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西黄丸辅助白蛋白结合型紫杉醇联合环磷酰胺化疗对乳腺癌患者免疫功能的影响OA

Effect of Adjuvant Xihuang Pills with Chemotherapy Using Albumin-Bound Paclitaxel and Cyclophosphamide on Immune Function in Patients with Breast Cancer

中文摘要英文摘要

目的:观察西黄丸辅助白蛋白结合型紫杉醇联合环磷酰胺(TC)化疗方案对乳腺癌患者术后免疫功能的影响.方法:选取2021年1月1日~2023年5月1日某院甲乳外科收治的78例乳腺癌术后行TC化疗方案的患者为研究对象,采用随机数字表法分为对照组和观察组,每组39例.对照组给予TC化疗方案进行治疗,观察组在对照组治疗基础上加用西黄丸.治疗2个周期后,比较两组患者免疫指标[CD3+、CD4+、CD8+、CD4+/CD8+、自然杀伤(NK)细胞]水平变化.结果:治疗后,观察组CD3+、CD4+、CD8+、CD4+/CD8+、NK细胞水平均高于对照组(P<0.05),CD8+水平低于对照组(P<0.05).结论:西黄丸辅助TC化疗可通过调节CD3+、CD4+、CD8+、CD4+/CD8+、NK细胞水平,改善行TC化疗的乳腺癌患者术后免疫功能,建议临床推广.

Objective:To observe the effect of adjuvant Xihuang pills with albumin-bound paclitaxel and cyclophosphamide(TC)chemotherapy on postoperative immune function in patients with breast cancer.Methods:A total of 78 patients with breast cancer who received TC chemotherapy after breast cancer surgery in the Department of Thyroid and Breast Surgery in a certain hospital from 1 January 2021 to 1 May 2023 were divided into the control group and observation group by random number table method,with 39 patients in each group.The control group was treated with TC chemotherapy,and the observation group was treated with Xihuang pills in addition to the treatment given in the control group.After 2 cycles of treatment,the changes in the immune markers[CD3+,CD4+,CD8+,CD4+/CD8+,natural killer(NK)cells]were compared between the two groups.Results:After treatment,the levels of CD3+,CD4+,CD4+/CD8+ and NK cells in the observation group were higher than those in the control group(P<0.05),while the level of CD8+ in the observation group was lower than that in the control group(P<0.05).Conclusion:Adjuvant Xihuang pills with TC chemotherapy can improve the postoperative immune function in patients with breast cancer undergoing TC chemotherapy through regulating the levels of CD3+,CD4+,CD8+,CD4+/CD8+ and NK cells and is worthy of clinical application.

王一帆;刘晓亚;孔理祥;王若楠;孟超;卢海;师丙帅

河南大学第一附属医院甲乳外科,开封 475001河南大学第一附属医院神经外科,开封 475001韶关市第一人民医院甲乳外科,韶关 512000

临床医学

西黄丸TC化疗乳腺癌免疫功能恶性肿瘤

Xihuang pillsTC chemotherapybreast cancerimmune functionmalignant tumor

《中国合理用药探索》 2024 (003)

45-49 / 5

中国博士后基金(2020M682683)

10.3969/j.issn.2096-3327.2024.03.008

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