温阳益气健脾汤联合化疗对晚期卵巢癌患者疗效及免疫功能、血清HE4、CA125水平的影响
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R737.31

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Effect of Wenyang Yiqi Jianpi Tang Combined with Chemotherapy on Immune Function and Levels of Serum HE4 and CA125 in Patients with Advanced Ovarian Cancer
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    摘要:

    目的:探讨温阳益气健脾汤联合化疗对晚期卵巢癌患者疗效及对免疫功能、血清人附睾分泌蛋白4(HE4) 和糖类抗原125(CA125) 水平的影响。方法:选取80 例晚期卵巢癌患者为研究对象,按照随机数字表法分为对照组与观察组各40 例。对照组采用紫杉醇与卡铂治疗,观察组合用温阳益气健脾汤治疗。比较2 组治疗前后中医证候积分、kamofsky 功能状态(KPS)评分、CD3+、CD4+、CD8+、HE4、CA125 水平及评价2 组临床疗效和不良反应。结果:观察组疾病控制率(DCR) 为95.00%,高于对照组80.00% (P<0.05)。治疗后,2 组CD3+、CD4+、CD8+水平均较治疗前降低,观察组下降程度低于对照组(P<0.05)。治疗后,2 组HE4、CA125 水平均较治疗前降低,观察组下降程度高于对照组(P<0.05)。治疗后,2 组中医证候积分较治疗前降低,KPS 评分较治疗前升高,观察组下降/升高幅度高于对照组(P<0.05)。观察组消化道反应、肝功能损伤、骨髓移植的发生率低于对照组(P<0.05)。结论:温阳益气健脾汤辅助化疗治疗晚期卵巢癌疗效明显,可提高患者的免疫功能,减少药物相关不良反应的发生。

    Abstract:

    Abstract:Objective:To investigate the effect of the therapy of Wenyang Yiqi Jianpi tang combined with chemotherapy on the curative effect, immune function, and serum levels of human epididymis protein 4(HE4) and carbohydrate antigen 125(CA125) in patients with advanced ovarian cancer. Methods: A total of 80 patients with advanced ovarian cancer were selected as the research objects. They were divided into the control group and the observation group according to the random number table method,with 40 cases in each group. The control group was treated with paclitaxel and carboplatin,and the observation group was additionally treated with Wenyang Yiqi Jianpi tang. The scores of Chinese medicine syndrome and kamofsky performance status(KPS) and levels of CD3 + , CD4 + , CD8 + , HE4 and CA125 before and after treatment were compared between the two groups, and the clinical effects and adverse reactions were evaluated. Results: The disease control rate(DCR) was 95.00% in the observation group, higher than that of 80.00% in the control group(P<0.05). After treatment, the levels of CD3 + , CD4 + and CD8 + in the two groups were decreased when compared with those before treatment, and the decrease in the observation group was less obvious than that in the control group(P<0.05). After treatment,the levels of HE4 and CA125 in the two groups were decreased when compared with those before treatment, and the decrease in the observation group was more obvious than that in the control group(P<0.05). After treatment, the Chines medicine syndrome scores in the two groups were decreased when compared with those before treatment,and the KPS scores were increased,and the decrease and increase in the observation group were more obvious than those in the control group(P<0.05). The incidence of gastrointestinal reaction,liver function injury and bone marrow transplantation in the observation group was lower than that in the control group(P<0.05). Conclusion:The therapy of Wenyang Yiqi Jianpi tang assisting chemotherapy has a significant curative effect on advanced ovarian cancer,which can improve the immune function of patients and reduce the occurrence of medicine-related adverse reactions.

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黄伟娟,高雁荣,焦智民.温阳益气健脾汤联合化疗对晚期卵巢癌患者疗效及免疫功能、血清HE4、CA125水平的影响[J].新中医,2022,54(9):139-142

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  • 在线发布日期: 2022-05-09
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