麦门冬汤合苇茎汤加减治疗肺癌化疗患者的临床观察
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山东省自然科学基金资助项目(ZR2017PH28)


Clinical Observation of Modified Maimendong Decoction Combined with Weijing Decoction in Treating Patients with Lung Cancer Chemotherapy
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    摘要:

    目的:观察用麦门冬汤合苇茎汤加减治疗阴虚肺热证肺癌化疗患者的临床效果,探讨其可能的部分作用机制。方法:选取2017年6月至2018年6月滨州市中医医院收治的肺癌患者104例作为研究对象,按照随机数字表法随机分为对照组和观察组,每组52例。对照组患者接受化疗干预,观察组患者在化疗干预的基础上给予麦门冬汤合苇茎汤加减方口服。观察近期疗效、患者生命质量、Th1/Th2细胞因子含量及外周血相关因子水平、不良反应的发生率。结果:观察组、对照组的近期疗效分别为65.38%、38.46%,以观察组近期疗效更好(P<0.05);治疗后,观察组患者的生命质量FACT-L评分均高于本组治疗前及对照组患者(P<0.05);对照组患者经化疗干预后免疫功能有所下降,而观察组患者免疫功能提高,外周血中Th1相关细胞因子IL-2、IFN-γ水平明显高于对照组,Th2相关细胞因子IL-4、IL-10水平明显低于对照组(P<0.05);观察组患者的血清中VEGF、COX-2、CYFRA21-1、CA19-9水平均显著低于对照组(P<0.05);观察组患者的不良反应较对照组明显减少(P<0.05)。结论:麦门冬汤合苇茎汤加减治疗阴虚肺热证肺癌化疗患者增效减毒作用明显,利于提高生命质量,其机制可能与纠正Th1/Th2细胞免疫失衡状态及抑制VEGF、COX-2表达而发挥抗血管增生作用有关。

    Abstract:

    To observe the clinical effects of Maimendong Decoction combined with Weijing Decoction in the treatment of patients with lung cancer with yin deficiency and lung heat syndrome,and to explore the possible mechanisms.Methods:A total of 104 patients with lung cancer admitted to the Binzhou Hospital of Traditional Chinese Medicine from June 2017 to June 2018 were selected as the research objects,and were randomly divided into a control group and an observation group according to random number table method,with 52 cases in each group.Patients in the control group were given chemotherapy intervention,and the patients in the observation group were given modified Maimendong Decoction combined with Weijing Decoction on the basis of chemotherapy intervention.The Short-term therapeutic effects,quality of life,Th1/Th2 cytokine content and peripheral blood related factor levels,and the incidence of toxic and side effects were observed.Results:The short-term therapeutic effects of the observation group and the control group were 65.38% and 38.46% respectively,and the short-term therapeutic effects of the observation group was better (P<0.05).After treatment,the quality-of-life FACT-L scores of the observation group were higher than those of the control group and the observation group before treatment (P<0.05).The immune function of patients in the control group decreased after chemotherapy intervention,while the immune function of patients in the observation group was improved.The levels of Th1 related cytokines IL-2 and IFN-γ in peripheral blood were significantly higher than those in the control group,and the levels of Th2 related cytokines IL-4 and IL-10 were significantly lower than those in the control group (P<0.05).The serum levels of VEGF,COX-2,cyfra21-1 and CA19-9 in the observation group were significantly lower than those in the control group (P<0.05).The toxic and side effects in the observation group were significantly reduced compared with the control group (P<0.05).Conclusion:The effects of Modified Maimendong Decoction combined with Weijing Decoction in the treatment of lung cancer patients with heat syndrome of yin deficiency and lung cancer is obvious in enhancing efficacy and toxicity reducing,which is conducive to improving the quality of life.The mechanisms may be related to the correction of Th1/Th2 cell immune imbalance and the inhibition of VEGF and cox-2 expression to play a role of resistance to blood vessels.

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孙佩佩,綦丰光,张颖颖,孙向红.麦门冬汤合苇茎汤加减治疗肺癌化疗患者的临床观察[J].世界中医药,2020,(13).

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  • 收稿日期:2019-05-14
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  • 在线发布日期: 2020-07-30
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