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目的:观察四君子汤联合伽玛刀治疗原发性中枢神经系统淋巴瘤复发病例患者的临床疗效、对免疫功能和患者生存质量的影响。方法:51例原发性中枢神经系统淋巴瘤复发的患者随机分为治疗组(伽玛刀+中药四君子汤治疗组26例和对照组(伽玛刀组25例)。研究两组的近期疗效、免疫功能变化和生活质量。结果:相比对照组,治疗组肿瘤无疾病进展时间(PFS)和卡氏评分均更高(P<0.05),相比治疗前,治疗组CD3+、CD4+、CD4+/CD8+和NK均有不同程度提高(P<0.05)。结论:四君子汤联合伽玛刀在治疗原发性中枢神经系统淋巴瘤复发病例可以提高疗效、提升免疫功能和改善患者生存质量,值得进一步研究。
Objective: To observe the effect of Sijunzi Decoction combined with Gamma Knife in the treatment of patients with recurrent central nervous system lymphoma, and its effect on immune function and quality of life of patients. Methods: Totally 51 patients with primary CNS recurrence were randomly divided into treatment group (Gamma Knife + Sijunzitang treatment group, 26 cases and control group (Gamma Knife Group, 25 cases)). , Immune function and quality of life.Results Compared with the control group, the tumor progression-free time (PFS) and Karnofsky score of the treatment group were higher than those of the control group (P <0.05) / CD8 + and NK (P0.05) .Conclusion: Sijunzi Decoction combined with Gamma Knife can improve the curative effect, improve the immune function and improve the quality of life in patients with primary central nervous system lymphoma, which is worth further the study.