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ABD活性因子对肺癌患者化疗后骨髓抑制的作用研究

ABD bioactives alleviates chemotherapy-induced myelosuppression

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【作者】 罗敏吴晓军张欣董光熊骊龙王鹏程高葵余萍何美杜驰蒋鸥石汉平

【Author】 LUO Min;WU Xiao-jun;ZHANG Xin;DONG Guang;XIONG Li-long;WANG Peng-cheng;GAO Kui;YU Ping;HE Mei;DU Chi;JIANG Ou;SHI Han-ping;Cancer Nutritional Treatment Center, Neijiang Second People’s Hospital;Marryhealth Enterprises (Chong Qing) Ltd.;The Second Retired Cadre Sanatorium in Harbin, Heilongjiang Provincial Military District;Medical Department/Department of Clinical Nutrition/Department of Psychiatry,Neijiang Second People’s Hospital;Cancer Center, Neijiang Second People’s Hospital;Department of Gastrointestinal Surgery/Clinical Nutrition, Beijing Shijitan Hospital/Capital Medical University Beijing International Science and Technology Cooperation Base for Cancer Metabolism and Nutrition/Department of Oncology, Capital Medical University;

【通讯作者】 蒋鸥;石汉平;

【机构】 四川省内江第二人民医院肿瘤营养中心美睿健康产业(重庆)有限公司黑龙江省军区哈尔滨第二离职干部休养所四川省内江市第二人民医院医务科/营养科四川省内江市第二人民医院肿瘤中心首都医科大学附属北京世纪坛医院胃肠外科/临床营养科/肿瘤代谢与营养北京市国际科技合作基地/首都医科大学肿瘤学系

【摘要】 目的观察ABD活性因子对肺癌患者化疗后骨髓抑制情况的影响。方法选取44例接受化疗的肺癌患者,随机分为干预组、对照组,22例干预组患者口服ABD活性因子,22例治疗背景相同的对照组患者作常规化疗,比较两组患者骨髓抑制情况的差异。结果 43例患者按计划完成化疗,对照组1例患者因重度骨髓抑制终止化疗。干预组骨髓抑制情况显著改善(P<0. 05)。与对照组比较,干预组Ⅲ~Ⅳ级骨髓抑制率显著降低(P <0. 05),且白细胞、中性粒细胞、血小板抑制情况显著改善(P <0. 05,P <0. 05,P <0. 05)。与对照组比较,干预组(非小细胞肺癌:紫杉醇+顺铂,培美曲塞+顺铂)化疗药物导致的骨髓抑制情况明显改善(P <0. 05,P <0. 05,P <0. 05,P <0. 05)。结论 ABD活性因子可改善肺癌患者化疗后骨髓抑制情况,尤其降低Ⅲ~Ⅳ级骨髓抑制发生率,提升白细胞、中性粒细胞、血小板水平,同时降低铂类、紫杉醇类、抗代谢类化疗药物毒副作用。

【Abstract】 Objective To explore the effect of ABD bioactives on myelosuppression alleviation in lung cancer patients during chemotherapy.Methods 44 lung cancer patients who received chemotherapy were randomly divided into intervention group and control group.22 lung patients in intervention group received ABD Bioactives for adjuvant therapy.22 lung cancer patients were treated conventionally.The difference of myelosuppression was compared between the two groups.Results 43 patients completed chemotherapy as planned,and 1 patients of the control group terminated chemotherapy due to severe myelosuppression.Myelosuppression of intervention group was significantly alleviated(P <0.05).The incidence of myelosuppression of Ⅲ~Ⅳ was significantly lower(P <0.05),and the inhibition of leukocytes,granulocytes and platelets was significantly alleviated(P <0.05,P<0.05,P <0.05) compared with the control group.The myelosuppression induced by paclitaxel+platinum-based agents,pemetrexed+platinum-based agents was significantly alleviated(P <0.05,P <0.05,P <0.05,P <0.05) compared with the control group.Conclusion ABD Bioactives can alleviate chemotherapy induced myelosuppression in lung cancer patients,especially reduce the incidence of Myelosuppression of Ⅲ~Ⅳ,increase the levels of leukocytes,granulocytes and platelets,reduce the toxicity and side effects of platinum-based agents,paclitaxel,antimetabolite.

【基金】 国家重点研发计划项目(2017YFC1309200)
  • 【文献出处】 肿瘤代谢与营养电子杂志 ,Electronic Journal of Metabolism and Nutrition of Cancer , 编辑部邮箱 ,2019年03期
  • 【分类号】R734.2
  • 【被引频次】1
  • 【下载频次】56
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