首页|复方苦参注射液联合FOLFOX4化疗方案对胃癌患者免疫功能及基质金属蛋白酶水平的影响

复方苦参注射液联合FOLFOX4化疗方案对胃癌患者免疫功能及基质金属蛋白酶水平的影响

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目的 分析复方苦参注射液联合FOLFOX4化疗方案在胃癌患者中的应用效果.方法 选取2019年4月至2021年4月我院收治的 86 例胃癌患者为研究对象,根据随机数字表法将其分为对照组(FOLFOX4 化疗方案)和研究组(FOLFOX4 化疗方案+复方苦参注射液),各43 例.比较两组的临床疗效、中医证候积分、血清指标及骨髓与免疫功能指标.结果 研究组的疾病控制总有效率显著高于对照组(P<0.05).治疗后,两组的上腹疼痛、纳差、厌食、神疲积分均降低,且研究组显著低于对照组(P<0.05).治疗后,两组的miR-4485-3p、miR-1469 水平均升高,基质金属蛋白酶-2(MMP-2)、基质金属蛋白酶-9(MMP-9)及基质金属蛋白酶-14(MMP-14)水平均降低,且研究组优于对照组,差异具有统计学意义(P<0.05).治疗后,研究组的血小板计数、白细胞计数、CD3+、CD4+、CD4+/CD8+高于对照组,CD8+低于对照组,差异具有统计学意义(P<0.05).结论 复方苦参注射液联合FOLFOX4 化疗方案有助于改善胃癌患者的血清指标与免疫功能,有效保护骨髓造血功能,促进病情转归,临床可进一步推广运用.
Effects of compound Kushen injection combined with FOLFOX4 chemotherapy regimen on immune function and matrix metalloproteinase levels in patients with gastric cancer
Objective To analyze the application effect of compound Kushen injection combined with FOLFOX4 chemotherapy regimen in patients with gastric cancer.Methods A total of 86 patients with gastric cancer admitted in our hospital from April 2019 to April 2021 were selected as the research objects,and the patients were divided into control group(FOLFOX4 chemotherapy regimen)and study group(FOLFOX4 chemotherapy regimen+compound Kushen injection)according to the random number table method,with 43 cases in each group.The clinical efficacy,TCM symptom score,serum indexes,bone marrow and immune function indexes were compared between the two groups.Results The total effective rate of disease control in the study group was significantly higher than that in the control group(P<0.05).After treatment,the scores of upper abdominal pain,anorexia,anorexia and mental fatigue in the two groups decreased,and those in the study group were significantly lower than the control group(P<0.05).After treatment,the levels of miR-4485-3p and miR-1469 in the two groups increased,while the levels of matrix metalloproteinase-2(MMP-2),matrix metalloproteinase-9(MMP-9)and matrix metalloproteinase-14(MMP-14)decreased,and those in the study group were better than the control group,and the differences were statistically significant(P<0.05).After treatment,the platelet count,white blood cell count,CD3+,CD4+and CD4+/CD8+in the study group were higher than those in the control group,and the CD8+was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Compound Kushen injection combined with FOLFOX4 chemotherapy regimen is helpful to improve the serum indexes and immune function of patients with gastric cancer,effectively protect the bone marrow hematopoietic function,and promote the prognosis.It can be further promoted and applied in clinical practice.

gastric cancerFOLFOX4 chemotherapy regimencompound Kushen injectionimmune function

白小慧、魏英、李王斌、贺宁、赵昌涛

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西安交通大学第一附属医院榆林医院肿瘤科,陕西 榆林,719000

胃癌 FOLFOX4 化疗方案 复方苦参注射液 免疫功能

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(15)
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