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| Effect of Bifidobacterium Triple Viable Bacteria combined with XELOX chemotherapy on intestinal flora and immune function after operation for colorectal cancer |
| LIU Dan SU Wenzhao WU Zhongliang |
| Department of General Surgery, the Second Affiliated Hospital of Suzhou University, Jiangsu Province, Suzhou 215000, China |
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Abstract Objective To investigate the effect of Bifidobacterium Triple Viable Bacteria combined with Oxaliplatin and Capecitabine (XELOX) chemotherapy on intestinal flora and immune function after operation for colorectal cancer. Methods From February 2016 to February 2019, 93 cases with colorectal cancer after operation admitted to the Second Affiliated Hospital of Suzhou University were selected. According to the random number table method, they were divided into study group (47 cases) and control group (46 cases). Surgical treatment were received in both groups, and control group was given XELOX chemotherapy after surgery, study group was given Bifidobacterium Triple Viable Bacteria on the basis of control group. The clinical effect was evaluated after treatment. The immune function, intestinal flora and the improvement of serum tumor markers were compared in two groups. The occurrence of adverse reactions during treatment in two groups were recorded. Results After two cycles of treatment, the total effective rate of study group was higher than that of control group, the difference was statistically significant (P < 0.05). The lactobacillus, bifidobacterium of study group were higher than those of control group, the escherichia coli and enterococcus faecalis of study group were lower than those of control group, the differences were statistically significant (all P < 0.05). CD4+ and CD4+/CD8+ of study group were lower than those of control group, CD8+ was higher than that of control group, the differences were statistically significant (all P < 0.05). Carbohydrate antigen 199 and carcino-embryonic antigen of study group were lower than those of control group, the differences were statistically significant (all P < 0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P > 0.05). Conclusion Bifidobacterium Triple Viable Bacteria combined with XELOX chemotherapy is effective in the treatment of colorectal cancer. It can effectively improve the intestinal flora, immune function and reduce serum tumor markers, and it is safe and effective.
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