益肺清化颗粒联合含铂两药化疗方案及卡瑞利珠单抗治疗 晚期非小细胞肺癌疗效观察及对细胞毒T 细胞的影响
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R734.2

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河南省科技攻关项目(202102310172);河南省医学科技攻关计划联合共建项目(LHGJ20230402)


Observation on Curative Effect of Yifei Qinghua Granules Combined with Platinum- Based Doublet Chemotherapy Regimen and Camrelizumab on Advanced Non-Small Cell Lung Cancer and Its Effect on Cytotoxic T Cells
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    摘要:

    目的:观察益肺清化颗粒联合含铂两药化疗方案及卡瑞利珠单抗治疗晚期非小细胞肺癌(NSCLC) 的临床疗效及对细胞毒T(Tc) 细胞的影响。方法:将110例2021年1月—2023年8月郑州大学附属肿瘤医院 收治的晚期NSCLC患者按随机数字表法分为对照组、观察组各55例。对照组采用含铂两药化疗方案及卡瑞利 珠单抗治疗,观察组在对照组的基础上加用益肺清化颗粒。比较2组中医证候评分、免疫功能相关指标[Tc细 胞、自然杀伤(NK) 细胞和调节性T(Treg) 细胞]、不良反应和临床疗效。结果:观察组客观缓解率、疾病 控制率分别为65.45%(36/55)、94.55%(52/55),对照组分别为36.36%(20/55)、80.00%(44/55),2组比较, 差异均有统计学意义(P<0.05)。治疗后,2组中医证候评分均较治疗前降低(P<0.05),且观察组评分低于 对照组(P<0.05)。2组Tc、NK细胞占比较治疗前增加(P<0.05),Treg细胞占比较治疗前降低(P<0.05); 且观察组Tc、NK细胞占比高于对照组(P<0.05),Treg细胞占比低于对照组(P<0.05)。观察组不良反应发 生率为21.82%(12/55),对照组为41.82%(23/55),2组比较,差异有统计学意义(P<0.05)。结论:益肺清 化颗粒联合含铂两药化疗方案及卡瑞利珠单抗治疗晚期NSCLC可提高临床疗效,有效改善中医证候及免疫功 能,减轻化疗的毒副反应。

    Abstract:

    Abstract: Objective: To observe the clinical effect of Yifei Qinghua Granules combined with platinum-based doublet chemotherapy regimen and Camrelizumab on advanced non-small cell lung cancer (NSCLC) and its effect on cytotoxic T (Tc) cells. Methods:A total of 110 cases of patients with advanced NSCLC were divided into the control group and the observation group according to the random number table method,with 55 cases in each group. The control group was treated with platinum-based doublet chemotherapy regimen and Camrelizumab, and the observation group was additionally treated with Yifei Qinghua Granules in addition to the treatment given to the control group. The traditional Chinese medicine (TCM) syndrome scores, immune function-related indicators [Tc cells, natural killer (NK) cells,and regulatory T (Treg) cells],adverse reactions,and clinical effects were compared between the two groups. Results:The objective remission rate and disease control rate were 65.45%(36/55) and 94.55%(52/55) respectively in the observation group and 36.36%(20/55) and 80.00%(44/55) respectively in the control group,with significant differences between the two groups (P<0.05). After treatment,TCM syndrome scores in the two groups were decreased when compared with those before treatment (P<0.05), with the observation group scoring lower than the control group (P<0.05). After treatment, the proportions of Tc and NK cells in the two groups were increased when compared with those before treatment (P<0.05), and the proportions of Treg cells were decreased (P<0.05); the observation group had higher proportions of Tc and NK cells and a lower proportion of Treg cells compared to the control group( P<0.05). The incidence of adverse reactions was 21.82%(12/55)in the observation group and 41.82%(23/55)in the control group, with a significant difference between the two groups (P<0.05). Conclusion: Yifei Qinghua Granules combined with platinum-based doublet chemotherapy regimen and Camrelizumab can enhance clinical efficacy,effectively improve TCM syndromes and immune function,and reduce the toxic side effects of chemotherapy in the treatment of advanced NSCLC.

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张丽红,庄志江,崔云.益肺清化颗粒联合含铂两药化疗方案及卡瑞利珠单抗治疗 晚期非小细胞肺癌疗效观察及对细胞毒T 细胞的影响[J].新中医,2025,57(2):127-131

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  • 在线发布日期: 2025-02-05
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