乌苯美司胶囊联合化疗治疗晚期肺癌的前瞻性研究
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四川省卫生和计划生育委员会科研课题(1602926)


Prospective study of ubenimex capsules combined with chemotherapy in the treatment of advanced lung cancer
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    摘要:

    【摘要】 目的 观察乌苯美司胶囊联合化疗治疗晚期肺癌的临床疗效。方法 以随机数字表法将2015年2月~2016年10月收治的晚期非小细胞肺癌(NSCLC)患者60例分为对照组和观察组各30例,对照组实施紫杉醇和顺铂(TP)方案化疗,观察组给予乌苯美司胶囊联合TP方案治疗,比较两组治疗前后近期疗效、无进展生存期(PFS)、免疫功能[T淋巴细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)、NK细胞比例]、生存质量核心量表(QLQC30)评分及不良反应情况。结果 两组患者总有效率(RR)、控制率(DCR)、PFS比较无统计学意义(P>005)。观察组治疗后CD8+明显低于对照组(P<005),CD3+、CD4+、CD4+/CD8+及NK细胞比例均明显高于对照组(P<005)。观察组QLQC30量表各项评分明显优于对照组(P<005),III~IV级白细胞降低率明显低于对照组(P<005),其他不良反应情况比较无统计学意义(P>005)。结论 与单独采用TP方案化疗相比,乌苯美司胶囊联合TP化疗方案治疗晚期NSCLC,可明显改善机体免疫功能、提高患者生存质量且可减轻化疗患者的不良反应。

    Abstract:

    【Abstract】 Objective To observe the clinical efficacy of ubenimex capsule combined with chemotherapy in the treatment of advanced lung cancer. Methods 60 patients with advanced nonsmall cell lung cancer (NSCLC) treated in our hospital from February 2015 to October 2016 were divided into control group and observation group with 30 cases in each group according to the random number table method. The control group was given the paclitaxel and cisplatin (TP) program regimen, and the observation group was given the ubenimex capsule combined with TP regimen. The levels of immune function[T lymphocyte subsets (CD3+, CD4+, CD8+, CD4+/CD8+), the proportion of NK cells], quality of life core scale (QLQC30) score, the adverse reactions, shortterm efficacy, progression free survival (PFS) were compared between the 2 groups. Results There was no significant difference in the overall response rate (RR), disease control rate (DCR), PFS (P>005). The level of CD8+ in the observation group after treatment was significantly lower than that in the control group (P<005), and the levels of CD3+, CD4+, CD4+/CD8+ and the proportion of NK cells were significantly higher than those in the control group (P<005). The every items scores of the QLQC30 scale in the observation group were significantly better or higher than those in the control group (P<005), and the reduction rate of III ~ IV grade leukocyte was significantly lower than that in the control group (P<005), and there was no significant difference in the other adverse reactions (P>005). Conclusion Compared with the single use of chemotherapy, the ubenimex capsule combined with chemotherapy for advanced NSCLC can improve the body immune function, and improve the quality of life and reduce the adverse reactions of chemotherapy.

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  • 在线发布日期: 2018-09-19
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