参白扶正颗粒联合化靶方案治疗NSCLC患者的临床效果及对预后的影响
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Clinical curative effect of Shenbai Fuzheng granule combined with targe-ted chemotherapy regimen and its influences on prognosis of NSCLC pa-tients
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    摘要:

    目的:探讨参白扶正颗粒联合化靶方案[贝伐珠单抗+AP方案(培美曲塞+顺铂)]治疗非小细胞肺癌(NSCLC)患者的临床效果及对预后的影响。方法:选取70例NSCLC患者为研究对象,根据治疗方案不同分为对照组和观察组,每组各35例。对照组患者予以贝伐珠单抗+AP方案治疗;观察组予以参白扶正颗粒联合贝伐珠单抗+AP方案治疗,21 d为一个周期,均治疗2个周期。比较两组患者肿瘤控制情况[客观缓解率(ORR)、疾病控制率(DCR)]、不良反应发情况、肿瘤标志物[癌胚抗原(CEA)、糖类抗原125(CA125)]水平和血常规中NLR、KPS评分及预后复发情况。结果:两组患者ORR、DCR比较,差异无统计学意义(P>0.05)。治疗后,观察组患者胃肠道反应、骨髓抑制的发生率及不良反应总发生率均低于对照组(P<0.05);NLR、CEA和CA125水平低于对照组(P<0.05);KPS评分高于对照组(P<0.05);1年内复发率低于对照组(P<0.05)。结论:参白扶正颗粒联合化靶方案在治疗NSCLC中有明显的减毒作用,并有利于患者的预后。

    Abstract:

    Objective:To explore clinical curative effect of Shenbai Fuzheng granule combined with bevacizumab+AP regimen(pemetrexed+cisplatin)and its influences on prognosis in non-small cell lung cancer(NSCLC).Methods:70 NSCLC patients were selected as the research subjects and divided into a control group and an observation group according to different treatment plans,with 35 cases in each group.The control group were treated with bevacizumab+AP regimen,and the observation group was treated with a combination of Shenbai Fuzheng granules+bevacizumab+AP regimen for 21 days per cycle,with 2 cycles of treatment for each group.The tumor control[objective response rate(ORR),disease control rate(DCR)],incidence of adverse reactions,tumor markers[carcinoembryonic antigen(CEA),carbohydrate antigen 125(CA125)],blood routine[neutrophil to lymphocyte ratio(NLR)],scores of Karnofsky performance status(KPS)and prognosis recurrence were compared between the two groups.Results:After treat-ment,there were no significant difference in ORR and DCR between observation group and control group(P>0.05).The incidence of adverse reactions(bone marrow suppression,gastrointestinal reactions,liver and kidney damage,rash)in observation group was lower than that in control group(P<0.05),levels of NLR,CEA and CA125 were lower than those in control group(P<0.05),KPS score was higher than that in control group(P<0.05),and recurrence rate was lower than that in control group at 1 year after treatment(P<0.05).Conclusion:Shenbai Fuzheng granule combined with targeted chemotherapy regimen has significant toxicity-reducing effect in NSCLC patients,and is conducive to prognosis of patients.

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王玲;刘永珍;刘福蓉;.参白扶正颗粒联合化靶方案治疗NSCLC患者的临床效果及对预后的影响[J].川北医学院学报,2025,40(8):1066-1069.

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  • 在线发布日期: 2025-08-10
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