首页|探讨免疫治疗联合化疗对乳腺癌患者术后免疫功能和生存状况的影响

探讨免疫治疗联合化疗对乳腺癌患者术后免疫功能和生存状况的影响

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目的 探讨免疫治疗联合化疗对乳腺癌患者术后免疫功能和生存状况的影响.方法 方便选取2019年1月—2023年8月东海县人民医院接受手术的96例乳腺癌患者为研究对象,按照随机数表法分成两组,各48例.对照组术后实施化疗,研究组术后实施化疗联合免疫治疗.比较两组血清肿瘤标志物、癌因性疲乏评分、生存质量评分、不良反应发生率.结果 治疗后,研究组血清癌胚抗原、糖类抗原153的水平分别为(4.32±0.81)ng/mL、(11.34±2.56)U/mL,均低于对照组,差异有统计学意义(t=11.002、5.981,P均<0.05).研究组癌因性疲乏评分低于对照组,差异有统计学意义(P<0.05).研究组生存质量评分高于对照组,差异有统计学意义(P<0.05).两组不良反应发生率(恶心呕吐、骨髓抑制、白细胞下降、血小板下降)比较,差异无统计学意义(P均>0.05).结论 在乳腺癌患者术后实施化疗联合免疫治疗,可有效控制肿瘤进展,减轻癌因性疲乏症状,有利于提高其生存质量,且不良反应未增多,安全性可靠.
Effect of Immunotherapy Combined with Chemotherapy on Postoperative Immune Function and Survival of Patients with Breast Cancer
Objective To investigate the effect of immunotherapy combined with chemotherapy on postoperative im-mune function and survival of patients with breast cancer.Methods A total of 96 patients with breast cancer who un-derwent surgery in Donghai County People's Hospital from January 2019 to August 2023 were conveniently selected as the study objects and divided into two groups according to random number table method,with 48 patients in each group.The control group received postoperative chemotherapy,and the study group received postoperative chemo-therapy combined with immunotherapy.Serum tumor markers,cancer-related fatigue score,quality of life score and incidence of adverse reactions were compared between the two groups.Results After treatment,the levels of carcino-embryonic antigen and carbohydrate antigen 153 in the study group were(4.32±0.81)ng/mL and(11.34±2.56)U/mL,respectively,which were lower than those in the control group,and the differences were statistically significant(t=11.002,5.981,both P<0.05).The score of cancer fatigue in the study group was lower than that in the control group,and the difference was statistically significant(P<0.05).The quality of life score of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).There was no statistically significant difference in the incidence of adverse reactions(nausea and vomiting,myelosuppression,leukopenia and platelet de-cline)between the two groups(all P>0.05).Conclusion Chemotherapy combined with immunotherapy after surgery can effectively control tumor progression,reduce cancer-related fatigue symptoms,and help improve the quality of life of breast cancer patients,with no increase in adverse reactions and safety.

Breast cancerSurgeryChemotherapyImmunotherapy

刘昌娟

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东海县人民医院肿瘤科,江苏连云港 222300

乳腺癌 手术 化疗 免疫治疗

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(14)
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