction, 21 days constituting one therapeutic course,and both groups were continuously treated for three courses.Observed the occurrence of myelosuppression in patients,detected the levels of CD4+and CD8+,immunoglobulin,natural killer(NK)cells,white blood cell count(WBC), hemoglobin(Hb), and platelet(BPC)in T lymphocyte subsets before and after chemotherapy and recorded the occurrence of adverse reactions during the treatment.Results:The incidence of myelosuppression in the observation group and the control group was 13.46% and 46.15% respectively and the incidence of myelosuppression in the observation group was lower than that in the control group(P < 0.05).After treatment,the levels of Tlymphocyte CD4+,CD4+/CD8+,IgA,IgG,IgM and NK cells in the two groups were all increased when compared with those before treatment and the levels of CD8+were decreased when compared with those before treatment,differences being significant(P < 0.05).Compared with those in the control group,six indexes mentioned above in the observation group were increased/decreased more obviously after treatment(P< 0.05).After treatment,the contents of WBC,Hb and BPC in the two groups were all decreased when compared with those before treatment(P< 0.05).Compared the two groups after treatment,the contents of WBC,Hb and BPC in the observation group were all higher than those in the control group(P<0.05).The incidence of adverse reactions in the observation group and the control group was 11.54% and 30.77% respectively and the incidence of adverse reactions in the observation group was lower than that in the control group(P<0.05).Conclusion:The application of Kang'ai Shengsui decoction can reduce the incidence of myelosuppression after the chemotherapy in intermediate and advanced non-small cell lung cancer,enhance the immune function of patients,and relieve the adverse reactions.

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余达,张凌燕.抗癌生髓煎防治中晚期非小细胞肺癌化疗后骨髓抑制临床研究[J].新中医,2020,52(2):112-116

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  • 在线发布日期: 2020-01-14
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