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作 者:王笑民[1] 郁仁存[1] 辛海[1] 杨国旺[1] 赵文硕[1] 孙书贤[1] 刘炬[1] 杨中[1] 唐武军[1] 张青[1] 胡凤山[1] 韩冬[1]
出 处:《癌症进展》2004年第6期455-457,454,共4页Oncology Progress
摘 要:目的 观察固本消瘤胶囊治疗晚期非小细胞肺癌(NSCLC)的临床疗效。方法 102例晚期NSCLC住院患者随机分为固本消瘤胶囊加化疗组(A组54例),化疗组(C组48例)。选择拒绝化疗、单纯口服固本消瘤胶囊组(B组96例),进行对照观察。结果 A、B、C组近期有效率分别为16.7%、3.1%、8.4%,A组优于C组,P<0.05,且A、B两组患者在临床症状变化、生活质量方面均优于C组,P<0.05。中位生存期A、B、C组分别为12个月,15个月和9个月。治疗后1、2、3年生存率,A组分别为57.4%、11.1%和3.7%;B组分别为67.7%、9.38%和3.13%;C组1、2年生存率分别为39.6%、4.17%,3年生存率为0。经统计学处理,A组和B组的生存率优于C组,P<0.05。A组的化疗毒副作用较C组明显减轻。结论 固本消瘤胶囊对NSCLC具有一定的客观疗效,主要表现为稳定病灶、提高生活质量、延长生存期;该制剂与化疗联合应用有明显的增效减毒作用。<abstract>jective To observe the effect of Guben Xiao liu Capsule (GBXLC) in the treatment of advanced non small cell lung cancer (NSCLC). Methods 198 NSCLC patients were divided randomly into three groups. They are group A, GBXLC plus chemotherapy; group B, GBXLC alone, group C, chemotherapy alone. Results The response rate in three groups was16.7%, 3.1%, and 8.4% respectively. The response rate in group A was better than that in group C. After treatment, the symptoms, KPS, were all improved in group A and group B, better than that in group C. The median survival time in three groups was 15, 12 and 9 months respectively. The 1-year、2-year and 3-year survival rate in group A were 57.4%, 11.1% and 3.7%; in group B were 67.7% , 9.38% and 3.13% ; in group C were 39.6% , 4.17% , and 3-year survival rate is 0. The chemotherapeutic toxicities were mainly bone marrow depression, decrease of WBC, gastrointestinal disturbance and hair loss. But the toxicity occurring rate and toxic degree was much sh'ghter in group A thanthat in group C. Conclusion GBXLC can be used for NSCLC treating. It may stable the cancer lesion, relieve the symptoms, improve quality of life and prolong survival time. GBXLC may strengthen the efficacy of chemotherapy and relieve the side effects of chemotherapy.
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