首页|重组人血管内皮抑制素联合GP方案治疗对晚期食管癌患者肿瘤标志物和生存质量的影响

重组人血管内皮抑制素联合GP方案治疗对晚期食管癌患者肿瘤标志物和生存质量的影响

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目的 探讨重组人血管内皮抑制素联合GP方案治疗对晚期食管癌患者肿瘤标志物和生存质量的影响.方法 选择该院2021年2月—2022年12月收治的90例晚期食管癌患者为研究对象,按随机数字表法将其分为对照组与观察组,各45例.对照组采用GP方案治疗,观察组在对照组基础上加用重组人血管内皮抑制素治疗,比较两组患者的临床疗效、生存质量、血清因子和肿瘤标志物.结果 观察组治疗总有效率为88.89%,高于对照组的71.11%,差异有统计学意义(P<0.05).治疗前,两组血管内皮生长因子(VEGF)、成纤维细胞生长因子受体-4(FGFR-4)、癌胚抗原(CEA)、脊椎蛋白-2(Spon-2)水平比较,组间差异无统计学意义(P>0.05);治疗后,观察组FGFR-4、VEGF、Spon-2和CEA水平分别为(125.97±5.20)pg/mL、(152.21±5.18)ng/L、(13.11±0.20)μg/L、(6.34±0.19)ng/mL,均低于对照组的(143.54±8.19)pg/mL、(174.97±6.34)ng/L、(15.96±0.23)μg/L、(8.21±0.09)ng/mL,组间差异有统计学意义(P<0.05).治疗前,两组肿瘤卡氏(KPS)评分比较,差异无统计学意义(P>0.05);治疗后,观察组KPS评分为(84.92±2.99)分,高于对照组的(78.30±1.87)分,差异有统计学意义(P<0.05).观察组1年存活率高于对照组,差异有统计学意义(P<0.05).结论 晚期食管癌患者采用重组人血管内皮抑制素联合GP方案治疗可有效改善患者短期存活率,降低其肿瘤标志物表达水平,实用性较高.
Effect of Recombinant Human Endostatin Combined with GP Regimen on Tumor Markers and Quality of Life in Patients with Advanced Esophageal Cancer
Objective To investigate the effects of recombinant human endostatin combined with GP regimen on tumor markers and quality of life in patients with advanced esophageal cancer.Methods A total of 90 patients with advanced esophageal cancer admitted to the hospital from February 2021 to December 2022 were selected as the study objects, and were divided into a control group and an observation group according to random number table method, with 45 cases in each group.The control group was treated with GP regimen, and the observation group was treated with recombinant human endostatin on the basis of the control group.The clinical efficacy, quality of life, serum factors and tumor markers of the two groups were compared.Results The total effective rate of the observation group was 88.89%, higher than 71.11% of the control group, and the difference was statistically significant (P<0.05).Before treatment, there were no significant differences in the levels of vascular endothelial growth factor (VEGF), fibroblast growth factor receptor-4 (FGFR-4), carcinoembryonic antigen (CEA) and spinal protein-2 (Spon-2) between the two groups (P>0.05);after treatment, the levels of FGFR4, VEGF, Spon-2 and CEA in the observation group were (125.97±5.20)pg/mL, (152.21±5.18)ng/L, (13.11±0.20)μg/L and (6.34±0.19)ng/mL, respectively, which were lower than (143.54±8.19)pg/mL, (174.97±6.34)ng/L, (15.96±0.23)μg/L, (8.21±0.09)ng/mL in the control group, and the differences between the groups were statistically significant (P<0.05).Before treatment, there were no significant differences in tumor KPS score between the two groups (P>0.05);after treatment, the KPS score of the observation group were (84.92±2.99) points, which was higher than (78.30±1.87) points of the control group, the difference was statistically significant(P<0.05).The one-year survival rate of the observation group was higher than that of the control group, and the difference was statistically significant (P<0.05).Conclusion Recombinant human endostatin combined with GP regimen can effectively improve the short-term survival rate of patients with advanced esophageal cancer and reduce the expression level of tumor markers, which is highly practical.

Advanced esophageal cancerRecombinant human endostatinGP regimenTumor markersQuality of life

李金厚、孙明

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青岛大学附属泰安市中心医院消化内科,山东泰安 271000

青岛大学附属泰安市中心医院肿瘤外科,山东泰安 271000

晚期食管癌 重组人血管内皮抑制素 GP方案 肿瘤标志物 生存质量

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(15)