Small cell lung cancer (small cell lung cancer, SCLC) accounts for about 13% of lung cancer patients. Compared with non-small cell lung cancer. It has a early metastatic potential and sensitive to first-line cytotoxic chemotherapy. NSE and ProGRP in SCLC sometimes can be high. Collect 205 cases of untreated small cell lung cancer (SCLC) 2013-2016 in Peking Union Medical College Hospital, analysis their clinical data.Compare before and after the treatment course, peripheral blood tumor index of neuron specific enolase (NSE) and gastrin release peptide precursor (GRP) level and follow-up, through the comparison of the TTP, Cr rate data of NSE and ProGRP level on the treatment and prognosis of guiding significance. ORR, TTP, and 2 year survival rates were higher in abnormal NSE and ProGRP than in patients with normal NSE and ProGRP in patients with SCLC, but not statistically significant. NSE and ProGRP decreased to normal compared with the normal subjects after 4 chemotherapy, and had statistical significance. ORR, TTP, and 2 year survival rates of patients with normal SCLC and ProGRP were higher than those in patients with elevated NSE and ProGRP, and the elevation of and NSE showed poor prognosis. NSE and ProGRP decreased after chemotherapy, which indicated that the prognosis was good, especially the NSE decline was more significant. Therefore, ProGRP and NSE have a certain significance in predicting the prognosis and treatment effect of SCLC, and the significance of NSE is more prominent.