中医药对中晚期非小细胞肺癌生存期的影响
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1. 浙江中医药大学,浙江杭州 310053;2. 浙江省中医院,浙江杭州 310006

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R273

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基金项目: 浙江省中医药科技计划课题(NO: 2010ZA034) 收稿日期: 2013 - 07 - 02修回日期: 2013 - 08 - 08 作者简介: 王莉(1987~) 女,安徽六安人,在读研究生,主要从事中医药防治肿瘤的研究。 △通信作者:冯正权,E-mail:fzhq213@yahoo.com.cn


Effects of TCM on the Survival Time of Patients with Medium and Advanced NSCLC
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1. Zhejiang University of Chinese Medicine,Hangzhou Zhejiang 310053, China; 2. Chinese Medicine Hospital of Zhejiang Province,Hangzhou Zhejiang 310006, China

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    摘要:

    目的观察中医药在提高中晚期非小细胞肺癌生存期中的作用,探讨中晚期非小细胞肺癌(NSCLC)的最佳治疗方案。方法将符合标准的病例分别纳入化疗组、化疗联合中药组,纳入研究的合格病例219例,其中化疗组 93例,化疗联合中药组126例。用Kaplan- Meier 法分析主要终点指标中位生存期。结果化疗组、化疗联合中药组的中位生存期分别为487 d、 589 d,1年累积生存率分别为69.9 %、72.7 %,2年累积生存率分别为17.5%、35.2%,(组间比较,P=0.008),由统计学分析P<0.05,两组差异有统计学意义。结论本研究说明化疗联合中药组较化疗组能显著延长中晚期非小细胞肺癌患者的生存时间。化疗联合中药治疗在中晚期非小细胞肺癌的治疗中是一种很有效的治疗方案。

    Abstract:

    Objective To observe the role of traditional Chinese medicine(TCM)therapy in improving the survival time of patients with medium and advanced non-small cell lung cancer(NSCLC), and discussed the best treatment for the advanced NSCLC. Methods Take the cases which confirm the standards into the chemotherapy group and the chemotherapy combined with traditional Chinese medicine group respectively. Eligible patients included in the study, 219cases of which 93cases in the chemotherapy group,126 cases in the chemotherapy combined with TCM group. The ultimate index median survival time was analyzed with Kaplan Meier method. Results The 1-,2-year survival and the median survival time for the chemotherapy group and the chemotherapy combined with TCM group was 69.9%, 17.5%, 487days and 72.7%, 35.2%, 589days respectively(X2=7.063,P=0.008). The difference between the two groups was statistically significant by the statistically analysis P<0.05. Conclusion This study shows that the chemotherapy combined with TCM group have advantages in prolong the survival time of patients with the advanced NSCLC. So chemotherapy combined with TCM therapy in advanced NSCLC is a very effective treatment program.

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