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加味清热解毒汤联合三维适形放疗治疗中晚期卵巢癌的疗效及其对血清癌胚抗原和糖类抗原125水平的影响

Efficacy of Modified Qingre Jiedu Decoction Combined with Three-Dimensional Conformal Radiotherapy in Treating Moderate to Advanced Ovarian Carcinoma and Its Effect on Levels of Serum Carcinoembryonic Antigen and Carbohydrate Antigen 125.

作者信息

Ai Shufen, Xie Jin

机构信息

Department of Gynecology, Changqing District People's Hospital of Jinan, Jinan City 250300, Shandong Province, China.

Medical Imaging Center, Central Hospital Affiliated to Shandong First Medical University, No. 105, Jiefang Road, Jinan City, Shandong 250013, China.

出版信息

Evid Based Complement Alternat Med. 2022 Jun 15;2022:1821719. doi: 10.1155/2022/1821719. eCollection 2022.

Abstract

OBJECTIVE

To explore the efficacy of modified Qingre Jiedu decoction combined with three-dimensional conformal radiotherapy (3D-CRT) in treating moderate to advanced ovarian carcinoma (OC) and its effect on patients' serum carcinoembryonic antigen (CEA) and carbohydrate antigen 125 (CA125).

METHODS

The clinical data of 84 patients with moderate to advanced OC treated in the gynecology department of from February 2017 to February 2018 were selected for retrospective analysis, and the patients were divided into the single chemotherapy group (taxol + carboplatin,  = 42) and the combined group (modified Qingre Jiedu decoction+3D-CRT,  = 42) according to the parity of their admission numbers. By measuring their levels of serum CEA and CA125 after treatment, the cellular immune levels of the two groups were compared.

RESULTS

Compared with the single chemotherapy group after treatment, the combined group obtained significantly higher total clinical effective rate and 1-year, 2-year, and 3-year survival rates ( < 0.05), significantly higher CD4/CD8 and NK cell level values ( < 0.001), significantly lower serum CA125 and CEA level values ( < 0.001), and significantly lower total incidence rates of toxic and side effects ( < 0.05).

CONCLUSION

The abovementioned results show that the combined treatment modality has a significant effect on prolonging the survival of patients with moderate to advanced OC and can effectively reduce the levels of tumor markers and improve the body's immunity. Further study will be conducive to establishing a better solution for OC patients.

摘要

目的

探讨加味清热解毒汤联合三维适形放疗(3D-CRT)治疗中晚期卵巢癌(OC)的疗效及其对患者血清癌胚抗原(CEA)和糖类抗原125(CA125)的影响。

方法

选取2017年2月至2018年2月在[医院名称]妇科治疗的84例中晚期OC患者的临床资料进行回顾性分析,根据入院序号奇偶性将患者分为单纯化疗组(紫杉醇+卡铂,n = 42)和联合组(加味清热解毒汤+3D-CRT,n = 42)。通过测量两组治疗后的血清CEA和CA125水平,比较两组的细胞免疫水平。

结果

与治疗后的单纯化疗组相比,联合组的总临床有效率、1年、2年和3年生存率显著更高(P < 0.05),CD4/CD8和NK细胞水平值显著更高(P < 0.001),血清CA125和CEA水平值显著更低(P < 0.001),毒副作用总发生率显著更低(P < 0.05)。

结论

上述结果表明,联合治疗方式对延长中晚期OC患者的生存期有显著效果,能有效降低肿瘤标志物水平并提高机体免疫力。进一步研究将有助于为OC患者建立更好的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/7317/9217599/cb9fa6004d73/ECAM2022-1821719.001.jpg

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