首页|替雷利珠单抗联合安罗替尼治疗晚期肺腺癌对血清肿瘤标志物的影响

替雷利珠单抗联合安罗替尼治疗晚期肺腺癌对血清肿瘤标志物的影响

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目的 分析替雷利珠单抗联合安罗替尼在晚期肺腺癌治疗中的临床疗效.方法 回顾性选取2021年1月—2022年12月晋江市医院收治的120例晚期肺腺癌患者的临床资料,根据治疗药物不同将患者分为研究组和对照组,每组60例.对照组使用盐酸安罗替尼胶囊治疗,研究组在对照组基础上使用替雷利珠单抗注射液治疗,对比两组临床疗效、癌胚抗原(Carcinoembryonic,CEA)、神经元特异性烯醇化酶(Neuronspecific,NSE)、细胞角蛋白21-1片段(Cytokeratin Antigen 21-1,CYFRA21-1)水平及不良反应发生率.结果 研究组治疗总有效率高于对照组,差异有统计学意义(P<0.05);治疗后,研究组CEA、NSE、CYFRA21-1水平分别为(7.26±0.63)、(15.62±4.28)、(10.68±2.07)ng/mL,均低于对照组,差异有统计学意义(P均<0.05);两组不良反应发生率对比,差异无统计学意义(P>0.05).结论 晚期肺腺癌患者应用替雷利珠单抗联合安罗替尼疗效显著,能够提高对肺腺癌的治疗效果,降低肿瘤标志物水平,且不会增加不良反应风险,具有较高安全性,能够提高患者的生存时间及生活质量.
Effect of Tirellizumab Combined with Antirotinib on Serum Tumor Mark-ers in the Treatment of Advanced Lung Adenocarcinoma
Objective To analyze the clinical efficacy of tirellizumab combined with antirotinib in the treatment of ad-vanced lung adenocarcinoma.Methods Clinical data of 120 patients with advanced lung adenocarcinoma treated in Jinjiang City Hospital from January 2021 to December 2022 were retrospectively selected,and the patients were di-vided into study group and control group according to different therapeutic drugs,with 60 cases in each group.The control group was treated with antirotinib hydrochloride capsule,and the study group was treated with tirellizumab in-jection on the basis of the control group.Clinical efficacy,carcinoembryonic(CEA),neuronspecific(NSE),cytokeratin antigen 21-1(CYFRA21-1)level and incidence of adverse reactions were compared between the two groups.Results The effective rate of the study group was higher than that of the control group,and the difference was statistically sig-nificant(P<0.05).After treatment,CEA,NSE and CYFRA21-1 levels in the study group were(7.26±0.63),(15.62±4.28)and(10.68±2.07)ng/mL,respectively,lower than those in the control group,and the differences were statisti-cally significant(all P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion Tirellizumab combined with antirotinib has significant efficacy in patients with advanced lung adenocarcinoma.They can improve the therapeutic effect of lung adenocarcinoma and reduce the level of tumor markers,and will not increase the risk of adverse reactions,and has high safety,which can improve the survival time and quality of life of patients.

TirellizumabAnlotinibAdvanced lung adenocarcinomaClinical effectSerum tumor markersAdverse reaction

宋西明、赵洪东、郑标龙

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晋江市医院(上海市第六人民医院福建医院),福建晋江 362200

替雷利珠单抗 安罗替尼 晚期肺腺癌 临床疗效 血清肿瘤标志物 不良反应

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
年,卷(期):2024.43(8)
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