[1]南新记,张至慧,周冬冬.鸦胆子油注射液对激素抵抗性前列腺癌VEGFC 及患者血清PSA水平的影响研究*[J].陕西中医,2019,(4):490-492.
 NAN Xinji,ZHANG Zhihui,ZHOU Dongdong..Effects of Brucea Javanica oil injection on the levels of VEGFC and serum PSA in steroidresistant prostate cancer[J].,2019,(4):490-492.
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鸦胆子油注射液对激素抵抗性前列腺癌VEGFC 及患者血清PSA水平的影响研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年4期
页码:
490-492
栏目:
临床研究
出版日期:
2019-04-05

文章信息/Info

Title:
Effects of Brucea Javanica oil injection on the levels of VEGFC and serum PSA in steroidresistant prostate cancer
文章编号:
DOI:10.3969/j.issn.10007369.2019.04.026
作者:
南新记张至慧周冬冬
河南省驻马店市中医院肿瘤科 (驻马店 463000)
Author(s):
NAN XinjiZHANG ZhihuiZHOU Dongdong.
Department of Oncology, Traditional Chinese Medicine Hospital of Zhumadian in Henan Province(Zhumadian 463000)
关键词:
激素抵抗性前列腺癌多西紫杉醇泼尼松鸦胆子油注射液VEGFC血清PSA
Keywords:
Key words Hormone resistant prostate cancerDocetaxelPrednisoneBrucea javanica oil injectionVEGFCSerum PSA
分类号:
R737.25
文献标志码:
A
摘要:
摘 要 目的:研究鸦胆子油注射液对激素抵抗性前列腺癌VEGFC及血清PSA水平的关系影响。方法:针对激素抵抗性前列腺癌患者进行回顾性统计分析,共抽取138例病例样本以多西紫杉醇加泼尼松为基础治疗,将额外接受鸦胆子油注射液的70例患者归为有鸦胆组,将仅接受基础治疗的68例患者归为无鸦胆组。并且对两组病例样本治疗前后相关指标变化及不良症状发生率作为本次临床研究的参考依据。结果:经过48个月不同的临床给药方案,①检测有鸦胆组与无鸦胆组患者血清PSA值分别从\[(59.22±22.54)与(61.28±20.55)\]ng/ml改善至\[(10.66±1.25)与(24.76±10.02)\]ng/ml,存在显著差异(P<0.01);且从治疗24个月开始至疗程结束,组间比较差异有统计学意义(P<0.05)。②检测有鸦胆组与无鸦胆组患者IL6分别为\[(464.20±51.73)与(735.46±86.81)\]pg/mg、IL6R分别为\[(79.84±10.27)与(140.51±15.02)\]pg/mg,组间比较差异符合统计学意义标准(P<0.05);检测患者VEGFC阳性表达,有鸦胆组患者的弱表达率75.71%明显高于无鸦胆组的44.12%,组间比较差异有统计学意义(P<0.05)。结论:鸦胆子油注射液对激素抵抗性前列腺癌VEGFC及血清PSA水平均有明显影响,与单独接受多西紫杉醇加泼尼松相比有效减少了治疗后期不良症状的发生率。
Abstract:
Abstract Objective:To study the effect of Brucea javanica Oil injection on the levels of VEGFC and serum PSA in steroidresistant prostate cancer. Methods:138 cases of steroidresistant prostate cancer were treated with docetaxel plus prednisone. 70 patients who received Brucea javanica oil injection were classified as Brucea javanica group,and 68 patients who received basic treatment were classified as none Brucea javanica group. The related index changes and adverse symptoms before and after treatment were compared as a reference for the clinical study. Results:After 48 months of different clinical administration ①There was significant difference in serum PSA values in two groups,it improved from \[(59.22±22.54)vs(61.28±20.55)\]ng/ml to \[(10.66±1.25)vs(24.76±10.02)\]ng/ml,P<0. 01. From 24 months after treatment to the end of the course,the difference was in accordance with the standard of statistics (P<0.05). ②The IL6 of the two groups were \[(464.20 ±51.73) vs(735.46±86.81)\] pg/mg,IL6R \[(79.84 ±10.27) vs(140.51±15.02)\] pg/mg,respectively (P<0.05). The positive expression of VEGFC was 75.71% in Brucea javanica. It was significant higher than none Brucea javanica group 44.12% (P<0.05). The difference was in accordance with the standard of statistics. Conclusion:Brucea javanica oil injection has a significant effect on the levels of VEGFC and serum PSA in steroidresistant prostate cancer. When compares with docetaxel and prednisone alone,it can effectively reduce the incidence of adverse symptoms in the late period. 

参考文献/References:

[1] 王 炜,李传刚,刘 辉,等.前列腺特异性抗原对前列腺癌诊断价值的探讨 [J].中国医科大学学报,2016,45(1):6165.
[2] 李 镇.转移性去势抵抗性前列腺癌全身化疗的预后影响因素 [D].大连医科大学,2015.
[3] 卢精华,刘启学. 前列腺癌与肿瘤免疫治疗 [J]. 陕西医学杂志,2015,44(8):10891090.
[4] 刘 浩,林洪生.前列腺癌中医平衡治疗 [J].辽宁中医杂志,2016,46(1):3233.
[5] 白晓娟,罗 凯.鸦胆子油乳注射液直肠滴入联合动脉灌注化疗药物治疗中晚期直肠癌30例 [J].陕西中医,2009,30(10):13241325. 
[6] 汪开新,段红英.中西医结合治疗晚期前列腺癌的疗效观察 [J].临床医药文献电子杂志,2016,3(43):85578557.
[7] 朱首伦.探索制定《晚期前列腺癌中西医结合诊疗指南》的研究 [D].广州:广州中医药大学,2016.
[8] 孙志刚.益气解毒祛瘀方联合内分泌治疗晚期前列腺癌的临床效果分析 [J].中国实用医药,2016,11(9):197198.
[9] 白晓娟,罗 凯. 鸦胆子油乳注射液直肠滴入联合动脉灌注化疗药物治疗中晚期直肠癌30例 [J]. 陕西中医,2009,30(10):13241325.〖ZK)〗
[10] 王春柳,龙凯花,杨 洁,等.鸦胆子油自微乳化颗粒急性毒性及协同抗肿瘤作用 [J].陕西中医,2015,36(12):16881689.

备注/Memo

备注/Memo:
*河南省医药卫生重点科研课题(2013183)
更新日期/Last Update: 2019-04-24