癌症进展2024,Vol.22Issue(16) :1818-1821.DOI:10.11877/j.issn.1672-1535.2024.22.16.20

支气管动脉化疗栓塞术在晚期非小细胞肺癌患者中的应用效果

Application effect of bronchial arterial chemoembolization in patients with advanced non-small cell lung cancer

刘愉 温娇 文丹 胡正清 胡文彬
癌症进展2024,Vol.22Issue(16) :1818-1821.DOI:10.11877/j.issn.1672-1535.2024.22.16.20

支气管动脉化疗栓塞术在晚期非小细胞肺癌患者中的应用效果

Application effect of bronchial arterial chemoembolization in patients with advanced non-small cell lung cancer

刘愉 1温娇 1文丹 1胡正清 1胡文彬1
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作者信息

  • 1. 萍乡赣西肿瘤医院内科,江西 萍乡 337000
  • 折叠

摘要

目的 探讨支气管动脉化疗栓塞术(BACE)+重组人血管内皮抑制素+程序性死亡受体1(PD-1)抑制剂在晚期非小细胞肺癌(NSCLC)患者中的应用效果.方法 根据治疗方法的不同将60例晚期NSCLC患者分为A组(n=28)和B组(n=32),A组患者接受静脉化疗+重组人血管内皮抑制素+PD-1抑制剂治疗,B组患者接受BACE+重组人血管内皮抑制素+PD-1抑制剂治疗.比较两组患者的临床疗效、生活质量改善情况、T细胞亚群(CD3+、CD4+、CD8+、CD4+/CD8+)水平及不良反应发生情况.结果 B组患者治疗总有效率、生活质量改善率均高于A组,不良反应总发生率低于A组,差异均有统计学意义(P<0.05).治疗后,两组患者CD3+、CD4+水平及CD4+/CD8+均高于本组治疗前,CD8+水平均低于本组治疗前,B组患者CD3+、CD4+水平及CD4+/CD8+均高于A组,CD8+水平低于A组,差异均有统计学意义(P<0.05).结论 BACE+重组人血管内皮抑制素+PD-1抑制剂治疗晚期NSCLC患者安全有效,能够改善患者的生活质量和T细胞亚群水平,降低不良反应发生率.

Abstract

Objective To investigate the application effect of bronchial arterial chemoembolization(BACE)+recombi-nant human endostatin+programmed cell death 1(PD-1)inhibitor in patients with advanced non-small cell lung cancer(NSCLC).Method A total of 60 patients with advanced NSCLC were divided into group A(n=28)and group B(n=32)according to different treatment methods.The group A received intravenous chemotherapy+recombinant human end-ostatin+PD-1 inhibitor treatment,and the group B received BACE+recombinant human endostatin+PD-1 inhibitor treat-ment.The clinical efficacy,improvement of quality of life,level of T cell subsets(CD3+,CD4+,CD8+,CD4+/CD8+)and in-cidence of adverse reactions were compared between the two groups.Result The total effective rate and improvement rate of quality of life in group B were higher than those in group A,the total incidence of adverse reactions was lower than that in group A,and the differences were statistically significant(P<0.05).After treatment,the CD3+,CD4+levels and CD4+/CD8+in two groups were higher than those before treatment,the CD8+levels were lower than those before treat-ment,the CD3+,CD4+levels and CD4+/CD8+in group B were higher than those in group A,the CD8+level was lower than that in group A,and the differences were statistically significant(P<0.05).Conclusion BACE+recombinant human endostatin+PD-1 inhibitor is safe and effective in the treatment of advanced NSCLC patients,which can improve the qual-ity of life of patients and the level of T cell subsets,reduce the incidence of adverse reactions.

关键词

支气管动脉化疗栓塞术/重组人血管内皮抑制素/程序性死亡受体1抑制剂/晚期非小细胞肺癌/应用效果

Key words

bronchial arterial chemoembolization/recombinant human endostatin/programmed cell death 1 inhibi-tor/advanced non-small cell lung cancer/application effect

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基金项目

江西省卫生健康委科技计划项目(202410774)

出版年

2024
癌症进展
中国医学科学院,北京协和医学院

癌症进展

影响因子:1.004
ISSN:1672-1535
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