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多西紫杉醇联合表柔比星新辅助化疗对肝癌患者调节性T细胞的影响
作者:沈丰 1   孙少华 1   周文波 1   陈琴华 2 
单位:1.湖北医药学院附属东风医院 肝胆外科 湖北 十堰 442000 2.湖北医药学院 湖北 十堰 442000 
关键词:多西紫杉醇 表柔比星 新辅助化疗 肝癌 调节性T细胞 
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出版年,卷(期):页码:2015,7(4):69-72
摘要:

摘要:目的 探讨多西紫杉醇联合表柔比星新辅助化疗对肝癌调节性T细胞的影响。方法 选择2011年
8月至2014年2月在湖北医药学院附属东风医院接受治疗的120例肝癌患者,根据随机抽签原则分为治
疗组与对照组各60例,两组都顺利完成肝癌根治术,术后治疗组给予多西紫杉醇联合表柔比星化疗,
对照组给予奥沙利铂联合卡培他滨化疗,观察化疗总有效率、不良反应发生情况,并对机体免疫功
能进行检测。结果 化疗后两组CD4 + CD25 + 调节性T细胞数显著降低(P = 0.000),治疗组化疗后的
CD4 + CD25 + 调节性T细胞数明显低于对照组(P = 0.000)。化疗后两组的CD4 + /CD8 + 与CD3 + 值都明显
下降,治疗组化疗后CD4 + /CD8 + 与CD3 + 值显著高于对照组(P = 0.000)。化疗期间两组的不良反应多
为恶心呕吐、白细胞下降与血小板减少,治疗组不良反应发生率显著低于对照组(P = 0.000)。化疗
后,治疗组的总有效率为80.0%,显著高于对照组的50.0%(P = 0.000)。结论 多西紫杉醇联合表柔
比星新辅助化疗肝癌能有效提高抗瘤效果,降低不良反应的发生,其作用与恢复淋巴细胞与调节性T
细胞活性有关。

Abstract: Objective To investigate the effects of docetaxel and epirubicin neoadjuvant chemotherapy on
regulatory T cells of patients with liver cancer. Methods Total of 120 patients with liver cancer in Dongfeng
Hospital of Hubei Medical College from August 2011 to December 2014 were selected and randomly
divided into treatment group and control group according to the draw principles, 60 cases in each group.
All patients completed liver resection successfully. The treatment group were given postoperative docetaxel
plus doxorubicin chemotherapy and the control group were given postoperative oxaliplatin platinum
plus capecitabine chemotherapy. Total efficiency and adverse events of chemotherapy were observed
and the immune functions were detected. Results After chemotherapy, the number of CD4 + CD25 + Treg
cells decreased significantly in the two groups (P = 0.000), and the number of CD4 + CD25 + Treg cells in
the treatment group was significantly lower than that of the control group (P = 0.000). The CD4 + /CD8 +
and CD3 + values decreased significantly after chemotherapy in both groups, and the treatment group was
significantly higher than that of the control group (P = 0.000). The adverse reactions in the two groups
during chemotherapy were nausea, vomiting, leukopenia and thrombocytopenia, and incidence of the adverse
reactions in the treatment group were significantly lower than that of the control group (P = 0.000). After
chemotherapy, the total efficiency of the treatment group (80.0%) was significantly higher than that of the
control group (50.0%) (P = 0.000). Conclusion Docetaxel plus epirubicin for adjuvant chemotherapy of liver
cancer can improve the anti-tumor effect, and reduce the incidence of adverse reactions, which plays a role of
restoring regulatory T lymphocytes and cell activity.

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