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作 者:王维忠[1] 王巍[1] 王每先[1] 刘秉义[1] 陈英忠[1] 李立[1] 卢振霞[1] 胡明继 王立波[2] 张彩霞[2] 宋福山[2] 王中易[3] 李保国[3] 李晨民 褚敏[3]
机构地区:[1]白求恩医大第三临床学院 [2]吉林省肿瘤医院 [3]吉林省人民医院
出 处:《白求恩医科大学学报》1997年第6期642-646,共5页Journal of Norman Bethune University of Medical Science
摘 要:采用随机双盲法将60例癌症病人分为A、B两组,每组30例,选择包括一般状态和多项免疫指标等为疗效判定指标。经4周临床实验后,由委托实验单位揭示A、B组分别为注射用多抗甲素和注射用生理盐水,与临床观察结果一致。按照本试验组统一制订的临床疗效标准,A组总有效率为76.7%,B组为30%。在一般指标评价中,PS实验后A组较B组好(P<0.05),A、B两组没看到体重有意义变化(P>0.05);WBC两组于治疗后都有下降,而B组下降非常明显(P<0.05),显示了注射用多抗甲素的良好保护作用。在免疫指标中,PPD、PHA和LTT在治疗后A组明显增强(P<0.01),B组却明显下降(P<0.05);CD3、CD4、NK在实验后A组亦表现为明显增多(P<0.01),而B组却明显下降(P<0.05);sIL-2R于实验后亦出现两种截然相反的结果,A组减少,B组增多(P<0.01)。总之,所列免疫指标变化表明,注射用多抗甲素有较强的免疫作用。除少许病人表现轻度发烧外,未发现有其他毒副作用。Sixty cancer patients were divided into group A and B by random doubleblind method,each group having 30 cases.General condition and several immune indices were selected as curative criteria.The consigner units pointed out that group A and B used Polyactinum and normal saline both for injection respectively after 4 weeks of clinical test.By the unified clinical curative criteria,the total effective ratio of group A was 76.9%,group B was 30%.In general indices evaluation,group A was better than group B after PS experiment(P<005).WBC of both groups decreased after treatment,but it markedly lowered in group B (P<005).It shows that Polycatinum for injection has good protective action.PPD,PHA and LTT of group A appear strongly increased after treatment (P<001),and that of group B obviously decreased (P<005).CD3,CD4 and NK of group A also significantly increased (P<001), and that of group B markedly decreased (P<005).The results of sIL-2R completely reverse after experiment,that is ,group A decreases,and group B increases (P<001).In short,above immune index changes indicate that Polycainum for injection has better inmmuno-enhancement action,there are no other sideeffects except a slight fever.
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