化痰活血方联合VCD 方案化疗治疗多发性骨髓瘤疗效观察及对免疫功能、炎症因子的影响研究
DOI:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R733.3

基金项目:


Observation of Curative Effect of Combination Use of Huatan Huoxue Prescription and VCD Plan on Multiple Myeloma and Study on Its Effect on Immune Function and Inflammatory Factors
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察化痰活血方联合VCD(硼替佐米+地塞米松+环磷酰胺) 方案化疗治疗多发性骨髓瘤临 床疗效及对免疫功能、炎症因子的影响。方法:选取多发性骨髓瘤患者80例为研究对象,按照随机数字表法 分为常规VCD组和中药联合组各40例。常规VCD组给予VCD方案化疗,中药联合组在VCD方案基础上联合化 痰活血方治疗。比较2组临床疗效、不良反应发生率,以及治疗前后免疫功能(CD4+、CD8+、NKT细胞)、炎 症因子[C-反应蛋白(CRP)、肿瘤坏死因子-α(TNF-α) ]水平。结果:中药联合组总有效率为95.00%,常规 VCD组为77.50%,2组比较,差异有统计学意义(P<0.05)。治疗后,中药联合组CD4+、NKT细胞水平较治疗 前及对照组升高(P<0.05),CD8+水平较治疗前及对照组下降(P<0.05);常规VCD组CD4+、CD8+、NKT细 胞水平与治疗前比较,差异无统计学意义(P>0.05)。治疗后,2 组血清CRP、TNF-α 水平均较治疗前降 低(P<0.05),且中药联合组血清CRP、TNF-α水平低于常规VCD组(P<0.05)。治疗期间,中药联合组不良 反应发生率为17.50%,常规VCD组为12.50%,2组比较,差异无统计学意义(P>0.05)。结论:化痰活血方 联合VCD方案化疗治疗多发性骨髓瘤,能显著提高临床效果,有效调节患者免疫功能,减轻机体炎症反应, 且无明显增加药物不良反应。

    Abstract:

    Abstract: Objective: To observe the clinical effect of the combination use of Huatan Huoxue prescription and VCD (Bortezomib+Dexamethasone+Cyclophosphamide) Plan on multiple myeloma and its effect on immune function and inflammatory factors. Methods:A total of 80 patients with multiple myeloma were selected as the study objects and were divided into the routine VCD group and the Chinese medicine combination group according to the random number table method, with 40 cases in each group. The routine VCD group was given VCD plan for chemotherapy, and the Chinese medicine combination group was additionally treated with Huatan Huoxue prescription based on the VCD plan. The clinical effects and incidence of adverse reactions, and the levels of immune function indexes [CD4+,CD8+ and NKT cell] and inflammatory factors [C-reactive protein (CRP) and tumor necrosis factor α (TNF- α)] before and after treatment were compared between the two groups. Results: The total effective rate was 95.00% in the Chinese medicine combination group and 77.50% in the routine VCD group, the difference being significant (P<0.05). After treatment, the levels of CD4+ and NKT cell in the Chinese medicine combination group were higher than those before treatment and in the control group (P<0.05), and the CD8+ level was lower than that before treatment and in the control group (P<0.05); there was no significant difference being found in the comparisons of levels of CD4+, CD8+ and NKT cell in the routine VCD group before and after treatment (P>0.05). After treatment, the levels of serum CRP and TNF- α in the two groups were decreased when compared with those before treatment (P<0.05), and the levels of serum CRP and TNF- α in the Chinese medicine combination group were lower than those in the routine VCD group (P< 0.05). During the treatment, the incidence of adverse reactions was 17.50% in the Chinese medicine combination group and 12.50% in the routine VCD group, there being no significance in the difference (P> 0.05). Conclusion:The combination use of Huatan Huoxue prescription and VCD plan for chemotherapy in can significantly improve the clinical effect on multiple myeloma, effectively regulate the immune function of patients and reduce the inflammatory responses of the body with no significant increase in adverse drug reactions.

    参考文献
    相似文献
    引证文献
引用本文

叶小锋,邓全锦,徐培杰.化痰活血方联合VCD 方案化疗治疗多发性骨髓瘤疗效观察及对免疫功能、炎症因子的影响研究[J].新中医,2024,56(20):169-173

复制
分享
文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2024-10-29
  • 出版日期:
文章二维码