首页|奥西替尼联合全脑放疗对非小细胞肺癌的疗效分析

奥西替尼联合全脑放疗对非小细胞肺癌的疗效分析

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目的 探讨奥西替尼联合全脑放疗对非小细胞肺癌的治疗效果.方法 选取2019年6月至2020年6月确诊为非小细胞肺癌并伴随脑转移的86例患者,随机数字表法分为试验组和对照组,每组43例.对照组采取常规化疗方式联合全脑放疗进行治疗,试验组在常规化疗联合全脑放疗的基础上联合奥西替尼治疗,比较2组患者的近期疗效、血清肿瘤标志物含量、不良反应情况以及生存情况.结果 试验组治疗有效率为88.4%高于对照组的62.8%(P<0.05).试验组患者血清的CD4+、CD8+和CD4+/CD8+显著高于对照组(P<0.05);试验组的血清CYFRA21-1水平显著低于对照组(P<0.05).试验组的患者的无病生存时间中位数为8个月,对照组为5个月,Log-rank检验显示,试验组的无病生存时间显著高于对照组(P<0.05).结论 奥西替尼联合全脑放疗作为治疗非小细胞肺癌脑转移患者的治疗方式,治疗效果较好,能延长患者的无病生存时间并且能提高患者的生存质量,值得临床推广应用.
Efficacy of oxitinib combined with whole brain radiotherapy in non-small cell lung cancer
Objective To investigate the effect of oxitinib combined with whole brain radiotherapy on non-small cell lung cancer(NSCLC).Methods Totally 86 patients diagnosed with NSCLC and brain metastasis in our hospital from June 2019 to June 2020 were enrolled and randomly divided into experimental group(n=43)and control group(n=43).All patients were managed by conventional chemotherapy combined with whole brain radiotherapy,those in the experimental group were additionally given oxitinib.The short-term efficacy,serum tumor marker levels,adverse reactions and survival were included as comparisons.Results The effective rate of the experimental group was significantly higher than that of the control group(88.4%vs 62.8%,P<0.05).The serum CD4+,CD8+and CD4+/CD8+ratio in experimental group were significantly higher than those of control group(P<0.05).Meanwhile,the level of serum cytokeratin fragment antigen 21-1(CYFRA21-1)in the experimental group was significantly lower than that in the control group(P<0.05).The log-rank test showed that the median time of disease-free survival in the experimental group was significantly longer than that of the control group(8 months vs 5 months,P<0.05).Conclusion The combination of oxitinib and whole brain radiotherapy is a good treatment for patients with NSCLC and brain metastasis,which can prolong the disease-free survival time and improve the quality of life of patients.Therefore,it has a good clinical application value.

non-small cell lung canceroxitinibwhole brain radiotherapy

侯志华、张莹、魏红艳、魏晗

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050041 石家庄市,河北省胸科医院

非小细胞肺癌 奥西替尼 全脑放疗

河北省医学科学研究重点课题计划

20200028

2024

河北医药
河北省医学情报研究所

河北医药

CSTPCD
影响因子:1.075
ISSN:1002-7386
年,卷(期):2024.46(17)