Clinical Study on Yiqi Yangyin Prescription Combined with Platinum- Based Chemo⁃ therapy Regimen for Advanced Non-Small Cell Lung Cancer of Qi-Yin Deficiency Type
Abstract: Objective: To observe the clinical effect of Yiqi Yangyin prescription combined with platinum- based chemotherapy regimen for advanced non- small cell lung cancer(NSCLC) of qi- yin deficiency type. Methods:A total of 178 cases of advanced NSCLC patients of qi- yin deficiency type were selected and divided into the control group and the experiment group according to different treatments, 89 cases in each group. Both groups were given platinum- based chemotherapy regimen,and the experiment group was additionally given Yiqi Yangyin prescription,21 days being a cycle, three cycles in total. The Chinese medicine symptom scores,the indexes of T lymphocyte subsets,the scores of Karnofsky performance status(KPS),the curative effect of solid tumors and the incidence of toxic side effects were compared between the two groups. Results:After treatment,the scores of cough,expectoration,chest pain,shortness of breath,lassitude of spirit and lack of strength,dry mouth and constipation in the experiment group were lower than those in the control group (P<0.05),and the KPS was higher than that in the control group(P<0.05). After treatment,the rising rate of the KPS in the experiment group was higher than that in the control group(P<0.05),and the decline rate of the score was lower(P<0.05). After treatment,the levels of CD3+、CD4+ and the CD4+/CD8+ in the experiment group were higher than those in the control group(P<0.05). The effective rate was 52.81% in the experiment group,higher than that of 31.46% in the control group(P< 0.05). The incidence of the decrease of leukocytes,hemoglobin,thrombocytopenia,gastrointestinal reaction and the liver function injury in the experiment group were lower than those in the control group(P<0.05). Conclusion:The therapy of Yiqi Yangyin prescription combined with platinum-based chemotherapy regimen in treating advanced NSCLC of qi-yin deficiency type,can effectively relieve patients' clinical symptoms,reduce tumor focus,increase immune function and quality of life of patients,and alleviate toxic side effects of chemotherapy.