基础医学与临床 ›› 2011, Vol. 31 ›› Issue (4): 435-439.

• 研究论文 • 上一篇    下一篇

进展期胃癌术后CIK细胞联合化疗治疗的临床疗效评价

要跟东,霍红旗,李鹏,刘爱民,王海东,张灿   

  1. 邯郸市中心医院
  • 收稿日期:2010-11-02 修回日期:2010-12-22 出版日期:2011-04-05 发布日期:2011-04-08
  • 通讯作者: 李鹏 E-mail:6766390@163.com

Evaluation of the clinical efficacy of CIK cell union chemptherapy for advanced gastric cancer after operation

YAO Gen-dong 1,HUO Hong-qi 2,LI Peng 1,LIU Ai-min 2,WANG Hai-dong 2,ZHANG Can 2   

  1. 1. Central Hospital of Handan City
    2.
  • Received:2010-11-02 Revised:2010-12-22 Online:2011-04-05 Published:2011-04-08
  • Contact: LI Peng E-mail:6766390@163.com

摘要: 目的 评价CIK细胞联合化疗用于进展期胃癌术后治疗的临床疗效及安全性。方法 选择进展期胃癌患者76例,分为CIK细胞和化疗联合治疗组和单纯化疗组,用血培养和输注过程患者的临床情况观察CIK细胞输注的安全性,流式细胞分析检测体内T细胞亚群,比较临床近期疗效,用log-rank检验比较两组无瘤生存期、总生存期。结果 自体CIK细胞治疗过程中个别病例主要出现低热、恶心、呕吐等症状,未见明显毒副反应;CIK细胞输注后CD4+/CD8+比值增高,NK表达比率增高(P<0.05);近期临床疗效,CIK与化疗联合治疗组客观有效率和疾病控制率均高于单纯化疗组(41.03% vs 18.92%,61.54% vs 56.76%),(P<0.05);单纯化疗组术后中位无瘤生存期低于联合治疗组(P<0.05);单纯化疗组术后总中位生存期为36个月,联合治疗组为39个月。结论 CIK细胞和化疗联合治疗是进展期胃癌术后的有效治疗手段,可使机体免疫功能得到改善,近期疗效明显,并且可延长患者无瘤生存期。

关键词: 进展期胃癌, CIK细胞, 过继免疫疗法

Abstract: Objective Evaluate the clinical efficacy and secruity of CIK cell union chemotherapy for adanced gastric cancer after operation. Methods Choose 76 patients who suffered from adanced gastric cancer, divide them into CIK cell and chemotherapy union treatment group and the pure chemotherapy group. Patients with the blood culture and infusion processe are observed the security of CIK cell infusion, analyse and detect T lymphocyte subsets in vivo with FCM, compare its short-term clinical curative effect and their cancer-free survival time and overall survival time between the two groups with log - rank inspection. Results In the process of autologous CIK cell treatment, some cases appear the symtoms of slight fever, nausea, vomiting, not appear evident adverse reactions. CD4 + / CD8+ ratio increases after CIK cell infusion, NK expression increased (P < 0.05). In terms of short-term clinical curative effect, the objective effective ratio and the disease control ratio in chemotherapy union treatment group and CIK are hither than those in the pure chemotherapy group (41.03% vs 18.92%,61.54% vs 56.76%), (P < 0.05). The survival time of median cancer-free patients in pure chemotherapy group after operation are shorter than those of the union therapy group (P < 0.05). Patient’s postoperation median survival time was 36 months in pure chemotherapy group, Patients in union group, 39 months. Conclusion The technique of CIK cell and chemotherapy union therapy is effective,it can improve patient’s immunity, it can also make the patient's cancer-free survival time longer.

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