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Clinical observation of Xiaoyan decoction adjusted dose of Astragalus combined with GP regimen in the treatment of non-small cell lung cancer
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DOI   10.11656/j.issn.1672-1519.2017.09.04
Key Words   Astragalus;dosage;bone marrow suppression;chemotherapy;non-small cell lung cancer
Author NameAffiliationE-mail
ZHANG Li-li The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
HE Bin The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
WANG Yuan-yuan The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China  
JIA Ying-jie The First Affiliated Hospital of Tianjin University of Traditional Chinese Medicine, Tianjin 300193, China jiayingjie1616@sina.com 
Abstract
    [Objective] To observe Xiaoyan decoction adjusted dose of Astragalus combined with GP regimen in the treatment of non-small cell lung cancer.[Methods] Using completely randomized method, 90 patients in The First Affiliated Hospital of Tianjin University of traditional Chinese medicine of non-small cell lung cancer were randomly divided into treatment group (Xiaoyan decoction 60 g of Astragalus combined with GP) and control group (Xiaoyan decoction combined with GP). Different doses of Astragalus in Xiaoyan decoction of qi deficiency and stasis type of non-small cell lung cancer incidence of bone marrow suppression (level of WBC) and the influence of grading, cytokines, immune function, quality of life were observed.[Results] After 1 cycles of chemotherapy, the efficiency rate was 62.2% in the treatment group and 55.6% in the control group. There was no significant difference between two groups (P>0.05). In the aspect of suppression in bone marrow, WBC decreased level, recovery degree and incidence of bone marrow suppression in the treatment group was better than the control group (P<0.05). Treatment group was significantly better than the control group in bone marrow suppression grading. In immune function, level of CD3+, CD4+ and CD4+/CD8+ in treatment group were significantly increased than control group (P<0.05). In the cytokine after treatment, IL-6, GM-CSF of treatment group compared with the control group were increased significantly. There were statistically significant differences (P<0.05). In terms of quality of life, the change of KPS score between the two groups was statistically significant (P<0.05).[Conclusion] Increase the dosage of Astragalus in Xiaoyan decoction combined with chemotherapy in the treatment of non-small cell lung cancer can improve chemotherapy-induced bone marrow suppression, decreased immune function, cytokines reduce and the quality of life. Clinical efficiency is more obvious.

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