扶正益气方联合曲妥珠单抗治疗HER-2阳性乳腺癌临床研究
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R737.9;R273

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Clinical Study on Fuzheng Yiqi Prescription Combined with Trastuzumab for HER- 2 Positive Breast Cancer
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    摘要:

    目的:观察扶正益气方联合曲妥珠单抗治疗人表皮生长因子受体-2(HER-2) 阳性乳腺癌的临床 疗效。方法:对75 例HER-2 阳性乳腺癌患者进行回顾性研究,根据治疗方案分为中医联合组39 例和对照组 36 例。对照组给予多柔比星脂质体+多西他赛+紫杉醇+曲妥珠单抗静脉注射治疗,中医联合组在对照组基础上 联合扶正益气方治疗,疗程均为18 周。比较2 组患者疗程结束后肿瘤复发和转移情况、无病生存期,比较 2 组治疗前后中医证候积分、癌症治疗功能评分(FACT-G) 和血清癌胚抗原(CEA)、糖类抗原153(CA153) 含量。结果:中医联合组(完全缓解+部分缓解) 率58.97%,高于对照组44.44%(P<0.05)。治疗前,2 组中 医证候积分比较,差异无统计学意义(P>0.05);治疗后,2 组中医证候积分均降低(P<0.05),且中医联合 组低于对照组(P<0.05)。治疗后中医联合组无病生存期长于对照组(P<0.05)。治疗前,2 组FACT-G 评分 比较,差异无统计学意义(P>0.05);治疗后,2 组FACT-G 评分均降低(P<0.05),且中医联合组低于对照 组(P<0.05)。治疗前,2 组血清CEA、CA153 水平比较,差异无统计学意义(P>0.05);治疗后,2 组血清 CEA、CA153 水平均降低(P<0.05),且中医联合组低于对照组(P<0.05)。结论:扶正益气方联合曲妥珠单 抗治疗HER-2 阳性乳腺癌有助于延长患者术后无病生存期,延缓病情,提高患者生活质量。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Fuzheng Yiqi Formula Prescription with Trastuzumab for human epidermal growth factor receptor 2 (HER- 2) positive breast cancer. Methods: A total of 75 cases of patients with HER-2 positive breast cancer were retrospectively studied and divided into the Chinese medicine combination group and the control group according to the treatment plan , with 39 and 36 cases in each group respectively. The control group was treated with intravenous injection with Doxorubicin Liposome,Docetaxe,Paclitaxel,and Trastuzumab,and the Chinese medicine combination group was additionally treated with Fuzheng Yiqi Prescription based on the treatment of the control group. Both groups were treated for 18 weeks. The recurrence and metastasis of tumor, and the disease- free survival after treatment were compared between the two groups. Traditional Chinese medicine syndrome (TCM) scores, Functional Assessment of Cancer Therapy (FACT- G) , and the contents of carcinoembryonic antigen (CEA) and carbohydrate antigen 153 (CA153) in serum in the two groups were compared before and after treatment. Results: The rate of complete remission (CR) and partial remission (PR) was 58.97% in the Chinese medicine combination group,higher than that of 44.44% in the control group (P<0.05). Before treatment, there was no significant difference being found in the comparison of TCM syndrome scores between the two groups (P>0.05). After treatment,TCM syndrome scores in the two groups were decreased (P<0.05),and the score in the Chinese medicine combination group was lower than that in the control group (P<0.05). After treatment,the disease-free survival time in the Chinese medicine combination group was longer than that in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of FACT-G scores between the two groups (P>0.05). After treatment,FACT-G scores in the two groups were decreased (P<0.05), and the score in the Chinese medicine combination group was lower than that in the control group (P<0.05). Before treatment,there was no significant difference being found in the comparison of the levels of CEA and CA153 in serum between the two groups (P>0.05). After treatment,the levels of CEA and CA153 in serum in the two groups were decreased (P<0.05),and the levels in the Chinese medicine combination group were lower than those in the control group (P<0.05). Conclusion: Fuzheng Yiqi Prescription combined with Trastuzumab for HER- 2 positive breast cancer can prolong the postoperative disease-free survival,postpone the disease,and improve the quality of life of patients.

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孙亚飞,王振,何苗.扶正益气方联合曲妥珠单抗治疗HER-2阳性乳腺癌临床研究[J].新中医,2023,55(11):160-163

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  • 在线发布日期: 2023-06-16
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