首页|曲妥珠单抗与帕妥珠单抗在人表皮生长因子受体2阳性乳腺癌患者中的应用分析

曲妥珠单抗与帕妥珠单抗在人表皮生长因子受体2阳性乳腺癌患者中的应用分析

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目的 分析人表皮生长因子受体 2(HER2)阳性乳腺癌患者采用曲妥珠单抗与帕妥珠单抗联合治疗取得的效果.方法 选取该院 2020 年 5 月—2023 年 4月收治的 80 例乳腺癌HER2阳性患者为研究对象,按照随机数字表法将其分为对照组与研究组,各 40 例.两组均接受常规新辅助化疗,对照组采用曲妥珠单抗治疗,研究组在对照组基础上联用帕妥珠单抗治疗.对比两组患者的客观缓解率、糖类抗原 153(CA153)与癌胚抗原(CEA)水平及不良反应发生情况.结果 研究组客观缓解率为 87.50%,高于对照组的 67.50%,差异有统计学意义(P﹤0.05).治疗后,两组CEA、CA153水平均低于治疗前,且研究组低于对照组,差异有统计学意义(P﹤0.05).两组过敏反应、胃肠道反应、血液系统异常、神经毒性、肝肾损伤发生率对比,组间差异无统计学意义(P﹥0.05).结论 HER2阳性乳腺癌患者采用曲妥珠单抗联合帕妥珠单抗治疗能够有效提高客观缓解率,抑制血清肿瘤标志物,具有临床应用价值.
Application of Patuzumab and Trastuzumab in Breast Cancer Patients with Positive Human Epidermal Growth Factor Receptor 2
Objective To analyze the effect of combined treatment of patuzumab and trastuzumab in breast cancer patients with positive human epidermal growth factor receptor 2(HER2).Methods Eighty patients with HER2-positive breast cancer admitted to the hospital from May 2020 to April 2023 were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 40 cases each.Both groups received conventional neoadjuvant chemotherapy,the control group was treated with trastuzumab,and the study group was treated with pertuzumab based on the control group.Objective response rate,levels of carbohydrate antigen 153(CA153)and carcinoembryonic antigen(CEA)and occurrence of adverse reactions were compared between the two groups.Results The objective remission rate of the study group was 87.50%,higher than 67.50% of the control group,the difference was statistically significant(P﹤0.05).After treatment,CEA and CA153 levels in two groups were lower than before treatment,and the study group was lower than the control group,the differences were statistically significant(P﹤0.05).There were no significant differences in the incidence of allergic reaction,gastrointestinal reaction,abnormal blood system,neurotoxicity and liver and kidney injury between the two groups(P﹥0.05).Conclusion Trastuzumab and Partuzumab can improve the objective remission rate of breast cancer HER2 positive,inhibit serum tumor markers,and have clinical application value.

Breast cancerHuman epidermal growth factor receptor 2TrastuzumabPatuzumab

王敏

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淄博市第四人民医院(淄博市传染病医院)肿瘤四科,山东淄博 255000

乳腺癌 人表皮生长因子受体2 帕妥珠单抗 曲妥珠单抗

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(1)
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