首页|黄芪当归汤对晚期肺癌化疗患者肿瘤标志物及骨髓抑制的影响

黄芪当归汤对晚期肺癌化疗患者肿瘤标志物及骨髓抑制的影响

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目的 观察黄芪当归汤对晚期肺癌化疗骨髓抑制患者免疫功能的影响。方法 选取2020年1月—2022年1月沙市区妇幼保健院收治的110例晚期肺癌化疗患者为研究对象,根据随机数字表法将符合纳入标准的患者分为对照组(n=55,单纯化疗)与实验组(n=55,化疗+黄芪当归汤),对比两组临床疗效,并记录治疗前后骨髓抑制及血清TNF-α、NK以及T淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)水平的变化。结果 两组各脱落1例,实际每组54例;两组化疗后临床有效率比较,差异无统计学意义(P>0。05);实验组化疗后血小板计数(PLT)、血红蛋白(Hb)、白细胞计数(WBC)、中性粒细胞计数高于对照组,差异有统计学意义(P<0。05);实验组血清肿瘤坏死因子(TNF-α)低于对照组,自然杀伤细胞(NK)水平高于对照组,差异有统计学意义(P<0。05);实验组CD3+、CD4+、CD8+、CD4+/CD8+均高于对照组,差异有统计学意义(P<0。05)。结论 黄芪当归汤能有效改善晚期肺癌化疗骨髓抑制患者的骨髓抑制情况和免疫功能,疗效确切,具有较好的临床应用前景。
Effect of Astragalus Membranaceus and Angelica Sinensis Decoction on Tumor Markers and Bone Marrow Suppression of Advanced Lung Cancer Patients with Chemotherapy
Objective To observe effect of astragalus membranaceus and angelica sinensis decoction on immune function of patients with advanced lung cancer with chemotherapy and bone marrow suppression.Methods The paper chose 110 advanced lung cancer chemotherapy patients met inclusion criteria in Shashi District Women and Children's Health Hospital from January 2020 to January 2022 as research subjects,and divided them into control group(n=55,treated with simple chemotherapy)and experimental group(n=55,with chemotherapy+astragalus membranaceus and angelica sinensis decoction)according to random number table method.Clinical effect between two groups was compared,bone marrow suppression and changes in serum TNF-α,NK and T lymphocyte subsets(CD3+,CD4+,CD8+,CD4+/CD8+)levels were recorded before and after treatment.Results one case was lost in each group,and 54 cases were actually observed in each group.There was no statistically significant difference in clinical effect between two groups after chemotherapy(P>0.05).After chemotherapy,the platelet count(PLT),hemoglobin(Hb),white blood cell count(WBC),and neutrophil count in experimental group was higher than control group,difference was statistically significant(P<0.05).Serum tumor necrosis factor(TNF-α)in experimental group was lower than control group,level of natural killer cells(NK)was higher than control group,difference was statistically significant(P<0.05).The CD3+,CD4+,CD8+,CD4+/CD8+levels in experimental group were higher than control group,difference was statistically significant(P<0.05).Conclusion Astragalus membranaceus and angelica sinensis decoction can effectively improve bone marrow suppression and immune function of patients with advanced lung cancer chemotherapy bone marrow suppression,with definite curative effect and good clinical application prospects.

Astragalus membranaceus and angelica sinensis decoctionAdvanced lung cancerChemotherapySerum tumor markersBone marrow suppression

卢迁、周远军

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荆州市沙市区岑河中心卫生院 中医科,湖北 荆州 434010

荆州市沙市区妇幼保健院 中医内科,湖北 荆州 434002

黄芪当归汤 晚期肺癌 化疗 血清肿瘤标志物 骨髓抑制

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(11)