首页|消癌解毒方+免疫检查点抑制剂治疗驱动基因阴性的晚期肺腺癌患者的效果

消癌解毒方+免疫检查点抑制剂治疗驱动基因阴性的晚期肺腺癌患者的效果

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目的:分析驱动基因阴性的晚期肺腺癌患者接受消癌解毒方+免疫检查点抑制剂治疗的效果。方法:选取2021 年 10 月—2023 年 10 月徐州市中医院诊治的 84 例驱动基因阴性的晚期肺腺癌患者作为研究对象,采用随机数表法分为对照组和观察组,每组各 42 例。对照组实施免疫检查点抑制剂治疗,观察组在对照组基础上实施消癌解毒方治疗,疗程持续至化疗结束。比较两组治疗前后的中医症状积分、肺功能、癌因性疲乏程度和生存质量,统计两组疗程结束后的近期客观疗效。结果:治疗后观察组中医症状积分均低于对照组,差异有统计学意义(P<0。05);治疗后观察组各项呼吸功能指标水平均高于对照组,差异有统计学意义(P<0。05);治疗后观察组癌因性疲乏评分较对照组低,生存质量评分较对照组高,差异有统计学意义(P<0。05);观察组客观缓解率和疾病控制率高于对照组,差异无统计学意义(P>0。05)。结论:在免疫检查点抑制剂的基础上增加消癌解毒方加强治疗驱动基因阴性的晚期肺腺癌患者获得确切疗效,可显著改善患者临床症状和肺功能,减轻癌性疲乏,提高生存质量。
Effects of Xiaoaijiedu Prescription Plus Immune Checkpoint Inhibitor on Patients with Advanced Lung Adenocarcinoma with Negative Driver Genes
Objective:To analyze the effects of Xiaoaijiedu prescription plus immune checkpoint inhibitor on advanced lung adenocarcinoma patients with negative driver genes.Method:A total of 84 patients with advanced lung adenocarcinoma with driver gene negative from October 2021 to October 2023 were selected as the study objects and divided into a control group and an observation group by random number table method,with 42 cases in each group.The control group was treated with immune checkpoint inhibitor,while the observation group was treated with Xiaoaijiedu prescription on the basis of the control group.The course of treatment lasted until the end of chemotherapy.Traditional Chinese medicine symptom score,lung function,cancer-related fatigue degree and quality of life before and after treatment were compared between the two groups.Result:After treatment,the scores of TCM symptoms in the observation group were lower than control group after treatment,and the differences were statistically significant(P<0.05).The levels of respiratory function indexes in the observation group were higher than control group,and the differences were statistically significant(P<0.05).The cancer fatigue score in observation group was lower than control group,and the quality of life score was higher than control group,and the differences were statistically significant(P<0.05).The objective remission rate and disease control rate of observation group were higher than control group,and the differences were not statistically significant(P>0.05).Conclusion:In patients with advanced lung adenocarcinoma with negative driver genes,enhanced treatment with Xiaoaijiedu prescription on the basis of immune checkpoint inhibitors can obtain exact curative effect,which can significantly improve clinical symptoms and lung function,reduce cancerous fatigue,and improve life quality.

Driver gene negative advanced lung adenocarcinomaImmune checkpoint inhibitorsXiaoaijiedu prescriptionLung functionCancer-related fatigueQuality of life

贺雪黛、杨静、高震

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徐州市中医院 江苏 徐州 221000

驱动基因阴性晚期肺腺癌 免疫检查点抑制剂 消癌解毒方 肺功能 癌因性疲乏 生存质量

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(36)