首页|康莱特注射液联合化疗对晚期非小细胞肺癌患者生活质量及骨髓抑制的影响

康莱特注射液联合化疗对晚期非小细胞肺癌患者生活质量及骨髓抑制的影响

Effects of Kanglaite injection combined with chemotherapy on quality of life and myelosuppression in patients with non-small cell lung cancer

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目的 观察康莱特注射液联合化疗对晚期非小细胞肺癌患者生存质量及骨髓抑制的影响.方法 回顾性分析浙江金华广福肿瘤医院2018年8月至2022年2月收治的非小细胞肺癌患者60例的临床资料,按照治疗方法不同分为试验组和对照组各30例.两组分别采用康莱特注射液联合吉西他滨及顺铂化疗方案、吉西他滨及顺铂化疗方案.采取功能状态评分表(KPS)评分评价患者生存质量,比较两组治疗前后KPS评分变化情况、骨髓抑制等不良反应发生率、临床治疗效果等.结果 治疗后,试验组疾病控制率[86.67%(26/30)]、客观缓解率[60.00%(18/30)]均显著高于对照组的60.00%(18/30)、30.00%(9/30)(x2=4.18、4.31,均P<0.05).治疗前两组患者KPS评分分别为(70.68±3.75)分和(70.29±5.11)分(t=0.34,P=0.790),治疗后试验组患者KPS评分[(67.02±5.87)分]高于对照组的(62.37±3.59)分(t=-5.29,P<0.05).试验组不良反应发生率[40.00%(12/30)]高于对照组的36.67%(11/30),差异无统计学意义(x2=0.07,P=0.790);试验组骨髓抑制发生率[56.67%(17/30)]显著低于对照组的86.67%(26/30)(x2=6.90,P=0.030).结论 康莱特注射液联合化疗相比于单纯化疗,能够缓解晚期非小细胞肺癌患者的症状,改善患者预后.
Objective To investigate the effects of Kanglaite injection combined with chemotherapy on quality of life and myelosuppression in patients with non-small cell lung cancer(NSCLC).Methods The clinical data of 60 patients with NSCLC who received treatment at Zhejiang Jinhua Guangfu Tumor Hospital from August 2018 to February 2022 were retrospectively analyzed.These patients were divided into an experimental group and a control group,with 30 patients in each group according to the treatment methods used.The patients in the experimental group received the Kanglaite injection in combination with chemotherapy using gemcitabine and cisplatin,whereas the patients in the control group were treated solely with chemotherapy with gemcitabine and cisplatin.The quality of life was evaluated using the Karnofsky Performance Status score.Before and after treatment,a comparison was made between the two groups in terms of Karnofsky Performance Status score,the incidence of adverse reactions(such as myelosuppression),and clinical efficacy.Results After treatment,the disease control rate and objective response rate in the experimental group were 86.67%(26/30)and 60.00%(18/30),respectively,which were significantly higher than 60.00%(18/30)and 30.00%(9/30)in the control group(x2=4.18,4.31,both P<0.05).Prior to treatment,the Karnofsky Performance Status scores in the experimental and control groups were(70.68±3.75)points and(70.29±5.11)points(t=0.34,P=0.790),respectively.After treatment,the Karnofsky Performance Status scores in the experimental group were significantly higher than those in the control group[(67.02±5.87)points vs.(62.37±3.59)points,t=-5.29,P<0.05].The incidence of adverse reactions in the experimental group was significantly higher than that in the control group[40.00%(12/30)vs.36.67%(11/30),x2=0.07,P=0.790).Additionally,the incidence of myelosuppression in the experimental group was significantly lower than that in the control group[56.67%(17/30)vs.86.67%(26/30),x2=6.90,P=0.030].Conclusion Compared with chemotherapy alone,Kanglaite injection combined with chemotherapy can effectively relieve the clinical symptoms of patients with advanced non-small cell lung cancer,leading to improved prognosis.

Carcinoma,non-small-cell lungAntineoplastic combined chemotherapy protocolsQuality of lifeDrug-related side effects and adverse reactionsPrognosisKanglaite injection

应卫平、钟国美、王胜、杨旭

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浙江金华广福肿瘤医院呼吸内科,金华 321000

癌,非小细胞肺 抗肿瘤联合化疗方案 生活质量 药物相关性副作用和不良反应 预后 康莱特注射液

浙江省金华市重大重点科技计划(第二批)

2022-3-063

2024

中国基层医药
中华医学会,安徽医科大学

中国基层医药

影响因子:1.003
ISSN:1008-6706
年,卷(期):2024.31(3)
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