Application of Aidi injection (艾迪注射液) in the bronchial artery infused neo-adjuvant chemotherapy for stage III A non-small cell lung cancer before surgical operation.
- Author:
Xue-fei SUN
1
;
Yan-tao PEI
;
Qiu-wei YIN
;
Ming-sheng WU
;
Guo-tao YANG
Author Information
- Publication Type:Journal Article
- MeSH: Adult; Aged; Antineoplastic Agents; adverse effects; pharmacology; therapeutic use; Bronchial Arteries; drug effects; pathology; Carcinoma, Non-Small-Cell Lung; blood; drug therapy; immunology; surgery; Chemotherapy, Adjuvant; Drugs, Chinese Herbal; adverse effects; pharmacology; therapeutic use; Female; Humans; Infusions, Intra-Arterial; Injections; Interleukin-2; blood; Killer Cells, Natural; drug effects; immunology; Lung Neoplasms; blood; drug therapy; immunology; surgery; Lymphocyte Subsets; drug effects; immunology; Male; Middle Aged; Neoplasm Staging; Time Factors; Treatment Outcome
- From: Chinese journal of integrative medicine 2010;16(6):537-541
- CountryChina
- Language:English
-
Abstract:
OBJECTIVETo study the effect of Aidi Injection (艾迪注射液,ADI) applied in the bronchial artery, applied in the bronchial artery infused (BAI) neo-adjuvant chemotherapy for stage III A non-small cell lung cancer (NSCLC) before surgical operation.
METHODSThe 60 patients with NSCLC stage III A underwent two courses BAI chemotherapy before tumor incision were assigned to two groups, the treatment and the control groups, using a random number table, 30 in each group. ADI (100 mL) was given to the patients in the treatment group by adding into 500 mL of 5% glucose injection for intravenous dripping once daily, starting from 3 days before each course of chemotherapy, and it lasted for 14 successive days, so a total of 28 days of administration was completed. The therapeutic effectiveness and the adverse reaction that occurred were observed, and the levels of T-lymphocyte subsets, natural killer cell activity, and interleukin-2 in peripheral blood were measured before and after the treatment.
RESULTSThe effective rate in the treatment group was higher than that in the control group (70.0% vs. 56.7%, P<0.05). Moreover, as compared with the control group, the adverse reaction that occurred in the treatment group was less and mild, especially in terms of bone marrow suppression and liver function damage (P<0.05). Cellular immune function was suppressed in NSCLC patients, but after treatment, it ameliorated significantly in the treatment group, showing significant difference as compared with that in the control group (P<0.05).
CONCLUSIONADI was an ideal auxiliary drug for the patients in stage III A NSCLC received BAI neo-chemotherapy before surgical operation; it could enhance the effectiveness of chemotherapy, ameliorate the adverse reaction and elevate patients' cellular immune function; therefore, it is worthy for spreading in clinical practice.