【作者】 杨丽；

【导师】 徐菲莉； 张洪亮；

【作者基本信息】 新疆医科大学 ， 中西医结合临床， 2008， 硕士

【摘要】 目的:探讨晚期非小细胞肺癌(NSCLC)患者T淋巴细胞亚群及NK细胞亚群的变化与中医证型的相关性,为该病中医证型的客观化及指导中医临床治疗提供可参考的依据。方法:采用流式细胞术(FCM),检测60例各中医证型(气虚痰湿型、阴虚热毒型、气阴两虚型、气血瘀滞型)的晚期非小细胞肺癌患者外周血T淋巴细胞亚群及NK细胞亚群。结果:各中医证型组之间CD3+T淋巴细胞比较无统计学意义;CD4+T淋巴细胞以气虚痰湿型为最高,与阴虚热毒型、气阴两虚型及气血瘀滞型比较有统计学意义(P<0.05),CD4+ T淋巴细胞以气阴两虚型为最低;CD8+T淋巴细胞以气阴两虚型最高,各型之间相比较无统计学意义(P﹥0.05);CD4+/CD8+以气阴两虚型为最低,与气虚痰湿型比较有统计学意义(P<0.05),气血瘀滞型CD4+/CD8+与气虚痰湿型比较有统计学意义(P<0.05),CD4+/CD8+以气虚痰湿型为最高。气虚痰湿型患者NK细胞水平最低,阴虚热毒型NK细胞水平最高,各中医证型组间比较无统计学意义(P﹥0.05)。结论:晚期非小细胞肺癌患者免疫细胞与中医证型具有一定的相关性,其中气虚痰湿型的免疫功能最好,气阴两虚型最差,因此监测各中医证型非小细胞肺癌患者免疫细胞的变化有助于推断中医证型间变化规律,指导中医临床治疗。更多还原

【Abstract】 Objective: to analyse the changes of peripheral blood cell immune function including T lymphocyte subsets and NK cells in advanced Non-small cell lung cancer patients and its correlation with Traditional Chinese medicine syndrome,offer the reference for Traditional Chinese medicine syndrome and instruct Clinical Traditional Chinese medicine therapy. Methods: T lymphocyte subsets and NK cells in 60 patients of the different Traditional Chinese medicine syndrome groups(Qixutanshi、Yinxuredu、Qiyinliangxu、Qixueyuzhi)with Non-small cell lung cancer were measured with flow cytometry(FCM). Results: The levels of CD3+T cell in those patients with Traditional Chinese medicine syndromes were no significant difference,while the level of CD4+ T cell in those patients with Qixutanshi syndrome was the highest and there was significantly difference in comparison with Yinxuredu,Qiyinliangxu,Qixueyuzhi syndromes (P<0.05),the level of CD4+ T cell in those patients with Qiyinliangxu syndrome was the lowest , the level of CD8+ T cell in those patients with Qixutanshi syndrome was the highest,The levels of CD8+T cell in those patients with Traditional Chinese medicine syndromes were no significant difference(P>0.05); The helper/suppressor radio (CD4+/CD8+) in those patients with Qiyinliangxu syndrome was the lowest and the highest in those patients with Qixutanshi syndrome and there was significantly difference in comparison with Qixutanshi syndrome(P<0.05); The helper/suppressor radio (CD4+/CD8+) in those patients with Qixueyuzhi syndrome was significant difference in comparison with Qixutanshi syndrome(P<0.05);The number of NK cell was the lowest in those patients with Qixutanshi syndrome and the highest in those patients with Yinxuredu syndrome,But the NK cells of the different Traditional Chinese medicine syndrome groups were no statistical significance(P>0.05). Conclusion: The peripheral blood immune cells in advanced Non-small cell lung cancer patients had definite relationship with Traditional Chinese medicine syndromes.The immune function of Qixutanshi syndrome patients was the best,While Qinyinliangxu was the worst..It is useful for deducing discipline of Traditional Chinese medicine syndromes and inducting clinical Traditional Chinese medicine remedy of Non-small cell lung cancer patients to measure the changes of T lymphocyte subsets and NK cells.更多还原