Effects of Zhipo Liujunzi Decoction combined with sequential treatment on T lymphocyte subsets in patients with middle or advanced stage gastric cancer
-
摘要: 目的 分析枳朴六君子汤联合序贯疗法对中晚期胃癌患者T淋巴细胞亚群的影响。 方法 选择本院住院治疗的112例中晚期胃癌患者为研究对象,根据随机数字表法将其分为对照组和实验组,各56例。对照组给予序贯治疗,实验组给予枳朴六君子汤联合序贯治疗,对比2组临床疗效、血清肿瘤标志物、T淋巴细胞亚群因子、毒副反应发生率。 结果 实验组临床总有效率为89.29%,显著高于对照组的64.29%(P<0.05); 实验组治疗3个疗程后CD3+、CD4+、CD4+/CD8+均显著高于对照组(P<0.05); 实验组毒副反应发生率低于对照组(P<0.05); 实验组治疗3个疗程后血清糖类抗原-724(CA-724)、癌胚抗原(CEA)、糖类抗原-199(CA-199)因子均显著低于对照组(P<0.05)。 结论 枳朴六君子汤联合序贯疗法可有效抑制中晚期胃癌患者肿瘤病灶生长,改善免疫功能,抑制血清肿瘤标志物,降低毒副反应发生率。Abstract: Objective To analyze effects of Zhipo Liujunzi Decoction combined with sequential treatment on T lymphocyte subsets in patients with middle or advanced stage gastric cancer. Methods A total of 112 patients with middle or advanced gastric cancer hospitalized in our hospital were selected, and were divided into control group(n=56)and study group(n=56)according to random number table method. The control group was given sequential treatment, while the control group was treated with Zhipo Liujunzi Decoction combined with sequential treatment, and the clinical efficacy, serum tumor markers, T lymphocyte subgroup factors, and incidence of toxic and side effects were compared between the two groups. Results The total clinical effective rate in the experimental group was significantly higher than that in the control group(89.29% vs. 64.29%, P<0.05). After 3 courses of treatment, the levels of CD3+, CD4+, and CD4+ /CD8+ in the experimental group were significantly higher than those of the control group(P<0.05). The incidence of toxic side effects in the experimental group was significantly lower than the control group(P<0.05). The levels of serum carbohydrate antigen-724(CA-724), carcinoembryonic antigen(CEA), carbohydrate antigen-199(CA-199)in the experimental group were significantly lower than that of the control group after 3 courses of treatment(P<0.05). Conclusion Zhipo Liujunzi Decoction combined with sequential treatment can effectively inhibit the growth of tumor lesions, improve immune function, suppress serum tumor markers, and reduce the incidence of toxic and side effects in patients with middle or advanced stage gastric cancer.
-
-
邓峰, 张茹虎, 朱磊. 奥沙利铂联合卡培他滨对中晚期胃癌患者术后化疗的疗效及对血清CA125、CEA、TPS、CYFRA21-1、CA19-9及T淋巴细胞亚群水平的影响[J]. 海南医学院学报, 2016, 22(17): 2011-2014 , 2018.
王森. 扶正抗癌方联合自体CIK免疫治疗对中晚期胃癌患者细胞免疫功能和远期生存率的影响[J]. 现代中西医结合杂志, 2016, 25(27): 2979-2981 , 2984.
李玮, 赵鹏. 多西他赛+奥沙利铂+替吉奥与多西他赛+顺铂+氟尿嘧啶方案治疗晚期胃癌的对比研究[J]. 海南医学院学报, 2016, 22(17): 2015-2018. 陈宓, 贾霖, 苏州. 艾迪联合DP方案治疗Ⅳ期胃癌患者的疗效及对其免疫功能的影响分析[J]. 广西医科大学学报, 2016, 33(3): 519-521. Hong J, Chen X S, Huang J H, et al. Danggui buxue decoction, a classical For Mula of traditional Chinese medicine, fails to prevent myelosuppression in breast cancer patients treated with adjuvant chemotherapy: a prospective study[J]. Integr Cancer Ther, 2017, 16(3): 406-413.
宋仲洁. 替吉奥联合奥沙利铂化疗方案治疗老年晚期胃癌的临床研究[J]. 癌症进展, 2016, 14(2): 162-164. 祝利民, 郭玲建, 毛竹君, 等. 健脾益肾解毒方联合化疗对中晚期胃癌患者癌因性疲乏及免疫功能的影响[J]. 微循环学杂志, 2019, 29(3): 39-44 , 48.
卢宏霞, 杨牡丹, 高峻, 等. 脾多肽注射液联合FLOT方案治疗晚期胃癌的效果及对患者免疫功能的影响[J]. 肿瘤研究与临床, 2019, 31(2): 121-124. 郭元彪, 应海峰, 郑岚, 等. 健脾克癌宁联合四君子汤加减治疗脾气虚型胃癌术后患者疗效及对机体免疫功能的影响[J]. 现代中西医结合杂志, 2017, 26(12): 1280-1282 , 1286.
Tanizawa Y, Bando E, Tokunaga M, et al. 59. Efficacy of surgical treatment for responders to chemotherapy for gastric cancer with Para-aortic lymph node metastasis[J]. Eur J Surg Oncol EJSO, 2016, 42(9): S89-S90.
李海, 游红勇, 陈智敏, 等. 腹腔镜辅助胃癌D2端根治术治疗胃癌合并2型糖尿病的效果及其对炎症因子和免疫功能的影响[J]. 中国医药导报, 2016, 13(11): 100-103. 孙源. 肠内营养联合大柴胡汤加味对胃癌术后早期免疫功能及胃肠功能的影响[J]. 现代中西医结合杂志, 2017, 26(24): 2646-2648 , 2684.
王玉梅, 刘博, 张莉, 等. 十全大补汤联合肠内营养支持对老年胃癌术后气血两虚证病人营养状况和免疫功能的影响[J]. 安徽医药, 2019, 23(11): 2270-2274. 郭蓉, 赫晓磊, 高峰. 血清超敏C反应蛋白、癌胚抗原、糖类抗原724和糖类抗原199检测对胃癌及其相关病变的早期诊断价值[J]. 安徽医药, 2019, 23(1): 106-109. Iizumi S, Takashima A, Narita Y, et al. Efficacy and safety of taxane monotherapy in advanced gastric cancer refractory to triplet chemotherapy with docetaxel, cisplatin, and S-1: a multicenter retrospective study[J]. Cancer Chemother Pharmacol, 2017, 80(3): 575-582.
-
期刊类型引用(3)
1. 刘锐,刘付昌盛,卢梦月,田智. 慢性阻塞性肺疾病急性加重痰热壅肺证尿液代谢组学研究. 河北中医. 2023(04): 583-588 . 百度学术
2. 罗燕青,张作清,张昌红. 慢性阻塞性肺疾病患者血清及肺泡灌洗液中CTGF、TGF-β1的水平及意义研究. 国际检验医学杂志. 2018(08): 913-916+921 . 百度学术
3. 许红,刘力,韩彦洁,张瑶. 不明原因复发性流产患者干血斑中多种氨基酸水平分析. 现代医学. 2018(01): 4-6 . 百度学术
其他类型引用(1)
计量
- 文章访问数: 547
- HTML全文浏览量: 116
- PDF下载量: 6
- 被引次数: 4