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李华山,李华宏,唐宗江,张森,高枫,李国栋,王彩秀.肠癌康复汤对大肠癌患者术后免疫功能的影响[J].,2000,(8):580-582
肠癌康复汤对大肠癌患者术后免疫功能的影响
Effect of Chang′ai Kangfu Decoction on Immunity in Postoperational Patients with Large Intestine Cancer
  
DOI:
中文关键词:  肠癌康复汤  大肠癌  免疫
英文关键词:Chang′ai Kangfu decoction  large intestine cancer  immunity
基金项目:
Author NameAffiliation
李华山 LI Huashan, LI Huahong, TANG Zongjiang, et al Anorectal Department, Guang′ anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing (100053 
李华宏 LI Huashan, LI Huahong, TANG Zongjiang, et al Anorectal Department, Guang′ anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing (100053 
唐宗江 LI Huashan, LI Huahong, TANG Zongjiang, et al Anorectal Department, Guang′ anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing (100053 
张森 LI Huashan, LI Huahong, TANG Zongjiang, et al Anorectal Department, Guang′ anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing (100053 
高枫 LI Huashan, LI Huahong, TANG Zongjiang, et al Anorectal Department, Guang′ anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing (100053 
李国栋 LI Huashan, LI Huahong, TANG Zongjiang, et al Anorectal Department, Guang′ anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing (100053 
王彩秀 LI Huashan, LI Huahong, TANG Zongjiang, et al Anorectal Department, Guang′ anmen Hospital, China Academy of Traditional Chinese Medicine, Beijing (100053 
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中文摘要:
      目的 :探讨肠癌康复汤对大肠癌患者术后免疫功能的影响。方法 :将 4 8例Dukes′B、C期的大肠癌手术后患者随机分为中药组 16例、化疗组 17例、中药加化疗组 (以下简称中化组 ) 15例 ,分别予服肠癌康复汤与 5 氟脲嘧啶 (5 FU)、丝裂霉素 (MMC)化疗 ,观察T淋巴细胞亚群、NK细胞及免疫球蛋白的动态变化并与健康人组作对比研究。结果 :手术前各组大肠癌患者的CD3+ 、CD4 + 及CD4 + /CD8+ 均明显下降 ,而CD8+ 明显增加 ,NK细胞活性亦明显低于健康人 (P <0 0 1) ,说明大肠癌患者的细胞免疫处于抑制状态。手术后 1周进一步下降 ,尤其是CD3+ 下降最为明显。而手术后 1个月 ,CD3+ 、CD4 + 及NK细胞活性在中药组首先恢复正常 ,术后 2个月中化组亦逐渐恢复正常 ,且这两组较治疗前均有不同程度的提高 ,但化疗组恢复较为缓慢。在体液免疫方面亦取得了相类似的结果。结论 :肠癌康复汤可显著提高大肠癌手术后患者的免疫功能。
英文摘要:
      To explore the effect of Chinese drug Chang′ai Kangfu decoction (CAKF) on immunity in postoperational patients with large intestine cancer (LIC). Methods: Forty eight patients with LIC in Dukes′ B, C stage after operation were randomly assigned to 3 groups, the CAKF group (16 cases), chemotherapy group (17 cases) and combination therapy (CAKF plus chemotherapy) group (15 cases). 5 FU and mitomycin C were given to the chemotherapy group. The dynamic changes of T lymphocyte subsets, NK cells and immunoglobulins were investigated. Results: Before operation, the CD 3 +, CD 4 +, CD 4 +/CD 8 + and the activity of NK cells in LIC patients were lower, but CD 8 + was higher than that of normal level (P<0 01), which indicated that cellular immunity in LIC was in immunosuppresive state, they all further reduced 1 week after operation, particularly CD 3 + cell counts, but CD 3 +, CD 4 + and the activity of NK cells normalized 1 month after operation in CAKF group,and 2 months were needed to normalize in combination therapy group. Both groups recovered to a certain extent in comparing with before treatment, but the chemotherapy group recovered slower. The similar results appeared in humoral immunity. Conclusion: CAKF could obviously increase the immunity in LIC patients after operation.
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