首页|老年中晚期肺癌化疗患者开展六君子汤加减治疗对免疫功能的影响

老年中晚期肺癌化疗患者开展六君子汤加减治疗对免疫功能的影响

扫码查看
目的 探讨老年中晚期肺癌化疗患者开展六君子汤加减治疗对免疫功能的影响。方法 选取2021年1月—2022年12月本院收治的老年中晚期肺癌化疗患者76例为研究对象,以信封随机抽取方式将患者分为两组,每组38例。对照组开展针刺治疗,观察组在对照组基础上开展六君子汤加减治疗,观察患者临床疗效,并分析六君子汤加减治疗对免疫功能的影响。结果 治疗前,两组患者神经元特异性烯醇化酶(NSE)、癌胚抗原(CEA)、血清细胞角蛋白十九片段(CYERA21-1)、血清糖类抗原125(CA12-5)水平比较,无显著差异(P>0。05);治疗后,两组各项指标水平均下降,且观察组各项指标水平均低于对照组(P<0。05)。观察组治疗总有效率明显高于对照组(P<0。05)。治疗前,两组患者血清指标[血管内皮生长因子(VEGF)、血清碱性成纤维细胞生长因子(bFGF)、基质金属蛋白酶9(MMP-9)]水平比较,无显著差异(P>0。05);治疗后,两组血清指标水平均降低,观察组降低幅度更大(P<0。05)。治疗前,两组患者免疫功能指标(CD3+、CD4+、CD8+、CD4+/CD8+)比较,无显著差异(P>0。05);治疗后,两组CD3+、CD4+、CD4+/CD8+水平均升高,且观察组高于对照组;治疗后,两组CD8+均降低,且观察组低于对照组(P<0。05)。观察组不良反应发生率显著低于对照组(P<0。05)。结论 在针对老年中晚期肺癌患者的化疗过程中,采用六君子汤加减方案进行治疗,其效果显著,且具有较高的治疗安全性。该方案能够有效改善患者的免疫功能,促使肿瘤标志物水平得到优化,进而延长患者的生存期。同时,还能有效降低患者体内的炎症水平及不良反应发生率。因此,该治疗方法具有较高的临床推广价值。
Effect of Modified Six Ingredients Decoction on Immune Function of Elderly Advanced Lung Cancer Patients with Chemotherapy
Objective To explore the effect of modified six ingredients decoction on immune function and clinical effect of elderly advanced lung cancer patients with chemotherapy.Methods The paper chose 76 elderly advanced lung cancer patients with chemotherapy in our hospital from January 2021 to December 2022 for study,and divided them into two groups randomly with envelope randomization,with 38 cases in each group.The control group was treated with acupuncture treatment,while the observation group with modified six ingredients decoction based on the control group.Clinical effect of the patients was observed.Results NSE,CEA,CYERA21-1,CA12-5 of patients showed no significant difference before treatment (P>0.05),while the observation group showed more significant improvement in indicators after treatment,with significant difference (P<0.05).Clinical effect of the observation group was higher than the control group (86.84%,68.42%),difference was significant (P<0.05).There was no significant difference in serum indicators (VEGF,bFGF,MMP-9) of patients before treatment (P>0.05).The observation group showed greater improvement after treatment,with significant difference (P<0.05).There was no significant difference in immune function indicators of patients before treatment (CD3+,CD4+,CD8+,CD4+/CD8+) (P>0.05),while the observation group showed better improvement after treatment,with significant difference (P<0.05).The adverse reactions were significantly lower in the observation group (13.16%,36.84%),with significant difference (P<0.05).Conclusion Modified six ingredients decoction can achieve significant curative effect for elderly advanced lung cancer patients with chemotherapy,can improve immune function,tumor marker levels of patients,prolong life cycle,reduce inflammation levels in the body,can reduce adverse reactions with high safety,which is worthy of clinical promotion.

Modified six ingredients decoctionElderlyAdvanced stage lung cancerChemotherapyImmune function

孙贺

展开 >

吉林市中医院,吉林 吉林 132000

六君子汤加减 老年 中晚期肺癌 化疗 免疫功能

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(28)