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斑蝥酸钠维生素B6注射液联合DP方案治疗晚期非小细胞肺癌观察
Observation of Late Non small Cell Lung Cancer Treated by Sodium Cantharis Vitamin B6 Injection and DP  Chemotherapy
  
DOI:
中文关键词:  斑蝥酸钠维生素B6注射液  晚期非小细胞肺癌  DP方案
英文关键词:Sodium cantharis vitamin B6 injection  Late non small cell lung cancer  DP Chemotherapy
基金项目:
作者单位
曾红学 赣州市肿瘤医院(江西赣州 341000) 
李小波 赣南医学院。 
黄作超 赣州市肿瘤医院 
曾春生 赣州市肿瘤医院 
陈小妹 赣州市肿瘤医院 
康昭洵 赣州市肿瘤医院 
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中文摘要:
      摘 要 目的:观察斑蝥酸钠维生素B6注射液对提高晚期非小细胞肺癌(NSCLC)患者化疗临床受益反应和不良反应的影响,及其对患者免疫功能的改善。方法:42例ⅢB期和Ⅳ期的NSCLC患者随机分为两组各21例,对照组采用单纯DP方案化疗,观察组在对照组基础上联合斑蝥酸钠维生素B6注射液0.5 mg·d-1 ivd。所有患者至少完成3个周期化疗,3周期后观察患者临床受益反应、免疫功能指标、不良反应发生率。结果:观察组临床受益反应指标阳性者比例均明显高于对照组(P<0.05)。对照组治疗后NK细胞活性、T4/T8比值较治疗前明显下降(P<0.05);观察组治疗前后比较,差异无统计学意义(P>0.05),且显著高于对照组(P<0.05)。观察组白细胞减少发生率明显低于对照组(P<0.05),其他不良反应发生率比较,差异无统计学意义(P>0.05)。结论:斑蝥酸钠维生素B6注射液联合DP方案化疗治疗晚期NSCLC患者的临床受益率较高,能显著改善患者对化疗的耐受性,减少阿片类镇痛药的用量,提高其用药依从性,且安全性较好,值得推广应用。
英文摘要:
      ABSTRACT Objective::To observe the clinical benefit response, adverse reactions and immune function on late non small cell lung cancer patients (NSCLC) with sodium cantharis vitamin B6 injection and DP chemotherapy. Methods::42 cases with ⅢB stage or Ⅳ stage of non small cell lung cancer (NSCLC) were divided into 2 groups randomly.The control group was treated by pure DP chemotherapy and the observation group, treated by sodium cantharis vitamin B6 injection 0.5mg·d-1,ivd based on the control group.After all the patients completed their three cycles of chemotherapy at least,the clinical benefit response rate, immune function indicators and incidence of adverse reactions were observed.Results::The positive indicators of clinical benefit response of the observation group was significantly higher than those of the control group(P<0.05).About the immune function,the NK cell activity and the T4/T8 declined significantly before and after the treatment of the control group(P<0.05), but increased significantly before and after the treatment of the observation group(P<0.05)and the rangeability was higher than that of the control group(P<0.05).About the leukocytopenia, the observation group was far below the control group,which had significant differences between the two groups (P<0.05),and there was no statistically significant difference in other indicators.Conclusion::Sodium cantharids vitamin B6 and combined with DP chemotherapy with its higher clinical benefit response rate of late non small cell lung cancer could improve chemotherapy tolerance and the medical compliance of patients and reduce opioid dose with high safety; therefore, it is worth popularizing.
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