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Inhibitory Effect Of Matrine On Lung Caner Activity And The Study Of Clinical Application Between Compound Kushen Injection And Chemotherapy In Treating Lung Cancer

Posted on:2018-09-01Degree:MasterType:Thesis
Country:ChinaCandidate:H H GuoFull Text:PDF
GTID:2334330536984195Subject:Clinical Pharmacy
Abstract/Summary:PDF Full Text Request
Lung cancer has become one of the most common difficult to cure malignant tumor in the lung cancer,non-small cell lung cancer also has a large proportion of its morbidity and mortality in the field of lung cancer is also high.In the clinical use of first-line chemotherapy in patients with lung cancer is usually paclitaxel,gemcitabine,such as anti metabolism combined with cisplatin,nedaplatin and other treatment.On this basis,the normal cell growth inhibition and hematological abnormalities,nausea and vomiting can also cause a lot of adverse reactions in patients with treatment of distress,is also due to its therapeutic effect and adverse effects of quality of life at the same time,also often make doctors and patients in the choice of treatment plan hesitate when.In China,with many Chinese traditional medicine of traditional Chinese medicine and modern science developed,although the treatment effect is better than western medicine chemical drugs significantly,due to less adverse reactions,Chinese medicine even could alleviate the clinical disease and drug treatment of pain,especially better in reducing patient pain and other aspects,the clinical advantages of patients to get a better sense of survival,in clinical treatment also gradually attention.So often have western medicine combined with traditional Chinese medicine preparation for chemical treatment of cancer and other popular programs,but also because of the efficacy of Chinese traditional medicine in clinic is not clear,the adverse reaction of species and occurrence of defect rate instability,promote some Chinese medicine in clinical application.Under the inspiration of researches on the matrine,I have make the matrine as the object of basic research of lung cancer cells,to study the effect of the chemical composition,preparation of matrine and Oxymatrine on lung cancer cells can inhibit the growth of it.In the experimental part,a representative human lung cancer cell line A549 was selected to study the effects of different doses of Matrine on the growth inhibition and apoptosis of A549 cells.In the study,the results showed that the concentration of 24 h half lethal concentration(IC50)of A549 cells cultured inDMEM was 1.549mg/ml,and the concentration of 48 h was 1.465mg/ml.In cell apoptosis,V-FITC and PI markers based on Annexin dyes,can be observed in flow cytometry,the concentration of 1-3mg/ml,with the increase of concentration,the proportion of apoptotic cells in the early stage will be more,said the inhibitory effect of drugs on A549 usually occurs in the early stage of apoptosis,the possible mechanism is the activation of Ca2+ pathway in the cell membrane to regulate failure,or pathways associated with the activation of Caspase pathway.In this study,first of all,I will start from the literature analysis,the object is locked in matrine and other related preparations in the treatment of patients with lung cancer.By comparing the clinical curative effect and adverse reaction of the patients with lung cancer who received first-line chemotherapy and combined matrine preparation,the author comprehensively evaluated their treatment benefits.In the system evaluation scheme based on the guidance of the Cochrance,this will be part of the "Marine Injection","Compound Kushen Injection","GP/TP/DP/NP","lung cancer","clinical research" as the keyword search,access to existing published foreign clinical for the first chemotherapy treatment scheme and combined with Marine Injection or two kinds of preparation of compound matrine injection the comprehensive analysis and evaluation system for the treatment of patients with lung cancer report.Finally,whether it is Marine Injection or compound matrine injection,combined with first-line chemotherapy treatment of lung cancer treatment benefits will be higher than the conventional first-line chemotherapy treatment of lung cancer.Based on the literature research and the basic research,it is concluded that the related components of matrine have certain effect on the treatment of lung cancer.This study will be in-depth clinical observation,access to clinical data in order to first-line chemotherapy program and combined with the clinical efficacy of matrine in the treatment of lung cancer patients and the treatment benefits obtained.This part in order to comprehensive evaluation of effects of drug treatment and treatment cost,the use of drug economics,circulation economics Markov model building steps and treatment of lung cancer treatment in the decision-making process simulation based on.The drug treatment cost,by comparing the real clinical data based on theintroduction of the model of clinical treatment,adverse reaction parameters such as yield,comparative analysis of first-line chemotherapy and combined with compound matrine injection,obtained in the total cost of 11000 yuan,the joint compound Sophora injection(Fufang Kushen Injection)scheme for the better treatment cost for patients to live,and can let patients get better treatment quality of life.The conclusion of this part is consistent with the above two parts,and the analysis of this part can provide a basis for the evaluation of the clinical treatment and the treatment plan.
Keywords/Search Tags:Lung cancer, A549, matrine, Compound Kushen injection, Fufang Kushen injection, Meta analysis, pharmacoeconomics, Markov model
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