康莱特注射液联合FOLFOX4方案治疗晚期结直肠癌
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Clinical value of Kanglaite injection combined with FOLFOX4 regimen in patients with advanced colorectal cancer
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    目的 探讨康莱特注射液联合FOLFOX4方案治疗晚期结直肠癌的临床价值。方法 选取2016年1月~2017年12月我院治疗的60例晚期结直肠癌患者为研究对象,将患者随机分为对照组(单纯FOLFOX4化疗)和观察组(康莱特注射液+FOLFOX4化疗),每组30例。治疗两个疗程后,对比两组患者临床疗效观察指标及治疗期间不良反应发生情况。结果 对照组临床近期有效率(20.00%)低于观察组(46.67%),但差异无统计学意义(P>0.05);而临床获益率方面,观察组(83.33%)显著高于对照组(60.00%),差异有统计学意义(P<0.05)。治疗后,观察组CD3+、CD4+、CD4+/CD8+水平较治疗前均有不同程度增高,且显著高于对照组(P<0.05);两组CD8+水平均低于治疗前,且观察组CD8+细胞水平降低情况显著高于对照组(P<0.05)。两组Karnofsky评分、QOL得分显著高于治疗前,VAS评分明显降低,且观察组改善程度高于对照组(均P<0.05)。观察组患者各不良反应发生率低于对照组,其中白细胞和中性粒细胞减少、肝功能受损与腹泻发生率显著低于对照组(P<0.05)。结论 康莱特注射液联合FOLFOX4方案治疗晚期结直肠癌不仅能增加临床获益率,明显改善患者CD3+、CD4+、CD8+和CD4+/CD8+水平,提高机体免疫功能,同时还能改善患者的身体状况和生活质量及缓解疼痛、降低不良反应的发生率,可在临床推广应用。

    Abstract:

    Objective To investigate the clinical value of Kanglaite injection combined with FOLFOX4 regimen in the treatment of advanced colorectal cancer.Methods 60 patients with advanced colorectal cancer who were treated in Xiyuan Hospital of China Academy of Chinese Medical Sciences from January 2016 to December 2017 were enrolled. The patients were randomly divided into control group (only give FOLFOX4 singleagent therapy) and treatment group (give Kanglaite injection combined with FOLFOX4 therapy). After two cycles of chemotherapy, the differences of clinical efficacy indicators and adverse reactions were compared between the two groups.Results The short-term clinical effective rate of the control group (20.00%) was lower than that of the observation group (46.67%), but the difference was not statistically significant (P>0.05), while the clinical benefit rate of the observation group (83.33%) was significantly higher than that of the control group (60.00%), the difference was statistically significant (P<0.05). After treatment, the levels of CD3+, CD4+, CD4+/CD8+ in the observation group were higher than those in the control group (P<0.05), while the levels of CD8+ in the two groups were lower than those before treatment, but the level of CD8+ cells in the observation group was significantly higher than that in the control group (P<0.05). Karnofsky score and QOL score of the two groups were significantly higher than those before treatment, VAS score was significantly lower, and the improvement degree of the observation group was higher than that of the control group (P<0.05). The incidence of adverse reactions in the observation group was lower than that in the control group, the decrease of leukocytes and neutrophils, the impairment of liver function and diarrhea were significantly lower than those in the control group (P<0.05). Conclusion Kanglaite injection combined with FOLFOX4 can not only increase the clinical benefit rate, obviously improve the levels of CD3+, CD4+, CD8+ and CD4+/CD8+ in patients with advanced colorectal cancer, improve the immune function of the body, but also improve the physical condition and quality of life of patients, relieve pain and reduce the incidence of adverse reactions, which can be widely used in clinical practice.

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  • 在线发布日期: 2020-08-17
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