A clinical observation of spleen polypeptide injection combined with concurrent chemoradiotherapy for limited⁃stage small cell lung cancer
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    Abstract:

    Objective:To explore clinical and immune function effect of spleen polypeptide injection combination with concurrent chemoradiotherapy in patients with limited-stage small cell lung cancer(LS-SCLC). Methods:From January 2013 to January 2017,76 LS-SCLC patients were divided randomly into observation and control groups(38 patients in each)from the Affiliated Cancer Hospital of Nanjing Medical University. Control group were given concurrent chemoradiotherapy,and observation group were given the same therapy combined with spleen polypeptide injection. The clinical results,T cell and its subtypes,survival probabilities and adverse reactions were evaluated. Results:The improvement rates of Karnofsky performance score(KPS)in the observation group were significantly better than those in the control group(P < 0.05). The observation and control groups had a similar response rate(84.2% and 89.5%,respectively). When comparing hematologic toxicity,the observat group had a less incidence rate of leucopenia(60.5% vs. 84.2%,χ2=5.33,P=0.04). Compared with pre-treatment,the levels of CD3+,CD4+and CD4+/CD8+ in the observation group were increased and had significant differences(P < 0.05),whereas,the control group had no obviously increasing. The progress-free survival of observation group was significantly improved comparing with that in control group(P=0.03). However,there was no statistic significance in the overall survival between two groups(P=0.22). Conclusion:Spleen polypeptide injection can improve the activity of immune function and prolong PFS of the patients during the chemoradiotherapy for LS-SCLC.

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夏文晋,喻荣彬,姜柏生,刘建良.脾多肽联合同步放化疗治疗局限期小细胞肺癌的临床观察[J].南京医科大学学报(自然科学版英文版),2018,(3):356-359.

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  • Received:October 26,2017
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  • Online: March 19,2018
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