复方苦参注射液联合GP方案治疗不同分期NSCLC患者的临床评价
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Clinical Evaluation of Compound Kushen Injection Combined with GP in the Treatment of Patients with Different Stages of Non-small Cell Lung Cancer
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    摘要:

    目的:观察复方苦参注射液联合GP方案治疗不同分期非小细胞肺癌(NSCLC)患者的临床效果及不良反应。方法:招募2015年5月至2016年12月青海省西宁市第三人民医院收治的确诊老年晚期NSCLC患者80例,随机分成观察组和对照组,各40例。根据肺癌国际分期标准分为对照组III期189例、对照IV期21例,观察组III期20例、观察组IV期20例。对照组患者给予吉西他滨+顺铂化疗方案,观察组在此化疗基础上联合复方苦参注射液。治疗2周期后比较2组的肿瘤控制情况及化疗毒理反应。结果:对照组不同期患者的有效率和控制率差异均无显著性(χ2=0.178 8,P=0.672 4>0.05;χ2=0.058 5,P=0.808 9>0.05)。2组III和IV期患者间有效率和控制率比较也均差异无统计学意义(P>0.05)。观察组不同分期比较,III期患者不良反应患者数较少,但差异无统计学意义(P>0.05),对照组两期不良反应数比较,差异无统计学意义(P>0.05)。观察组III期和IV期的各不良反应人数显著低于对照组,差异有统计学意义(P<0.05)。结论:复方苦参注射液联合治疗在一定程度上提高了老年晚期NSCLC患者的抗肿瘤效果,可有效地减轻化疗过程中的不良反应,在提高患者的生命质量上具有积极作用,值得临床推广使用和进一步观察。

    Abstract:

    To observe the short-term efficacy and safety of compound Kushen injection combined with gemcitabine plus cisplatin in the treatment of advanced non-small cell lung cancer. Methods:Eighty patients with advanced non-small cell lung cancer (NSCLC) in our hospital were enrolled in this study from May 2015 to December 2016. They were randomly divided into observation group and control group, with 40 patients in each group. According to the international stage of lung cancer, The control group had 19 patients with stage III and 21 patients with stage IV, and the study group had 20 patient with stage III and stage IV respectively. The patients in the control group were given gemcitabine combined with cisplatin (GP) chemotherapy regimen. The study group was treated with compound Kushen injection on the basis of chemotherapy. After 2 cycles of treatment, tumor control and chemotherapy adverse reactions of two groups were compared. Results:There was no significant difference in the effective rate and control rate of patients with different stages in the control group (χ2=0.178 8, P=0.672 4>0.05; χ2=0.058 5, P=0.808 9>0.05). There was no significant difference in the effective rate and control rate of III and IV stage patients between the two groups (P>0.05). Compared with patients with different stages in study group, the number of patients with III stage who had toxic reaction was less, but there was no significant difference (P>0.05). There was no significant difference in the number of toxic reactions between two stages in the control group (P>0.05). The number of toxic reactions of III and IV stage patients in the study group was lower than that in the control group, and the difference was statistically significant (P<0.05). Conclusion:Combination therapy of compound Kushen injection can improve the anti-tumor effect of advanced non-small cell lung cancer in elderly patients, which can effectively reduce the side effects of chemotherapy and improve the quality of life of patients. It is worthy of clinical use and further observation.

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冯青,郑红英.复方苦参注射液联合GP方案治疗不同分期NSCLC患者的临床评价[J].世界中医药,2018,(05).

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  • 收稿日期:2017-03-28
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  • 在线发布日期: 2018-06-04
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