扶正祛痰解毒汤联合吉非替尼片治疗气虚痰瘀型非小细胞肺癌临床研究
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R734.2

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Clinical Study on Fuzheng Qutan Jiedu Tang Combined with Gefitinib Tablets for Non-Small Cell Lung Cancer of Qi Deficiency and Phlegm Stasis Type
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    摘要:

    目的:观察扶正祛痰解毒汤联合吉非替尼片治疗气虚痰瘀型非小细胞肺癌(NSCLC) 的临床疗效。方法:选取濮阳市中医医院收治的114 例NSCLC 患者,按随机数字表法分为对照组和观察组各57 例。对照组给予吉非替尼片治疗,观察组接受扶正祛痰解毒汤联合吉非替尼片治疗。比较2 组治疗前后中医证候积分、生存质量、免疫力指标及评价2 组临床疗效和不良反应。结果:治疗后,观察组疾病控制率明显高于对照组(P<0.05)。治疗后,2 组Karnofsky 功能状态(KPS) 评分和外周血CD3+、CD4+、NK 细胞水平较治疗前升高,且观察组上述指标均高于对照组。治疗后,2 组外周血CD8+、中医证候积分较治疗前降低,且观察组中医证候积分和外周血CD8+水平低于对照组(P<0.05)。观察组不良反应发生率明显低于对照组(P<0.05)。结论:扶正祛痰解毒汤联合吉非替尼片治疗气虚痰瘀型NSCLC 疗效显著,可明显提高患者免疫功能和生存质量,减少不良反应发生。

    Abstract:

    Abstract:Objective:To observe the clinical effect of Fuzheng Qutan Jiedu tang combined with gefitinib tablets for nonsmall cell lung cancer(NSCLC) of qi deficiency and phlegm stasis type. Methods: A total of 114 cases of NSCLC patients treated in Chinese Medicine Hospital of Puyang were selected and divided into the control group and the observation group according to the random number table method, with 57 cases in each group. The control group was treated with gefitinib tablets, and the observation group was treated with Fuzheng Qutan Jiedu tang combined with gefitinib tablets. Chinese medicine syndrome scores, quality of life and immunity indexes before and after treatment in the two groups were compared;clinical effects and adverse reactions in the two groups were evaluated. Results:After treatment,the disease control rate in the observation group was significantly higher than that in the control group(P<0.05). After treatment, the scores of Karnofsky Performance Status(KPS) and the levels of CD3+,CD4+ and NK cells in peripheral blood in the two groups were increased when compared with those before treatment,and the above indexes in the observation group were higher than those in the control group. After treatment,CD8 + levels in peripheral blood and Chinese medicine syndrome scores in the two groups were decreased when compared with those before treatment,and Chinese medicine syndrome score and CD8+ level in peripheral blood in the observation group were lower than those in the control group(P<0.05). The incidence of adverse reactions in the observation group was significantly lower than that in the control group(P<0.05). Conclusion:The therapy of Fuzheng Qutan Jiedu tang combined with gefitinib tablets for NSCLC of qi deficiency and phlegm stasis type has a significant curative effect,and can significantly improve the immune function and quality of life of patients,and reduce the incidence of adverse reactions.

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朱世航,胡彦辉.扶正祛痰解毒汤联合吉非替尼片治疗气虚痰瘀型非小细胞肺癌临床研究[J].新中医,2022,54(11):198-201

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  • 在线发布日期: 2022-06-10
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