首页|尼妥珠单抗联合顺铂行同期放化疗对鼻咽癌患者预后生存质量的影响

尼妥珠单抗联合顺铂行同期放化疗对鼻咽癌患者预后生存质量的影响

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目的 探究尼妥珠单抗+顺铂行同期放化疗对鼻咽癌患者预后生存质量的影响.方法 方便选取2021年5月—2023年5月常熟市第一人民医院肿瘤科收治的68例鼻咽癌患者作为研究对象,依据不同治疗方法分为对照组、观察组,各34例.对照组接受顺铂同期放化疗治疗,观察组在对照组基础上联合尼妥珠单抗治疗,比较两组患者临床疗效,生活质量以及不良反应发生率.结果 观察组治疗总有效率为64.71%(22/34),高于对照组的38.23%(13/34),差异有统计学意义(χ2=4.769,P<0.05).治疗前,两组患者生活质量评分比较,差异无统计学意义(P>0.05);治疗后,观察组生活质量评分高于对照组,差异有统计学意义(P<0.05).观察组不良反应发生率低于对照组,差异有统计学意义(P<0.05).治疗后,观察组白细胞计数为(5.11±0.44)×109/L,高于对照组的(3.74±0.35)×109/L,差异有统计学意义(t=14.208,P<0.05).结论 尼妥珠单抗+顺铂行同期放化疗方案用于鼻咽癌患者可改善患者生活质量,并提高治疗有效率,不良反应较少.
Effect of Concurrent Chemoradiotherapy with Nituzumab Combined with Cisplatin on Prognosis and Quality of Life in Patients with Nasopharyn-geal Carcinoma
Objective To explore the effects of concurrent chemoradiotherapy with nituzumab plus cisplatin on the prognosis and quality of life of patients with nasopharyngeal carcinoma.Methods A total of 68 nasopharyngeal carci-noma patients admitted to the Oncology Department of the First People's Hospital of Changshu City from May 2021 to May 2023 were conveniently selected as the study objects,and were divided into control group and observation group according to different treatment methods,with 34 cases in each group.The control group received concurrent chemora-diotherapy with cisplatin,and the observation group was combined with nituzumab on the basis of the control group.The clinical efficacy,quality of life and incidence of adverse reactions were compared between the two groups.Results The total effective rate of the observation group was 64.71%(22/34),which was higher than that of the control group 38.23%(13/34),and the difference was statistically significant(χ2=4.769,P<0.05).Before treatment,there was no sig-nificant difference in quality of life scores between the two groups(P>0.05);after treatment,the life quality score of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group,and the difference was statistically significant(P<0.05).After treatment,the leukocyte count in the observation group was(5.11±0.44)×109/L,which was higher than that in the control group(3.74±0.35)×109/L,and the difference was statistically signifi-cant(t=14.208,P<0.05).Conclusion The concurrent chemoradiotherapy with nituzumab plus cisplatin can improve the quality of life of patients with nasopharyngeal carcinoma,and increase the effective rate of treatment with less adverse reactions.

NituzumabConcurrent chemoradiotherapy with cisplatinNasopharyngeal carcinomaQuality of lifeEfficientAdverse reaction

王鹰

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常熟市第一人民医院肿瘤科,江苏 常熟 215500

尼妥珠单抗 顺铂同期放化疗 鼻咽癌 生存质量 有效率 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(32)