宝河平安威功率加新辅助化疗治疗胃癌
Hong-Yu Ma1,2, Xin Liu3,4,5, Yuan-Wu Chen6
1Department of Spleen and Stomach Diseases, First Affiliated Hospital of Hebei University of Chinese Medicine, Shijiazhuang 050011, Hebei Province, China.
World journal of gastrointestinal surgery
|July 31, 2025
概括
与化疗相结合的Baohe Pingwei粉末显著改善了胃癌 (GC) 患者的治疗结果,提高了反应率和生存率. 这种传统中医药可以减少不良事件,并为GC管理提供一个有前途的综合方法.
科学领域:
- 综合性瘤学是一种综合性瘤学.
- 胃肠道瘤学 胃肠道瘤学
- 传统中医 (TCM) 在癌症护理中的作用
背景情况:
- 新辅助化疗增强胃癌 (GC) 切除率,但导致毒性.
- 作为TCM的一种Baohe Pingwei粉末可以减轻化疗副作用并提高疗效.
- 在术后的GC患者中缺乏Baohe Pingwei粉末的临床证据.
研究的目的:
- 评估Baohe Pingwei粉末加上新辅助化疗在术后GC患者的安全性和有效性.
- 在GC治疗中提供综合传统中国和西方医学的证据.
主要方法:
- 80名术后GC患者的回顾性分析 (2024年5月至11月).
- 对照组 (n=54):S-1 + 氧化化疗.
- 研究组 (n=26):宝河平伟粉末 + S-1 + 氧化.
- 客观反应率 (ORR),疾病控制率 (DCR),生存率和不良事件的比较.
- 后勤回归和Cox风险模型分析了疗效预测因素.
主要成果:
- 与对照组 (ORR 46.30%, DCR 70.37%) 相比,研究组的ORR (84.62%) 和DCR (92.31%) 显著更高.
- 宝河平粉的使用与复发和死亡风险降低有关 (日志等级P<0.05).
- 较高的CD3 +,CD4 + T细胞水平和Baohe Pingwei粉末的使用预测了有效的治疗.
- 较高的CA19-9和IL-6水平是治疗无效的独立风险因素.
结论:
- 与Baohe Pingwei粉末的联合治疗改善了手术后GC患者的ORR,DCR和存活率.
- 这种综合方法减少了与治疗相关的不良事件.
- 减少CD3+/CD4+T细胞和CA19-9/IL-6升高是治疗失败风险的生物标志物.
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