认知行为干预治疗对乳腺癌患者免疫指标的影响

Ping Huang, Jun-Cheng Guo, M. Guo, Yi-Jun Yang, Xiang-Ling Jiang, Wei-luan Cen
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引用次数: 0

摘要

目的:探讨认知行为干预治疗对首次乳腺癌根治术患者细胞免疫功能的影响,为改进癌症患者的治疗提供科学依据。方法:选取2016年1月至2017年12月在海南省人民医院乳腺外科符合条件的100例癌症患者作为受试者。这是第一次改进根治性乳房切除术。随机分为对照组和干预组,各50例。对照组采用常规治疗和常规护理。在此基础上,干预组进行了包括认知重建和行为治疗在内的认知行为干预。在患者入院后第二天和出院后三个月测量血清IL-2、IL-4、IL-6、IL-8和TNF-α水平。比较两组患者认知干预前后血清IL-2、IL-4、IL-6、IL-8和TNF-α水平的变化。结果:比较干预前干预组和对照组血清中IL-2、IL-4、IL-6、IL-8和TNF-α的浓度。干预后,干预组血清IL-2、IL-4和IL-8水平均低于干预前,差异无统计学意义(P>0.05)。TNF-α浓度明显高于干预前。结论:认知行为干预治疗可改变癌症患者血清中白细胞介素2、白细胞介因子4、白细胞周期介素6、白细胞趋化因子8和肿瘤坏死因子α的水平。它对癌症患者免疫功能的调节有积极作用。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Effect of Cognitive Behavioral Intervention Therapy on Immune Index in Patients with Breast Cancer
Objective: To explore the effect of cognitive behavioral intervention therapy on the cellular immune function of patients undergoing radical mastectomy for the first time, and to provide a scientific basis for improving the treatment of breast cancer patients. Methods: 100 patients with breast cancer who were eligible for admission to the Department of Breast Surgery, Hainan Provincial People’s Hospital from January 2016 to December 2017 were selected as subjects. It is the first time to improve the radical mastectomy. They were randomly divided into control group and intervention group, 50 cases each. The control group used conventional treatment and routine care. On the basis of this, the intervention group conducted cognitive behavioral interventions including cognitive reconstruction and behavioral therapy. The patients were measured for serum IL-2, IL-4, IL-6, IL-8 and TNF-α levels on the second day after admission and three months after discharge. The changes of serum IL-2, IL-4, IL-6, IL-8 and TNF-α levels in the two groups were compared before and after cognitive intervention. Results: The concentrations of IL-2, IL-4, IL-6, IL-8 and TNF-α in the serum of the intervention group and the control group before intervention were compared. The difference was not statistically significant (P > 0.05). After the intervention, the serum levels of IL-2, IL-4 and IL-8 in the intervention group were lower than before the intervention. The concentration of TNF-α was higher than before the intervention. The difference was statistically significant (P < 0.05). Conclusion: Cognitive behavioral intervention therapy can change the levels of IL-2, IL-4, IL-6, IL-8 and TNF-α in serum of breast cancer patients. It has a positive effect on the regulation of immune function in breast cancer patients.
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