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康艾注射液联合SOX化疗方案治疗晚期胃癌的临床研究

Clinical Study of Kang'ai Injection Combined with SOX Chemotherapy in the Treatment of Advanced Gastric Cancer

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目的:观察康艾注射液联合SOX(替吉奥和奥沙利铂)化疗方案治疗晚期胃癌的临床疗效.方法:选择100例同意化疗的晚期胃癌患者,通过随机数字表法分为对照组和观察组,每组50例.对照组使用SOX治疗方案,静注奥沙利铂注射液,同时口服替吉奥胶囊.观察组在对照组基础上联合静脉注射康艾注射液,两组均连续治疗14天,停药7天,以21天为1个治疗周期,连续治疗3个周期.观察两组临床总有效率、疾病控制率、血清肿瘤标记物水平、卡式(Karnofsky,KPS)评分及不良反应发生率.结果:治疗3个周期后,观察组总有效率[64.0%(32/50)]优于对照组[48.0%(24/50)](P<0.05);观察组疾病控制率[84.0%(42/50)]优于对照组[70.0%(35/50)](P<0.05).治疗后,观察组血清肿瘤标志物癌胚抗原(carcinoembryonic antigen,CEA)、糖类抗原199(carbohydrate antigen199,CA199)、糖类抗原724(carbohydrate antigen724,CA724)水平低于对照组,KPS评分高于对照组(P<0.05);观察组不良反应发生率[28.0%(14/50)]低于对照组[42.0%(21/50)](P<0.05).结论:康艾注射液联合SOX化疗方案治疗晚期胃癌可降低患者肿瘤标志物水平,提高其生活质量,减少不良反应发生率.
Objective:To observe clinical effects of Kang'ai injection joined with SOX(Tegafur,gimeracil and oteracil potassium capsules and oxaliplatin)chemotherapy in the treatment of advanced gastric cancer.Methods:One hundred patients with advanced gastric cancer who agreed to chemotherapy were selected,and allocated to the control group and the observation group according to random number table method,with 50 cases in each group.The control group used SOX therapeutic regimen,intravenous injection of oxaliplatin for injection,meanwhile oral administration of Tegafur,gimeracil and oteracil potassium capsules.The observation group accepted intravenous injection of Kang'ai injection,both groups were treated for 14 days consecutively,seven days'break,21 days were one course of the treatment,for three therapeutic cycles continuously.To observe clinical total effective rate,disease control rate,the levels of serum tumor markers,KPS scores and the incidence of adverse reaction of the two groups.Results:After three therapeutic cycles,total effective rate of the observation group was[64.0%(32/50)],better than[48.0%(24/50)]of the control group(P<0.05);disease control rate of the observation group was[84.0%(42/50)],higher than[70.0%(35/50)]of the control group(P<0.05).After the treatment,the levels of CEA,CA199 and CA724 of the observation group were lower than these of the control group,KPS scores higher than these of the control group(P<0.05);the incidence of adverse reaction of the observation group was[28.0%(14/50)],lower than[42.0%(21/50)]of the control group(P<0.05).Conclusion:Kang'ai injection combined with SOX chemotherapy could lower the levels of tumor markers,raise the patients'quality of life and reduce the incidence of adverse reaction in the treatment of advanced gastric cancer.

gastric cancer,advancedKang'ai injectionTegafur,gimeracil and oteracil potassium capsulesoxaliplatinchemotherapyclinical study

赵忆、邢磊、邢文文

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淮安市第二人民医院,江苏 淮安 223000

南京市高淳中医院,江苏 南京 211300

胃癌,晚期 康艾注射液 替吉奥 奥沙利铂 化疗方案 临床研究

南京市中医药青年人才培养计划项目

ZYQ20065

2024

西部中医药
甘肃中医药研究院

西部中医药

CSTPCD
影响因子:0.98
ISSN:1004-6852
年,卷(期):2024.37(2)
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