自体细胞因子诱导的杀伤细胞(CIK)细胞免疫疗法联合化疗治疗非小细胞癌(NSCLC)的有效性和安全性:一项 Meta 分析。

IF 1.3 4区 医学 Q4 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH Iranian Journal of Public Health Pub Date : 2024-08-01 DOI:10.18502/ijph.v53i8.16277
Cheng Zhong, Haowei Tang, Qun Wang
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引用次数: 0

摘要

背景:研究自体细胞因子诱导的杀伤细胞(CIK)免疫疗法联合化疗治疗非小细胞癌(NSCLC)的有效性和安全性:研究自体细胞因子诱导的杀伤细胞(CIK)免疫疗法联合化疗治疗非小细胞癌(NSCLC)的有效性和安全性:方法:收集有关自体细胞因子诱导的杀伤细胞(CIK)免疫治疗联合化疗治疗非小细胞癌的疗效和安全性的文献。中文文献数据库来自 CNKI、万方和卫普,英文文献来自 Cochrane Library 和 PubMed。所有文献均检索至2022年,采用RevMan5.3软件对其方法质量进行评估和分析:对纳入的11篇文献进行Meta分析显示,观察组患者的疗效和疾病控制率(DCR)明显高于对照组(P 0.05),CD3+、CD4+、CD4+/CD8+指标水平明显高于对照组(P 0.05),骨髓抑制、肝损伤和胃肠道症状发生率明显低于对照组(P < 0.05):与单一化疗相比,CIK联合化疗治疗NSCLC患者可提高疗效和DCR,明显改善患者的免疫功能,降低不良反应的发生率,有利于预后的恢复。
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Efficacy and Safety of Autologous Cytokine-Induced Killer (CIK) Cellular Immunotherapy Combined with Chemotherapy in Non-Small-Cell Carcinoma (NSCLC): A Meta-Analysis.

Background: To investigate the efficacy and safety of autologous Cytokine-induced killer (CIK) cellular immunotherapy combined with chemotherapy for non-small-cell carcinoma (NSCLC).

Methods: The literature related to the efficacy and safety of autologous CIK cellular immunotherapy combined with chemotherapy in NSCLC were collected. The Chinese literature databases were collected from CNKI, Wanfang and Weipu, and the English literature were retrieved from Cochrane Library and PubMed. All literature were retrieved until the year of 2022, and evaluated by its method quality and analyzed by RevMan5.3 software.

Results: A Meta-analysis on the 11 included literature showed that the treatment efficacy and disease control rate (DCR) of patients in the observation group were significantly higher than those in the control group (P < 0.05), and significantly increased the levels of CD3+, CD4+, CD4+/CD8+ indexes than the control group (P < 0.05), and the incidence of bone marrow suppression, liver injury and gastrointestinal symptoms were significantly lower than those of the control group (P < 0.05).

Conclusion: Compared with single chemotherapy, CIK combined with chemotherapy in the treatment of patients with NSCLC can improve the efficacy of treatment and DCR, significantly improve their immune function, reduce the incidence of adverse reactions, and is beneficial to the recovery of prognosis.

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来源期刊
Iranian Journal of Public Health
Iranian Journal of Public Health PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH-
CiteScore
2.20
自引率
7.10%
发文量
300
审稿时长
3-8 weeks
期刊介绍: Iranian Journal of Public Health has been continuously published since 1971, as the only Journal in all health domains, with wide distribution (including WHO in Geneva and Cairo) in two languages (English and Persian). From 2001 issue, the Journal is published only in English language. During the last 41 years more than 2000 scientific research papers, results of health activities, surveys and services, have been published in this Journal. To meet the increasing demand of respected researchers, as of January 2012, the Journal is published monthly. I wish this will assist to promote the level of global knowledge. The main topics that the Journal would welcome are: Bioethics, Disaster and Health, Entomology, Epidemiology, Health and Environment, Health Economics, Health Services, Immunology, Medical Genetics, Mental Health, Microbiology, Nutrition and Food Safety, Occupational Health, Oral Health. We would be very delighted to receive your Original papers, Review Articles, Short communications, Case reports and Scientific Letters to the Editor on the above men­tioned research areas.
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