首页|贝伐珠单抗联合靶向药物治疗用于非小细胞肺癌的临床价值

贝伐珠单抗联合靶向药物治疗用于非小细胞肺癌的临床价值

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目的 分析对非小细胞肺癌患者行贝伐珠单抗联合靶向治疗的临床价值.方法 方便选取2022年2月—2023年1月巨野县北城医院收治的98例非小细胞肺癌患者为研究对象,使用双盲法分为对照组和研究组,每组49例.对照组患者行靶向治疗,研究组患者在此基础上加用贝伐珠单抗.检测对比两组患者的肿瘤标志物水平、临床疗效、不良反应、生存指标.结果 治疗前,两组患者的糖类抗原125(Cancer Antigen 125,CA125)、癌胚抗原(Carcinoembryonic Antigen,CEA)、细胞角蛋白19片段(Cytokeratin 19 Fragment,CYFRA21-1)水平对比,差异无统计学意义(P均>0.05).治疗后,研究组患者的CA125、CEA、CYFRA21-1水平均低于对照组,差异有统计学意义(P均<0.05).研究组患者临床有效率(95.92%)、临床缓解率(77.55%)高于对照组的(79.59%、48.98%),差异有统计学意义(χ2=6.078、8.606,P均<0.05).研究组患者不良反应总发生率(6.12%)低于对照组的(22.45%),差异有统计学意义(P<0.05).研究组患者半年随访生存率(100.00%)、1年随访时生存率(87.76%)高于对照组的(91.84%、71.11%),差异有统计学意义(P均<0.05).结论 贝伐珠单抗与靶向药物结合后能提升临床有效率和临床缓解率,降低肿瘤标志物水平,使远期生存率维持在较高水平,且能防控安全事件,改善非小细胞肺癌预后.
The Clinical Value of Bevacizumab Combined with Targeted Drug Therapy for Non-small Cell Lung Cancer
Objective To analyze the clinical value of bevacizumab combine with targeted therapy in patients with non-small cell lung cancer.Methods A total of 98 patients with non-small cell lung cancer admitted to Beicheng Hos-pital of Juye County from February 2022 to January 2023 were conveniently selected as the research objects.They were divided into control group and study group by double-blind method,with 49 cases in each group.The patients in the control group were treated with targeted therapy,and the patients in the study group were treated with bevaci-zumab on this basis.The levels of tumor markers,clinical efficacy,adverse reactions and survival indicators were com-pared between the two groups.Results Before treatment,there was no significant difference in the levels of cancer anti-gen 125(CA125),carcinoembryonic antigen(CEA)and cytokeratin 19 fragment(CYFRA21-1)between the two groups(all P>0.05).After treatment,the levels of CA125,CEA and CYFRA21-1 in the study group were lower than those in the control group,the differences were statistically significant(all P<0.05).The clinical effective rate(95.92%)and clinical remission rate(77.55%)in the study group were higher than those in the control group(79.59%,48.98%),and the differences were statistically significant(χ2=6.078,8.606,both P<0.05).The total incidence of ad-verse reactions in the study group(6.12%)was lower than that in the control group(22.45%),and the difference was statistically significant(P<0.05).The survival rate of patients in the study group at half year follow-up(100.00%)and 1 year follow-up(87.76%)were higher than those in the control group(91.84%,71.11%),and the differences were sta-tistically significant(both P<0.05).Conclusion The combination of bevacizumab and targeted drugs can improve the clinical effective rate and clinical remission rate,reduce the level of tumor markers,maintain the long-term survival rate at a high level,prevent and control safety incidents,and improve the prognosis of non-small cell lung cancer.

BevacizumabSecurityNon-small cell lung cancerSurvival indicatorsTargeted drugs

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巨野县北城医院呼吸内科,山东 菏泽 274900

贝伐珠单抗 安全性 非小细胞肺癌 生存指标 靶向药物

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(19)
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