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EGFR-TKIs联合放疗对晚期非小细胞肺癌患者免疫功能的影响
Effect of EGFR-TKIs combined with radiotherapy on the immune function of patients with advanced non-small cell lung cancer

内科 201603期 页码:366-369

作者机构:甘肃省天祝藏族自治县人民医院,天祝藏族自治县733200

基金信息:

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2016.03.10

  • 中文简介
  • 英文简介
  • 参考文献
目的探讨EGFR-TKIs联合放疗治疗晚期非小细胞肺癌患者的临床效果以及对患者免疫功能的影响。方法选取2012年6月至2015年6月我院肿瘤外科收治的晚期非小细胞肺癌患者96例,采用抛硬币法将其随机分为实验组和对照组。对照组患者50例,给予“放疗+基础治疗”治疗;实验组患者46例,进行“EGFR-TKIs+放疗+基础治疗”治疗。观察比较两组患者的临床治疗效果、治疗前后免疫功能的变化以及不良反应发生情况。结果实验组患者治疗总有效率(52.2%)显著高于对照组(30.0%),差异有统计学意义(P<0.05)。治疗1个疗程和疗程结束后,两组患者CD4+、CD8+、CD4+/CD8+均逐渐降低,而NK细胞逐渐升高;实验组患者CD4+、CD4+/CD8+和NK细胞水平显著高于对照组,而CD8+水平显著低于对照组,差异有统计学意义(P<0.05或0.01)。实验组患者不良反应发生率显著低于对照组(P<0.05)。结论EGFR-TKIs联合放疗治疗晚期NSCLC患者临床效果显著,可有效改善患者免疫功能,降低不良反应发生率。
ObjectiveTo investigate the effect of EGFR-TKIs combined with radiotherapy on the immune function of patients with advanced non-small cell lung cancer, and observe the clinical efficacy. MethodsA total of 96 patients with advanced non-small cell lung cancer (NSCLC) in department of tumor surgery of our hospital from June 2012 to June 2015 were randomly divided into the experimental group(46 cases) and the control group (50 cases),and the control group were treated with radiotherapy and basic treatment, while the observation group recived EGFR-TKIs combined with radiotherapy on the base of basic treatment. The treatment effect, adverse reactions and changes in immune function. in the two groups were observed. ResultsThe total effective rate (52.17%) in the experimental group (52.17%) was significantly higher than that in the control group (30.00%,P<0.05). Compared to before treatment, the levels of CD4+,CD4+/CD8+ and NK cells were significantly higher after treatment for one and four courses, while the level of CD8+ was significantly lower, the levels of CD4+,CD4+/CD8+ and NK cells in the experimental group were significantly higher than those in control group, and the level of CD8+ was significantly lower than that in control group(P<0.05).The incidence of adverse reactions in the experimental group (6.52%) was significantly lower than that in the control group (24.00%, P=0.038). ConclusionsEGFR-TKIs combined with radiotherapy can improve the immune function of patients with advanced NSCLC, the clinical efficacy is remarkable, and it can reduce the incidence of adverse reactions.

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