Objective To observe the efficacy of osimertinib targeted therapy for advanced non-small cell lung can-cer(NSCLC)and its impact on serum tumor markers.Method A total of 79 NSCLC patients were divided into control group(n=40)and observation group(n=39)by drawing lots.The control group received pemetrexed+cisplatin chemother-apy,while the observation group received osimertinib targeted therapy on the basis of the control group.The clinical effi-cacy,serum tumor marker levels,and adverse reactions were compared between two groups.Result The total effective rate of the observation group was 76.92%,which was higher than 55.00%of the control group,the difference was statisti-cally significant(P<0.05).After treatment,the levels of carcinoembryonic antigen(CEA),cyto-keratin 19 fragment anti-gen 21-1(CYFRA21-1),carbohydrate antigen 125(CA125)in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The incidence of rash,leukopenia,diarrhea,and liver function damage in the observation group were lower than those in the control group,and the differences were statistical-ly significant(P<0.05).Conclusion Osimertinib targeted treatment combined with chemotherapy in advanced NSCLC has a good effect,which can reduce serum tumor marker levels and incidence of adverse reactions.