补肺化瘀汤对老年非小细胞肺癌术后化疗 血清肿瘤标志物及免疫功能的影响
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R734.2

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Effect of Bufei Huayu Tang on Serum Tumor Markers and Immune Function in Senile Patients with Non-Small Cell Lung Cancer After Postoperative Chemotherapy
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    摘要:

    目的:观察补肺化瘀汤对老年非小细胞肺癌术后化疗后患者血清肿瘤标志物及免疫功能的影响。方法:将98 例老年早期非小细胞肺癌患者按随机数字表法分为对照组和观察组各49 例。2 组均接受肺癌根治术及术后辅助化疗,对照组常规予止吐等对症处理,观察组在对照组基础上应用补肺化瘀汤治疗。比较2 组治疗前后血清癌胚抗原(CEA)、糖链抗原125(CA125) 以及细胞角蛋白19 片断(CYFRA21-1) 水平,检测CD3+,CD4+,CD8+及CD4+/CD8+水平,比较2 组癌症患者生命质量测定量表(FACT-G) 评分的变化。结果:治疗后,2 组血清CEA、CA125 及CYFRA21-1 水平较治疗前降低(P<0.05),且观察组血清CEA、CA125 及CYFRA21-1 水平低于对照组(P<0.05)。治疗后,观察组CD3+、CD4+及CD4+/CD8+较治疗前升高,且高于对照组(P<0.05);对照组CD3+、CD4+及CD4+/CD8+较治疗前降低(P<0.05)。治疗后,2 组FACT-G 评分较治疗前升高(P<0.05),观察组FACT-G 评分高于对照组(P<0.05)。结论:补肺化瘀汤应用于老年非小细胞肺癌术后化疗患者,可以有效降低血清肿瘤标志物水平,提高患者的免疫功能和生活质量。

    Abstract:

    Abstract:Objective:To observe the effect of Bufei Huayu tang on serum tumor markers and immune function in senile patients with non- small cell lung cancer after postoperative chemotherapy. Methods:A total of 98 cases of senile patients with early- stage non- small cell lung cancer were divided into the control group and the observation group according to the random number table method, with 49 cases in each group. Both groups were given radical operation of lung cancer and postoperative adjuvant chemotherapy; the control group was given routine symptomatic treatment including antiemetics, and the observation group was additionally treated with Bufei Huayu tang based on the treatment of the control group. The levels of carcinoembryonic antigen(CEA), carbohydrate antigen 125(CA125) and cytokeratin fragment 19(CYFRA21- 1) in serum before and after treatment in the two groups were compared;the levels of CD3+,CD4+,CD8+ and CD4+/CD8+ were detected; the changes in Functional Assessment of Cancer Therapy- General(FACT- G) scores in the two groups were compared. Results:After treatment,the levels of CEA,CA125 and CYFRA21-1 in serum in the two groups were decreased when compared with those before treatment(P<0.05),and the above levels in the observation group were lower than those in the control group(P<0.05). After treatment, the levels of CD3 + , CD4 + and 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 CD3+,CD4+ and CD4+/CD8+ in the control group were decreased when compared with those before treatment (P<0.05). After treatment,FACT-G scores in the two groups were increased when compared with those before treatment (P<0.05), and the score in the observation group was higher than that in the control group(P<0.05). Conclusion: The application of Bufei Huayu tang for senile patients with non- small cell lung cancer after postoperative chemotherapy can effectively reduce the levels of serum tumor markers,and improve their immune function and quality of life.

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崔碧贤,戴晓珺.补肺化瘀汤对老年非小细胞肺癌术后化疗 血清肿瘤标志物及免疫功能的影响[J].新中医,2022,54(11):184-187

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  • 在线发布日期: 2022-06-10
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