中外医疗2024,Vol.43Issue(1) :1-3,16.DOI:10.16662/j.cnki.1674-0742.2024.01.001

卡瑞利珠单抗结合靶向药物治疗耐药晚期肝癌患者的疗效探究

To Explore the Efficacy of Carrelizumab Combined with Targeted Drugs in the Treatment of Patients with Drug-resistant Advanced Liver Cancer

李孝楼 许智凤 陈颖 周文 洪美珠 魏光敏
中外医疗2024,Vol.43Issue(1) :1-3,16.DOI:10.16662/j.cnki.1674-0742.2024.01.001

卡瑞利珠单抗结合靶向药物治疗耐药晚期肝癌患者的疗效探究

To Explore the Efficacy of Carrelizumab Combined with Targeted Drugs in the Treatment of Patients with Drug-resistant Advanced Liver Cancer

李孝楼 1许智凤 1陈颖 1周文 1洪美珠 1魏光敏1
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作者信息

  • 1. 福建医科大学孟超肝胆医院肿瘤科,福建福州 350025
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摘要

目的 探究采用卡瑞利珠单抗与靶向药物联合用药治疗耐药晚期肝癌患者的疗效.方法 随机选取2022年5月—2023年5月福建医科大学孟超肝胆医院肿瘤科收治的80例耐药晚期肝癌患者为研究对象.采取随机数表法分为对照组和观察组,各40例.对照组采用单一靶向药物治疗,观察组采取靶向药物联合卡瑞利珠单抗治疗.比较两组临床疗效、实验室指标和不良反应发生情况.结果 观察组客观缓解率为47.50%高于对照组的25.00%,差异有统计学意义(χ2=4.381,P<0.05);观察组的疾病控制率为77.50%,高于对照组的52.50%,差异有统计学意义(χ2=5.494,P<0.05).观察组治疗后肿瘤标志物与血小板均低于对照组,差异有统计学意义(P均<0.05);两组不良反应发生情况比较,差异无统计学意义(P>0.05).结论 对耐药晚期肝癌患者在靶向药物治疗基础上联合卡瑞利珠单抗可提高疾病控制效果,降低肿瘤标志物水平,不良反应未明显增长,具有良好耐受性.

Abstract

Objective To explore the efficacy of carlizumab and targeted drugs in patients with drug-resistant ad-vanced liver cancer.Methods 80 cases of drug-resistant advanced liver cancer patients admitted to the Department of Oncology of Mengchao Hepatobiliary Hospital of Fujian Medical University from May 2022 to May 2023 were ran-domly analyzed.They were divided into control group and observation group by random number table method,with 40 cases in each group.The control group was treated with a single targeted drug,and the observation group was treated with targeted drug combined with camrelizumab.Comparisons were made in terms of clinical efficacy,laboratory in-dexes and incidence of adverse reactions between the two groups.Results The objective remission rate of the observa-tion group was 47.50%,which was higher than 25.00%of the control group,and the difference was statistically signifi-cant(χ2=4.381,P<0.05).The disease control rate of 77.50%in the observation group,which was was higher than 52.50%in the control group,and the difference was statistically significant(χ2=5.494,P<0.05).Tumor markers and platelets in the observation group were lower than those in the control group after treatment,and the difference was sta-tistically significant(all P<0.05).There was no statistically significant difference between the two groups in terms of adverse reactions(P>0.05).Conclusion For patients with drug-resistant advanced liver cancer,combined with cam-relizumab on the basis of targeted drug therapy can improve the effect of disease control,reduce the level of tumor markers,and the adverse reactions did not grow significantly,with good tolerability.

关键词

耐药晚期肝癌/靶向药物/卡瑞利珠单抗/临床疗效

Key words

Drug-resistant advanced liver cancer/Targeted drug/Camrelizumab/Clinical efficacy

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基金项目

国家中医药局全国老中医药专家学术经验继承项目(第七批)(国中医药人教函202276号)

福州市科技计划(榕科2022353号:2022-S-038)

出版年

2024
中外医疗
卫生部医院管理研究所 二十一世纪联合创新医药科学研究院

中外医疗

影响因子:0.909
ISSN:1674-0742
参考文献量15
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