目的:评价参附注射液对DP方案治疗非小细胞肺癌的减毒增效作用。方法:78例晚期非小细胞肺癌患者随机分为治疗组(39例)和对照组(39例)。治疗组采用参附注射液联合DP方案化疗,对照组单用DP方案化疗。21天为1个周期,2周期后评价疗效。结果:治疗组有效率(CR+PR)51.3%,对照组38.5%,两组比较无统计学差异(P>0.05);治疗组临床受益率(CBR)82.1%,对照组66.7%,两组比较有统计学差异(P<0.05)。主要不良反应为骨髓抑制和胃肠道反应,治疗组Ⅲ/Ⅳ度白细胞减少及血红蛋白减少低于对照组,两组比较差异有统计学意义。结论:参附注射液联合DP方案对晚期非小细胞肺癌可增加临床疗效,减轻不良反应,值得临床推广应用。
Objective:To investigate the toxicity-reducing and synergistic effects of Shenfu injection for DP regimen in patients with advanced non-small cell lung cancer (NSCLC).Methods:Seventy-eight patients were divided into treatment group (n=39) and control group (n=39) randomly.Patients in control group were treated with docetaxel and cisplatin.Patients in treatment group were given docetaxel,cisplatin and Shenfu injection.21 days for one cycle,after two cycles were evaluated.Results:The efficacy (CR+PR) was 51.3% in treatment group and 38.5% in control group,and there was no significant difference between the two groups (P〉0.05).Clinical benefit rate(CBR):treatment group 82.1%,control group 66.7% (P〈0.05).The major adverse effects included leukopenia,anemia and gastrointestinal reactions.The leukopenia of III / IV degree and anemia in treatment group was lower than control group (P〈0.05).Conclusion:Shenfu injection combined with DP regimen could increase the therapeutic effects and decrease the side effects of chemotherapy in the patients with advanced non-small cell lung cancer.