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76例局部中、晚期初治鼻咽癌患者,放疗前被随机分成动脉灌注化疗(IACT)和全身化疗(SCT)两组,接受相同的联合方案(顺氯氨铂、5-氟脲嘧啶、平阳霉素和烟酰胺)治疗,观察两组的白细胞介素2活性(IL-2)和白细胞介素2受体(IL-2R)反应性的变化。结果表明;两组化疗前后各自的IL-2活性并无下降(P>0.05),而IL-2R反应性均有提高(P<0.05),两组相比,IACT组的IL-2R改善又较SCT组明显(P<0.05)。认为诱导化疗通过改善IL-2诱导的细胞免疫功能,可能是远期生存率得以提高的原因之一,并就诱导化疗方案的设计进行讨论。
76 patients with locally advanced nasopharyngeal carcinoma were randomly divided into two groups: IACT and SCT before radiotherapy. The same combined regimens (cisplatin, 5-fluorouracil, Pingyangmycin and niacinamide), and observed the changes of IL-2 and IL-2R reactivity in both groups. The results showed that IL-2 activity was not decreased (P> 0.05), but IL-2R reactivity was increased in both groups before and after chemotherapy (P <0.05) -2R improvement than SCT group was significantly (P <0.05). It is concluded that induction of chemotherapy may be one of the reasons for the long-term survival by improving IL-2-induced cellular immune function and discuss the design of induction chemotherapy regimen.