康莱特注射液治疗化疗后非小细胞肺癌临床研究
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R734.2

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Clinical Study on Kanglaite Injection for Non-Small Cell Lung Cancer After Chemotherapy
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    摘要:

    目的:观察康莱特注射液对化疗后非小细胞肺癌患者的临床效果。方法:将98 例非小细胞肺癌患者按随机数字表法分成对照组和观察组各49 例。对照组采用GP 化疗方案治疗,观察组在对照组的基础上给予康莱特注射液治疗,21 d 为1 个周期,2 组均治疗2 个周期。比较2 组近期临床疗效、免疫功能(CD8+、CD4+、CD3+及CD4+/CD8+水平)、血液毒性[检测血小板计数(BPC)、血红蛋白(Hb) 及白细胞计数(WBC) 水平进行评价],以及血清组织蛋白酶抑制剂-1(TIMP-1)、基质金属蛋白酶9(MMP-9) 水平变化。结果:观察组有效控制率、总有效率分别为83.67%、36.73%,对照组分别为77.55%、32.65%,2 组比较,差异均无统计学意义(P>0.05)。治疗后,2 组CD8+、CD4+、CD3+及CD4+/CD8+水平较治疗前降低(P<0.05);但观察组CD8+、CD4+、CD3+水平均高于对照组(P<0.05),而2 组间CD4+/CD8+值比较,差异无统计学意义(P>0.05)。治疗后,2 组MMP-9 较治疗前降低(P<0.05),且观察组MMP-9 含量低于对照组(P<0.05)。2 组TIMP-1 水平治疗前后比较,差异无统计学意义(P>0.05)。观察组BPC、Hb、WBC 毒性反应分级疗效优于对照组,差异有统计学意义(P<0.05)。结论:康莱特注射液可提高非小细胞肺癌化疗患者机体免疫功能,降低血液毒性影响,临床疗效显著。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Kanglaite Injection for patients with non-small cell lung cancer after chemotherapy. Methods:A total of 98 cases of patients with non-small cell lung cancer were divided into the control group and the observation group according to the random number table method,49 cases in each group. The control group was treated with GP chemotherapy scheme, and the observation group was additionally treated with Kanglaite injection based on the treatment of the control group. Both groups were treated for two treatment cycles,21 days being one cycle. The clinical effect in the short term was compared between the two groups. The comparison of the changes in immune function evaluated by levels of CD8 + , CD4 + , CD3 + and CD4 +/CD8 + , hematological toxicity evaluated by levels of blood platelet count(BPC), hemoglobin(Hb) and white blood cell(WBC), tissue inhibitors of metalloproteinase- 1(TIMP- 1), and matrix metalloprotein 9(MMP-9) in serum between the two groups was carried out. Results:The effective control rate and total effective rate was 83.67% and 36.73% in the observation group,and 77.55% and 32.65% in the control group,there being no significance in differences(P>0.05). After treatment,the levels of CD8+,CD4+,CD3+ and CD4+/CD8+ in the two groups were decreased when compared with those before treatment(P<0.05);but the levels of CD8+,CD4+ and CD3+ in the observation group were higher than those in the control group(P<0.05);there was no significant difference being found in the comparison of CD4 +/CD8 + between the two groups(P>0.05). After treatment, MMP- 9 in the two groups was decreased when compared with that before treatment(P<0.05),and the content of MMP-9 in the observation group was lower than that in the control group(P<0.05). There were little changes in levels of TIMP- 1 in the two groups before and after treatment(P>0.05). The curative effect of BPC,Hb,and WBC in terms of the toxicity grading in the observation group was better than that in the control group,the difference being significant(P<0.05). Conclusion:Kanglaite Injection can improve the immune function of patients with non- small cell lung cancer undergoing chemotherapy, and reduce the effect of hematological toxicity,with significant clinical effect.

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詹莉琼,卢晏民.康莱特注射液治疗化疗后非小细胞肺癌临床研究[J].新中医,2021,53(9):115-118

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  • 在线发布日期: 2021-05-12
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