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阿帕替尼联合消岩汤治疗晚期非鳞非小细胞肺癌临床疗效观察
引用本文:李小江,姜珊,郭姗琦,刘宏根,贾英杰. 阿帕替尼联合消岩汤治疗晚期非鳞非小细胞肺癌临床疗效观察[J]. 中国肿瘤临床, 2017, 44(14): 701-705. DOI: 10.3969/j.issn.1000-8179.2017.14.609
作者姓名:李小江  姜珊  郭姗琦  刘宏根  贾英杰
作者单位:①.天津中医药大学第一附属医院肿瘤科(天津市 300381)
基金项目:the Tianjin Municipal Education Commission(20120216),the Tianjin Key Project of Applied and Advanced Technology Research Program(14JCZDJC36900),Tianjin Science and Technology Plan Project (No. 15ZXLCSY00020)本文课题受天津市教委课题项目(20120216),天津市应用基础与前沿技术研究计划重点项目(14JCZDJC36900),天津市科技计划项目(15ZXLCSY00020)
摘    要:  目的  研究观察甲磺酸阿帕替尼片联合消岩汤治疗晚期非鳞非小细胞肺癌(non-small cell lung cancer,NSCLC)的临床疗效。  方法  选取晚期非鳞NSCLC患者38例,随机分为阿帕替尼治疗组18例(A组),阿帕替尼联合消岩汤加减方治疗组20例(B组),二组治疗期间均未行手术及放、化疗。  结果  晚期非鳞NSCLC患者服用阿帕替尼后中位无进展生存期(median progression free survival,mPFS)可达3个月,阿帕替尼联合消岩汤组mPFS、客观缓解率(objective response rate,ORR)及疾病控制率(disease control rate,DCR)较阿帕替尼单药组差异无统计学意义(P>0.05);在改善临床症状及不良反应方面,阿帕替尼联合消岩汤组均优于阿帕替尼单药组(P < 0.05)。  结论  阿帕替尼联合消岩汤加减方治疗晚期非鳞NSCLC可改善患者临床症状,并降低不良反应的发生率。 

关 键 词:阿帕替尼   非鳞非小细胞肺癌   消岩汤   VEGF
收稿时间:2017-05-28

Clinical research on apatinib combined with Xiaoyan decoction for the treatment of non-squamous non-small cell lung cancer
Xiaojiang LI,Shan JIANG,Shanqi GUO,Honggen LIU,Yingjie JIA. Clinical research on apatinib combined with Xiaoyan decoction for the treatment of non-squamous non-small cell lung cancer[J]. Chinese Journal of Clinical Oncology, 2017, 44(14): 701-705. DOI: 10.3969/j.issn.1000-8179.2017.14.609
Authors:Xiaojiang LI  Shan JIANG  Shanqi GUO  Honggen LIU  Yingjie JIA
Affiliation:①.Department of Oncology, First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300381, China②.Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China
Abstract:Objective:To determine the effect of apatinib combined with Xiaoyan decoction for the treatment of non-squamous non-small cell lung cancer. Methods:Thirty-eight patients with non-squamous non-small cell lung cancer were randomly categorized into apatinib group (group A, 18 cases) and apatinib combined with Xiaoyan decoction group (group B, 20 cases). All patients did not under-go surgical treatment, radiotherapy, or chemotherapy during the study. Results:The median progression free survival (mPFS) of ad-vanced non-squamous non-small cell lung cancer patients reached up to 3 months. The mPFS, objective response rate, and disease control rate of the apatinib combined with Xiaoyan decoction group showed no significant difference and statistical significance (P>0.05). The apatinib combined with Xiaoyan decoction group was superior to the apatinib group with regard to alleviating clinical symp-toms and adverse reactions (P<0.05). Conclusion:Xiaoyan decoction combined with apatinib can improve the clinical symptoms of pa-tients and reduce the incidence of adverse reactions in the treatment of advanced non-squamous non-small cell lung cancer.
Keywords:apatinib  non-squamous non-small cell lung cancer  Xiaoyan decoction  VEGF
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