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采用随机双盲法将60例癌症病人分为A、B两组,每组30例,选择包括一般状态和多项免疫指标等为疗效判定指标。经4周临床实验后,由委托实验单位揭示A、B组分别为注射用多抗甲素和注射用生理盐水,与临床观察结果一致。按照本试验组统一制订的临床疗效标准,A组总有效率为76.7%,B组为30%。在一般指标评价中,PS实验后A组较B组好(P<0.05),A、B两组没看到体重有意义变化(P>0.05);WBC两组于治疗后都有下降,而B组下降非常明显(P<0.05),显示了注射用多抗甲素的良好保护作用。在免疫指标中,PPD、PHA和LTT在治疗后A组明显增强(P<0.01),B组却明显下降(P<0.05);CD3、CD4、NK在实验后A组亦表现为明显增多(P<0.01),而B组却明显下降(P<0.05);sIL-2R于实验后亦出现两种截然相反的结果,A组减少,B组增多(P<0.01)。总之,所列免疫指标变化表明,注射用多抗甲素有较强的免疫作用。除少许病人表现轻度发烧外,未发现有其他毒副作用。
A total of 60 cancer patients were divided into A and B groups by randomized double-blind method, 30 cases in each group. The indicators of efficacy were selected as general status and multiple immune indexes. After 4 weeks of clinical trials, the experimental unit revealed by the A, B group were injected with multiple anti-A and injection of saline, consistent with clinical observations. According to the clinical efficacy standard unifiedly formulated in this experimental group, the total effective rate in group A was 76.7% and that in group B was 30%. In the general index evaluation, after PS experiment, A group was better than B group (P <0.05), A, B group did not see significant changes in body weight (P> 0.05); WBC in both groups after treatment (P <0.05), which showed a good protective effect of poly-A for injection. In the immune index, PPD, PHA and LTT were significantly increased in group A (P <0.01), but decreased in group B (P <0.05). CD3, CD4 and NK were also observed in group A (P <0.01), but significantly decreased in group B (P <0.05). There were two opposite results after sIL-2R in experimental group, with a decrease in group A and an increase in group B (P < 0.01). In conclusion, the changes in the immunological indices listed indicate that poly-A has a strong immunologic effect. In addition to a small number of patients showed mild fever, no other side effects were found.