升血灵Ⅰ号冲剂治疗非小细胞肺癌化疗后骨髓抑制的疗效观察

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目的:观察升血灵Ⅰ号冲剂防治晚期非小细胞肺癌患者化疗后骨髓抑制的疗效。方法:将符合条件的46例Ⅲ、Ⅳ期非小细胞肺癌患者随机分为两组,治疗组采用GP、NP、DP方案化疗,并配合口服升血灵Ⅰ号冲剂,对照组单纯应用GP、NP、DP方案化疗,观察两组患者化疗完成率、粒细胞集落刺激因子使用率、化疗后白细胞和中性粒细胞变化及骨髓抑制情况。结果:治疗组粒细胞集落刺激因子使用率为17.4%(4/23),明显低于对照组47.8%(11/23),两组比较差异有显著性(P<0.05)。2个疗程化疗后治疗组白细胞和中性粒细胞的数值明显高于对照组,治疗组出现骨髓抑制的人数明显少于对照组,Ⅰ和Ⅱ度骨髓抑制的人数也明显少于对照组,差异具有显著性意义(P<0.05)。结论:升血灵Ⅰ号冲剂能明显减轻化疗后白细胞及中性粒细胞的下降程度,减少化疗时粒系集落刺激因子的使用率,在减轻非小细胞肺癌化疗后骨髓抑制方面疗效显著,值得在临床上推广。 Objective: To observe the effect of Shengxueling I Granule in preventing and treating myelosuppression after chemotherapy in patients with advanced non-small cell lung cancer. Methods: Forty-six patients with stage Ⅲ and Ⅳ non-small cell lung cancer who were eligible were randomly divided into two groups. The treatment group was treated with GP, NP and DP regimen combined with oral Shengxueling Ⅰ granules. The control group received GP, NP and DP chemotherapy. The completion rate of chemotherapy, the rate of granulocyte-colony stimulating factor, the change of leukocyte and neutrophil after chemotherapy and myelosuppression were observed. Results: The rate of using granulocyte colony stimulating factor in treatment group was 17.4% (4/23), which was significantly lower than that in control group (47.8%, 11/23). There was significant difference between the two groups (P <0.05). The values ​​of leukocyte and neutrophil in the two treatment groups after chemotherapy were significantly higher than those in the control group. The number of patients with myelosuppression in the treatment group was significantly less than that in the control group. The number of myelosuppression in Ⅰ and Ⅱ degrees was also significantly less than that in the control group. Significant significance (P <0.05). Conclusion: Shengxueling I Granule can obviously reduce the decline of leucocyte and neutrophil after chemotherapy, reduce the usage of granulocyte colony stimulating factor during chemotherapy, and have a significant curative effect in reducing myelosuppression after chemotherapy for non-small cell lung cancer In the clinical promotion.
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