化疗联合中药治疗Ⅲ、Ⅳ期非小细胞肺癌的近期疗效
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Short-term Curative Effects of Chemotherapy Combined with Traditional Chinese Medicine in the Treatment of Ⅲ , Ⅳ stage of Non-small Cell Lung Cancer
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    摘要:

    目的 比较单纯化疗与化疗联合中药治疗Ⅲ、Ⅳ期非小细胞肺癌的近期临床疗效。方法 选择我院收治的Ⅲ、Ⅳ期非小细胞肺癌患者53 例,按照不同治疗方法分为中西医结合组(化疗联合中药治疗)27 例和西医组(单纯化疗)26 例。比较两组患者的临床疗效和1 年生存情况。结果 治疗2 个疗程后,中西医结合组病情缓解14 例(51.9%),病情无进展8 例(29.6%),病情恶化5 例(18.5%),治疗总有效率为51.9%,疗效显著优于单纯西医治疗组(P>0.05)。中西医结合组1 年内患者生存13 例,生存率48.1%,两组1 年总生存率与无瘤生存率的差异无统计学意义(P>0.05)。两组肿瘤局部复发率和远处转移率的差异无统计学意义。结论 化疗联合中药治疗Ⅲ、Ⅳ期非小细胞肺癌的近期疗效优于单纯化疗。

    Abstract:

    Objective To compare the short-term clinical effects of mere chemotherapy and chemotherapy combined with traditional Chinese Integrative Medicine in the treatment of Ⅲ, Ⅳ non-small cell lung cancer. Methods A total of 53 cases of Ⅲ, Ⅳ stage non-small cell lung cancer were included and divided into the traditional Chinese and Western medicine integrative group in which chemotherapy was combined with traditional Chinese medicine for 27 cases, and Western medicine group in which there was mere chemotherapy, for 26 cases. After treatment, the curative effect and one-year survival of patients were compared between the two groups. Results After two courses of treatment, 14 cases had remission in chemotherapy combined with traditional Chinese medicine group (51.9%), 8 cases of patients had disease free-progression (29.6%), and the rest 5 cases had disease deteriorated (18.5%), with a total effective rate of 51.9%. The curative effects were significantly higher than that of simple Western medication group (P>0.05). 13 cases had one-year survival in combined traditional Chinese and Western medicine group with the survival rate of 48.1%, and there was no significant difference in one-year survival rates between the two groups (P>0.05). The local recurrence and distant metastasis rate was of no significant difference in the follow-up of one year. Conclusion Chemotherapy combined with traditional Chinese medicine therapy had optimum short-term effects on Ⅲ, Ⅳ stage non-small cell lung cancer.

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刘振昌,张侠,史攀,等.化疗联合中药治疗Ⅲ、Ⅳ期非小细胞肺癌的近期疗效[J].肿瘤药学,2013,(6): ( in Chinese)

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