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解毒祛瘀涤痰汤联合化疗治疗非小细胞肺癌患者临床效果观察▲
Observation on the clinical effect of Jiedu Quyu Ditan decoction combined with chemotherapy for treating patients with non-small cell lung cancer

内科 202015卷04期 页码:383-386

作者机构:武威肿瘤医院中西医结合科,甘肃省武威市733000

基金信息:▲基金项目:甘肃省武威市科技计划项目(WW180253)
 *通信作者:李应宏,甘肃省武威肿瘤医院中西医结合科,电子邮箱 lyh86868@qq.com

DOI:DOI:10.16121/j.cnki.cn45-1347/r.2020.04.03

  • 中文简介
  • 英文简介
  • 参考文献
目的观察解毒祛瘀涤痰法联合化疗治疗非小细胞肺癌(NSCLC)患者的临床疗效。方法选择2017年1月至2019年12月在我科住院治疗的NSCLC患者120例,按就诊的先后顺序分为对照组和观察组,每组60例。对照组患者采用吉西他滨和顺铂的化疗方案治疗;观察组患者在对照组治疗的基础上给予解毒祛瘀涤痰汤治疗。治疗3周为1个疗程,共治疗3个疗程。比较两组患者的近期治疗效果、生活质量,比较两组患者治疗前后的中医证候评分及肿瘤标记物水平。结果观察组患者的治疗总有效率(63.3%)明显高于对照组(35.0%),生活质量改善率(65.0%)高于对照组(41.7%),差异有统计学意义(P<0.05)。治疗3个疗程后,两组患者的中医证候评分、细胞角蛋白19片段(CYFRA21-1)、糖类抗原125(CA125)、神经元特异性烯醇化酶(NSE)、癌胚抗原(CEA)水平均显著降低,观察组患者的评分(水平)显著低于对照组,差异有统计学意义(P<0.05)。结论解毒祛瘀涤痰汤联合化疗治疗非小细胞肺癌患者,能够明显提高临床治疗效果,显著降低肿瘤标记物水平,改善患者的生活质量。
ObjectiveTo observe the clinical efficacy of Jiedu Quyu Ditan decoction combined with chemotherapy in the treatment of patients with non-small cell lung cancer (NSCLC). MethodsA total of 120 NSCLC patients who were hospitalized in our department from January 2017 to December 2019 were selected, and they were divided into control group and observation group according to the sequence of visits, with 60 cases in each group. Patients in the control group were treated with gemcitabine and cisplatin following the chemotherapy plan, whereas patients in the observation group were treated with Jiedu Quyu Ditan decoction on the basic treatment of the control group, with 3 weeks as 1 treatment course, for 3 treatment courses in total. The short-term therapeutic effect and quality of life were compared between the two groups, and the Traditional Chinese Medicine (TCM) syndrome scores and tumor markers levels of the two groups were compared before and after treatment. ResultsThe observation group yielded a higher total effective rate of treatment (63.3% vs. 35.0%), and a higher improvement rate of life quality (65.0% vs. 41.7%) as compared with the control group, following statistically significant differences (P<0.05). After 3 courses of treatment, the TCM syndrome scores, cytokeratin 19 fragment (CYFRA21-1), carbohydrate antigen 125 (CA125), neuron-specific enolase (NSE), carcinoembryonic antigen (CEA) of the two groups significantly decreased. The scores (levels) mentioned above of the observation group were significantly lower than those of the control group, and the differences were statistically significant (P<0.05). ConclusionJiedu Quyu Ditan decoction combined with chemotherapy for treating patients with NSCLC can significantly improve the clinical therapeutic effect, significantly decrease the levels of tumor markers, and thus improve the quality of life in patients.

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