文章摘要
缑剑 张永利 李王平 李春梅 翟梅.长春瑞滨联合卡铂化疗治疗晚期肺癌的临床观察[J].,2015,15(25):4923-4925
长春瑞滨联合卡铂化疗治疗晚期肺癌的临床观察
Effect of Chemotherapy on Tumor Markers Levelsin Advanced Lung Cancer Patients
  
DOI:
中文关键词: 化疗  晚期肺癌  白细胞计数  细胞免疫  CEA  CA50  CYFRA21-1
英文关键词: Chemotherapy  Advanced lung cancer  White blood cells  Tumor markers
基金项目:国家自然科学基金面上项目(81173610)
作者单位
缑剑 张永利 李王平 李春梅 翟梅 陕西省咸阳市第一人民医院呼吸内科 2第四军医大学附属唐都医院呼吸内科 
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中文摘要:
      目的:探讨长春瑞滨联合卡铂化疗对晚期肺癌的治疗效果和安全性。方法:选取我院肿瘤科收治的晚期肺癌患者60 例,根据 不同治疗方案分为实验组与对照组,每组各30 例患者。比较两组患者治疗前后的CEA、CA50、CYFRA21-1 水平、白细胞计数及T 淋巴细胞亚群CD4+、CD8+水平的变化。结果:治疗前,两组患者的CEA、CA50、CYFRA21-1 水平、白细胞计数及T淋巴细胞亚群 CD4+、CD8+水平比较均无统计学差异(P>0.05)。治疗后,实验组的CEA、CA50、CYFRA21-1、CD8+水平均明显低于对照组,而白细 胞计数及T淋巴细胞亚群CD4+、CD4+/CD8+水平均显著高于对照组,差异均具有统计学意义(P<0.05)。结论:与放疗相比,长春瑞 滨联合卡铂化疗能显著提高晚期肺癌的疗效,且不降低患者的细胞免疫。
英文摘要:
      Objective:To investigate the clinical efficacy and safety of vinorelbine combined with carboplatin chemotherapy in the treatment of advanced lung cancer.Methods:60 patients with advanced lung cancer were selected and randomly divided into the experimental group and control group according to different treatments, 30 cases in each group. The CEA, CA50, CYFRA21-1 levels, white blood cells count and T lymphocyte subsets CD4+, CD8+ level were compared before and after treatment.Results:No statistically significant difference was found in the CEA, CA50, CYFRA21-1 levels, white blood cell count and T lymphocyte subsets CD4+, CD8+ levels before treatment between two groups (P>0.05). Compared with the control group, the CEA, CA50, CYFRA21-1, CD8+ levels of experimental group were significantly lower after treatment (P<0.05), while the white blood cell count, CD4+, CD4+/CD8+ were significantly higher after treatment (P<0.05).Conclusion:Compared with radiotherapy, vinorelbine combined with carboplatin chemotherapy could significantly improve the clinical efficacy of advanced lung cancer and had no effect on the cellular immunity.
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