摘要:
Objective: To study clinical curative effect of Huangqi Shengmai Decoction used in the adjuvant treatment of non-small cell lung cancer (NSCLC). Methods: 68 cases of NSCLC patients in our hospital were chosed from June 2013 to June 2015, and randomly divided into the control group (34 cases), which were only treated with FOLFOX4 chemotherapy regimen, the treatment group (34 cases), which were orally administered with Huangqi Shengmai Decoction and synchronously treated with FOLFOX4 chemotherapy regimen. After five treatment courses, immunological indexes and tumor biochemical indicators of patients in two groups were respectively detected and compared, while recent clinical curative effects, life quality improvements and incidences of adverse reactions of patients in two groups were compared. Results: After the treatment, immune system indicators of patients from the treatment group as immune molecules levels of Ig G, Ig M, C3 and C5 and the distribution pattern of T lymphocyte, were significantly better than those in the control group (P <0. 05). And expression levels of tumor associated protein gene CK19 and LUNX, and anti-apoptotic gene p53, Bcl-2 and Survivin in patient from the treatment group, were significantly lower than those of control patients (P <0. 05). In addition, the effective rate in the treatment group was 73. 53%, which was significantly higher than that in the control group (44. 12%) (P <0. 05), the life quality improvement rate of patients in the treatment group was about64. 71%, significantly higher than that in the control group (35. 29%) (P <0. 05). In the process of treatment, the incidence rate of adverse reactions, anorexia, diarrhea, infection, white blood cells decline, etc, was significantly reduced and lower than that in the control group (P <0. 05). Conclusion: Huangqi Shengmai Decoction used in the clinical adjuvant treatment of NSCLC can achieve favourable curative effect.%目的:研究黄芪生脉饮用于非小细胞型肺癌临床辅助治疗的疗效.方法:将2013年6月至2015年6月在我院就诊的68例非小细胞型肺癌患者, 随机均分为对照组34例, 仅采用FOLFOX4的化疗方案治疗;观察组34例, 给予口服黄芪生脉饮联合FOLFOX4化疗的治疗方案.两组分别治疗5个疗程后, 对两组患者治疗前后的免疫学指标、生化指标等进行检测, 并比较两组患者近期临床疗效、生活质量改善、毒副反应发生率等指标.结果:治疗5个疗程后, 观察组患者外周血中免疫分子IgG、IgM、C3和C5的水平、T淋巴细胞分布等免疫系统指标均明显优于对照组;治疗后, 观察组患者外周血中, 肿瘤相关蛋白基因CK19和LUNX抗凋亡基因p53、Bcl-2、Survivin等的表达水平均显著降低;此外, 观察组患者的治疗有效率为73.53%, 明显高于对照组 (44.12%);观察组患者的生存质量改善率约为64.71%, 显著高于对照组患者的35.29%;观察组患者接受治疗过程中出现厌食、腹泻、感染、白细胞下降等毒副反应的发生率较对照组明显降低.结论:黄芪生脉饮用于非小细胞型肺癌的临床辅助治疗能够取得良好疗效.