肺癌术后化疗联合宣白承气汤治疗对患者预后、生活质量和免疫功能的影响
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R734.2

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Effect of Postoperative Chemotherapy for Lung Cancer Combined with Xuanbai Chengqi Tang on Prognosis , Quality of Life and Immune Function of Patients
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    摘要:

    目的:观察肺癌术后化疗联合宣白承气汤治疗对患者预后、生活质量和免疫功能的影响。方法:将70 例肺癌术后化疗患者随机分为治疗组与对照组各35 例。对照组采用术后化疗治疗,治疗组联合宣白承气汤辅助术后化疗治疗。比较2 组治疗前后生命质量测定量表(QLQ-C30) 评分、卡氏评分、外周血T 淋巴细胞亚群及免疫球蛋白水平,比较2 组近期预后疗效及不良反应发生率。结果:治疗组治疗缓解率为88.57%,高于对照组的65.71%(P<0.05)。与同组治疗前比较,治疗后2 组QLQ-C30评分、CD8+水平均降低(P<0.05),卡氏评分、CD4+、自然杀伤细胞(NK)、免疫球蛋白A(IgA)、免疫球蛋白G(IgG)、免疫球蛋白M(IgM) 水平均升高(P<0.05);与对照组治疗后比较,治疗组治疗后QLQ-C30 评分、CD8+水平均较低(P<0.05),卡氏评分、CD4+、NK、IgA、IgG、IgM 水平均较高(P<0.05)。2 组不良反应发生率比较,差异无统计学意义(P>0.05)。结论:肺癌术后化疗联合宣白承气汤治疗对患者预后疗效理想,可有效改善免疫功能,提高生活质量,不良反应少。

    Abstract:

    Abstract: Objective: To observe the effect of postoperative chemotherapy for lung cancer combined with Xuanbai Chengqi tang on prognosis, quality of life and immune function of patients. Methods: A total of 70 cases of patients undergoing postoperative chemotherapy for lung cancer were randomly divided into the treatment group and the control group, 35 cases in each group respectively. The control group was treated with postoperative chemotherapy, and the treatment group was treated with Xuanbai Chengqi tang assisting postoperative chemotherapy. The scores of Quality of Life Questionnare-Core30(QLQ-C30),Karnofsky scores and the levels of T lymphocyte subsets and immunoglobulin in peripheral blood before and after treatment in the two groups were compared. The short- term prognosis and curative effect and the incidences of adverse reactions were compared between the two groups. Results:The treatment remission rate was 88.57% in the treatment group, higher than that of 65.71% in the control group(P<0.05). After treatment, QLQ- C30 scores and CD8 + levels in the two groups were decreased when compared with those before treatment(P<0.05), and the karnofsky scores as well as the levels of CD4 + , natural killer cell(NK), immunoglobulin A(IgA), immunoglobulin G(IgG) and immunoglobulin M(IgM) were increased(P<0.05). After treatment,QLQ-C30 scores and CD8+ levels in the treatment group were lower than those in the control group(P<0.05),and the karnofsky score as well as the levels of CD4+,NK,IgA,IgG and IgM were higher(P<0.05). There was no significant difference being found in the comparison of the incidences of adverse reactions between the two groups(P>0.05). Conclusion: The therapy of postoperative chemotherapy for lung cancer combined with Xuanbai Chengqi tang has an ideal prognosis and curative effect on patients,which can effectively improve the immune function and the quality of life,with few adverse reactions.

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施忠淼,项鹤彬,任建林.肺癌术后化疗联合宣白承气汤治疗对患者预后、生活质量和免疫功能的影响[J].新中医,2021,53(19):148-151

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  • 在线发布日期: 2021-10-09
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