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扶正固本汤联合化疗在宫颈癌患者治疗中的应用效果分析
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R737.33

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Analysis of application effect of Fuzheng Guben Decoction combined with chemotherapy in the treatment of cervical cancer patients
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    摘要:

    目的 探讨扶正固本汤联合化疗对宫颈癌患者的治疗效果及对免疫功能的影响。方法 按照随机数字表法将 2017 年 1 月至 2019 年 12 月庆阳市人民医院收治的 80 例宫颈癌患者分为对照组和观察组,每组 40 例。对照组患者予以紫杉醇 + 顺铂(TP)化疗方案 治疗,观察组患者在对照组的基础上联合扶正固本汤进行治疗。21 d 为 1 个治疗周期,两组患者均治疗 3 个周期。将两组患者治疗后临 床疗效,治疗前后 T 淋巴细胞亚群、血清免疫球蛋白水平及治疗期间不良反应发生情况进行对比。结果 治疗后,观察组患者临床总有 效率为 70.00%,显著高于对照组的 47.50%;治疗后,对照组患者 CD8+ 百分比较治疗前显著升高,且显著高于观察组,而对照组患者 CD4+ 百分比、CD4+ /CD8+ 比值及血清免疫球蛋白 M(IgM)、免疫球蛋白 A(IgA)、免疫球蛋白 G(IgG)水平均较治疗前显著降低, 且显著低于观察组;观察组患者治疗期间胃肠道反应、神经毒性、肝肾毒性、脱发、恶心呕吐发生率均显著低于对照组 ( 均P < 0.05); 治疗后观察组患者 CD8+ 百分、CD4+ 百分比、CD4+ /CD8+ 比值,以及血清 IgM、IgM、IgG 水平与治疗前比较,差异均无统计学意义(均 P > 0.05)。结论 将扶正固本汤联合化疗应用于宫颈癌患者的治疗中可提高其临床治疗效果,改善其免疫功能,且安全性较高。

    Abstract:

    Objective To investigate the effect of Fuzheng Guben decoction combined with chemotherapy on the treatment efficacy and immune function of patients with cervical cancer. Methods A total of 80 patients with cervical cancer admitted to Qingyang People's Hospital from January 2017 to December 2019 were selected, and divided into the control group and the observation group, with 40 cases in each group. Patients in the control group was treated with paclitaxel and cisplatin (PT) chemotherapy, and patients in the observation group was treated with Fuzheng Guben decoction on the basis of the control group. 4 weeks was a treatment cycle, and both groups were treated for 3 cycles. Clinical efficacy after treatment, T lymphocyte subsets and serum immunoglobulin levels before and after treatment, and the occurrence of adverse reactions during treatment of patients in the two groups were compared. Results After treatment, the total clinical effective rate of the observation group was 70.00%, which was significantly higher than that of the control group (47.50%); after treatment, the percentage of CD8+ in the control group was significantly higher than that before treatment, while the percentage of CD4+ , CD4+ /CD8+ ratio and the levels of serum immunoglobulin M (IgM), immunoglobulin A (IgA), immunoglobulin G (IgG) in the control group were significantly lower than those before treatment and significantly lower than those in the observation group; the incidence of gastrointestinal reaction, neurotoxicity, hepatorenal toxicity, alopecia, nausea and vomiting in observation group were significantly lower than those in control group (all P <0.05); there were no significant difference in CD8+ percentage, CD4+ percentage, CD4+ /CD8+ ratio, serum IgM, IgM and IgG levels in the observation group after treatment compared with before treatment(all P <0.05). Conclusion The application of Fuzheng Guben Decoction combined with chemotherapy in the treatment of cervical cancer patients can improve the clinical treatment effect and improve the immune function ,which has high safety.

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  • 在线发布日期: 2022-08-18
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