Clinical study on effects of Yiqi Yangyin Formula on radiation pneumonitis and lung function in patients undergoing postoperative radiotherapy for non-small cell lung cancer
|更新时间:2022-08-31
|
Clinical study on effects of Yiqi Yangyin Formula on radiation pneumonitis and lung function in patients undergoing postoperative radiotherapy for non-small cell lung cancer
Shanghai Journal of Traditional Chinese MedicineVol. 53, Issue 3, Pages: 42-46(2019)
YAO Yilin, LI Hegen, CHEN Zhiwei, et al. Clinical study on effects of Yiqi Yangyin Formula on radiation pneumonitis and lung function in patients undergoing postoperative radiotherapy for non-small cell lung cancer. [J]. Shanghai Journal of Traditional Chinese Medicine 53(3):42-46(2019)
DOI:
YAO Yilin, LI Hegen, CHEN Zhiwei, et al. Clinical study on effects of Yiqi Yangyin Formula on radiation pneumonitis and lung function in patients undergoing postoperative radiotherapy for non-small cell lung cancer. [J]. Shanghai Journal of Traditional Chinese Medicine 53(3):42-46(2019) DOI: 10.16305/j.1007-1334.2019.03.011.
Clinical study on effects of Yiqi Yangyin Formula on radiation pneumonitis and lung function in patients undergoing postoperative radiotherapy for non-small cell lung cancer
Objective:To observe the effects of Yiqi Yangyin Formula on radiation pneumonitis(RP) and lung function in patients undergoing postoperative radiotherapy for non-small cell lung cancer (NSCLC) (stage IIIa). Methods60 patients undergoing postoperative radiotherapy for NSCLC (stage IIIa) were randomly assigned into treatment group and control group, 30 patients in each group. The control group received routine radiotherapy after operation, and the treatment group received Yiqi Yangyin Formula in addition. Both groups were treated for 28 days. Changes in classification of acute RP (RTOG classification) and in lung function were observed. Results:①During the trial, there were 1 and 3 drop-outs in the treatment and the control groups respectively; and 56 patients finally completed the trial, including 29 in the treatment group and 27 in the control group.②At 2 months after radiotherapy, there was statistically significant difference in RTOG grade in the treatment group (P,<,0.05), while there was no statistically significant difference in the control group (P,>,0.05) compared to that at the end of radiotherapy. At the end of radiotherapy, there was no statistically significant difference in RTOG grade between the groups (P,>,0.05), and no statistically significant difference in the incidence of RP between the treatment group (72.41%) and the control group (85.19%) (P,>,0.05). At 2 months after radiotherapy, there was statistically significant difference in RTOG grade between the groups; and in the treatment group, the incidence of RP was significantly lower than in the control group (37.93% vs. 85.19%), and the degree of inflammation was significantly lower than in the control group (P,<,0.05). ③There was no significant difference in FVC, FEV,1, or MVV in the groups at the end of radiotherapy compared to that before radiotherapy (P,>,0.05). FVC, FEV,1, and MVV decreased significantly in the control group(P,<,0.05) and they remained stable in the treatment group with no statistically significant differences (P,>,0.05) at 2 months after radiotherapy compared to those before radiotherapy. At the end of radiotherapy, there was no significant difference in FVC, FEV,1, or MVV between the groups (P,>,0.05). At 2 months after radiotherapy, the differences in FVC, FEV,1, and MVV were statistically significant between the groups, significantly higher in the treatment group than in the control group (P,<,0.05). ④Variance analysis of repeated measures data showed that there was statistical significance in the time factor and the time x group factor in intra-group variation of FVC, FEV,1, and MVV (P,<,0.05), and there was no statistical significance in the group factor in inter-group variation (P,>,0.05). Conclusion:Yiqi Yangyin Formula can stabilize the lung function of patients undergoing postoperative radiotherapy for NSCLC (stage IIIa) to a certain extent, lower the incidence of radiation pneumonitis, and help to reduce the degree of the inflammation.
关键词
放射性肺炎肺功能非小细胞肺癌益气养阴方
Keywords
radiation pneumonitislung functionnon-small cell lung cancerYiqi Yangyin Formula
Propensity score matching analysis of the effect of the Yiqi Yangjing Prescription on the survival prognosis of patients with stage Ⅰ⁃ⅢA lung adenocarcinoma after surgery
Staged rehabilitation treatment strategy of traditional Chinese medicine after non⁃small cell lung cancer surgery
Current status of research on traditional Chinese medicine improving acquired resistance to EGFR⁃TKIs in patients with non⁃small cell lung cancer and analysis of TCM pathogenesis
Xu Zhenye’s experience in treating advanced non⁃small cell lung cancer without gene mutation
Efficacy and safety of Yiqi Yangyin Jiedu regimen plus anlotinib in the treatment of advanced non⁃small cell lung cancer
Related Author
No data
Related Institution
Department of Oncology, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Department of Integrative Medicine, Shanghai Chest Hospital Affiliated to Shanghai Jiaotong University School of Medicine
Institute of Clinical Immunology, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Department of Oncology I, Yueyang Hospital of Integrated Traditional Chinese and Western Medicine Affiliated to Shanghai University of Traditional Chinese Medicine
Longhua Hospital Affiliated to Shanghai University of Traditional Chinese Medicine