中医与西医治疗晚期非小细胞肺癌病人远期生存率的临床研究

Objective： To investigate the prognostic influence on long-term overall survival （OS） from treatment with Chinese medicine （CM） and chemotherapy or targeted therapy in advanced non-small-cell lung cancer （NSCLC） patients. Methods： The clinical data of 206 advanced NSCLC patients who were treated with CM and Western medicine in Beijing Cancer Hospital from April 1999 to July 2013 were retrospectively analyzed. Long-term survivors were defined as OS ≥ 3 years after treatment with CM and chemotherapy. Twenty-eight patients had OS ≥ 3 years, 178 had OS 〈 3 years, and all clinical data were statistically analyzed with the Cox model. Variables were gender, age, smoking status, performance status （PS） score, pathological type, clinical stage, first-line chemotherapy, targeted therapy, and use of CM. Univariate survival analysis was performed using the Kaplan-Meier method and log-rank sequential inspection. Multivariate survival analysis was used to analyze the meaningful factors of univariate survival analysis with the Cox model. Results： The survival rate of patients with OS ≥ 3 years was 13.6% （28/206）. Cox multivariate regression analysis showed that PS score, clinical stage, disease control rate to first-line chemotherapy, and use of CM were independent factors of long- term OS （all P〈0.05）. However, gender, age, smoking, and use of epidermal growth factor receptor tyrosine- kinase inhibitor were not significant （P〉0.05）. Conclusion： PS score, clinical stage, disease control rate to first- line chemotherapy, and use of CM are probably independent prognostic factors for long-term OS in patients with advanced NSCLC.

Clinical Study on Long-Term Overall Survival of Advanced Non-Small-Cell Lung Cancer Patients Treated with Chinese Medicine and Western Medicine

Objective:To investigate the prognostic influence on long-term overall survival(OS) from treatment with Chinese medicine(CM) and chemotherapy or targeted therapy in advanced non-small-cell lung cancer(NSCLC) patients.Methods:The clinical data of 206 advanced NSCLC patients who were treated with CM and Western medicine in Beijing Cancer Hospital from April 1999 to July 2013 were retrospectively analyzed.Long-term survivors were defined as OS 3 years after treatment with CM and chemotherapy.Twenty-eight patients had OS 3 years,178 had OS 3 years,and all clinical data were statistically analyzed with the Cox model.Variables were gender,age,smoking status,performance status(PS) score,pathological type,clinical stage,first-line chemotherapy,targeted therapy,and use of CM.Univariate survival analysis was performed using the Kaplan-Meier method and log-rank sequential inspection.Multivariate survival analysis was used to analyze the meaningful factors of univariate survival analysis with the Cox model.Results:The survival rate of patients with OS 3 years was 13.6%(28/206).Cox multivariate regression analysis showed that PS score,clinical stage,disease control rate to first-line chemotherapy,and use of CM were independent factors of longterm OS(all P0.05).However,gender,age,smoking,and use of epidermal growth factor receptor tyrosinekinase inhibitor were not significant(P0.05).Conclusion:PS score,clinical stage,disease control rate to firstline chemotherapy,and use of CM are probably independent prognostic factors for long-term OS in patients with advanced NSCLC.