仙芪扶正颗粒联合三焦针法对Ⅲ-Ⅳ期结直肠癌患者免疫及CEA、CA724的影响
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山东省重点研发计划项目(2019GSF108245);山东省中医药科技发展计划项目(2019-0684);烟台市科技计划项目(2019YD049)


Effects of Xianqi Fuzheng Granule Combined with Sanjiao Acupuncture on Immunity,CEA and CA724 in Patients with Ⅲ-Ⅳ Colorectal Cancer
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    摘要:

    目的:探究仙芪扶正颗粒联合三焦针法对Ⅲ-Ⅳ期结直肠癌患者免疫功能及CEA、CA724的影响。方法:选取2018年9月至2019年9月烟台市中医医院收治的Ⅲ-Ⅳ期结直肠癌患者66例作为研究对象,随机分为观察组和对照组,每组33例。对照组接受化疗+安慰剂颗粒+安慰针法,观察组接受化疗+仙芪扶正颗粒+三焦针刺,均以14 d为1个周期,2组均治疗4个周期。比较2组患者癌因性疲乏情况、生命质量、中医症状评分、T淋巴细胞亚群、血清肿瘤标志物水平、临床疗效及不良反应。结果:治疗后,2组QLQ-C30各维度评分、CD3+、CD4+、CD4+/CD8+和血清CEA、CA724、CA19-9均升高,观察组显著高于对照组(均P<0.05)。治疗后,2组中医症状评分、CD8+均降低(P<0.05),观察组显著低于对照组(均P<0.05);观察组DRC高于对照组(P<0.05);观察组恶心呕吐、神经毒性发生率低于对照组(均P<0.05)。结论:在化疗基础上,联用仙芪扶正颗粒及三焦针法可降低Ⅲ-Ⅳ结直肠癌患者CEA、CA724水平,改善其免疫功能,抑制不良反应,降低癌因性疲乏,提高生命质量,疗效确切。

    Abstract:

    To investigate the effects of Xianqi Fuzheng Granule combined with Sanjiao acupuncture on immunity and CEA and CA724 in patients with Ⅲ-Ⅳ colorectal cancer.Methods:A total of 66 cases of patients with stage Ⅲ-Ⅳ colorectal cancer treated in Yantai Traditional Chinese Medicine Hospital from Sep.2018 to Sep.2019 were collected and were randomly divided into a treatment group(n=33),and a control group(n=33).The treatment group was treated with chemotherapy+Xianqi Fuzheng Granules+Sanjiao acupuncture,and the control group was treated with chemotherapy+Xianqi Fuzheng Granules+Sanjiao acupuncture,with 14 d/cycle and 4 cycles.The cancer-related fatigue and quality of life,TCM symptom scores,T lymphocyte subset,serum tumor marker levels,efficacy,adverse reactions between the 2 groups were compared.Results:After treatment,the QLQ-C30 scores of all dimensions,CD3+,CD4+,CD4+/CD8+ and serum CEA,CA724,and CA19-9 levels in the 2 groups increased and those in the treatment group were significantly higher than those in the control group(P<0.05).After treatment,the TCM symptom score and the percentage of CD8 in the 2 groups were significantly lower than before the treatment,those in the treatment group were significantly lower than in the control group(P<0.05).The DRC of the treatment group(90.91%)was higher than that of control group(63.64%,P<0.05).The incidence of nausea,vomiting and neurotoxicity were lower in the treatment group than in the control group(33.33% vs 57.58%,36.36% vs 63.64%,P<0.05).Conclusion:Based on chemotherapy,the combination of Xianqi Fuzheng Granules and the Sanjiao acupuncture method can reduce the levels of CEA and CA724 in patients with Ⅲ-Ⅳ colorectal cancer,improve their immune function,reduce adverse reactions,cancer-related fatigue,improve quality of life,with accurate efficacy.

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戴玲玲,孟鹏,毛俊俊,马继鹏,张晓妮,李珊,侯爱画.仙芪扶正颗粒联合三焦针法对Ⅲ-Ⅳ期结直肠癌患者免疫及CEA、CA724的影响[J].世界中医药,2020,(20).

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  • 收稿日期:2020-03-27
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  • 在线发布日期: 2020-10-31
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