首页|卡瑞利珠单抗联合SOX方案治疗中晚期胃癌的效果

卡瑞利珠单抗联合SOX方案治疗中晚期胃癌的效果

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目的 探讨卡瑞利珠单抗联合SOX方案(奥沙利铂+替吉奥)治疗中晚期胃癌的临床效果,为临床提高中晚期胃癌治疗效果提供经验.方法 选取河南科技大学第二附属医院2020年8月至2022年8月收治的100例中晚期胃癌患者,以随机数字表法分为观察组与对照组,各50例.对照组接受SOX方案,观察组在此基础上联合卡瑞利珠单抗,均治疗6个周期.评价并对比两组临床疗效、免疫功能指标(CD3+、CD4+、CD8+、CD4+/CD8+)及肿瘤标志物[癌胚抗原(CEA)、血清糖类抗原199(CA199)、血清糖类抗原724(CA724)]变化情况,同时观察两组治疗期间毒副反应发生情况.结果 100例患者中观察组与对照组均有3例因死亡或放弃治疗剔除,共94例完成6个周期治疗,观察组临床疗效高于对照组(P<0.05);两组CD3+、CD4+、CD4+/CD8+治疗后均降低,且观察组高于对照组(P<0.05);两组CEA、CA199、CA724水平均降低,且观察组低于对照组(P<0.05);两组毒副反应发生率比较,差异无统计学意义(P>0.05).结论 应用卡瑞利珠单抗联合SOX方案治疗中晚期胃癌的临床效果显著,可避免患者免疫功能下降,并降低肿瘤标志物水平,且安全性良好.
Efficacy of Combination Therapy with Carolizumab and Sox Regimen in the Treatment of Advanced Gastric Cancer
Objective To explore the clinical efficacy of carolizumab combined with SOX regimen(oxaliplatin+tigio)in the treatment of advanced gastric cancer,and to provide experience for improving the treatment effect of advanced gastric cancer in clinical practice.Methods A total of 100 patients with advanced gastric cancer admitted to the Second Affiliated Hospital of Henan University of Science and Technology from August 2020 to August 2022 were selected and divided into observation group and control group by random number table method with 50 cases in each group.The control group was treated with SOX regimen,and the observation group was treated with carolizumab for 6 cycles.The clinical efficacy,immune function indexes(CD3+,CD4+,CD8+,CD4+/CD8+)and tumor markers[carcinoembryonic antigen(CEA),serum carbohydrate antigen 199(CA199),serum carbohydrate antigen 724(CA724)]were evaluated and compared between the two groups,and the occurrence of toxic and side effects during treatment was observed.Results Among the 100 patients,both the observation group and the control group had 3 cases removed due to death or abandonment of treatment.A total of 94 cases completed 6 cycles of treatment,and the clinical efficacy of the observation group was higher than control group(P<0.05).Both groups of CD3+,CD4+,and CD4+/CD8+showed a decrease after treatment,and observation group was higher than control group(P<0.05).The levels of CEA,CA199,and CA724 in two groups decreased,and compared with control group,the observation group was lower(P<0.05).There was no significant difference in the incidence of toxic side effects between the two groups(P>0.05).Conclusion The clinical effect of using carolizumab combined with SOX regimen in the treatment of advanced gastric cancer is significant,which can avoid patients'immune function decline and lower tumor marker levels,and has good safety.

advanced gastric cancercarolizumaboxaliplatintigioclinical efficacyimmune function

贠春燕

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河南科技大学第二附属医院肿瘤内科,河南洛阳 471000

中晚期胃癌 卡瑞利珠单抗 奥沙利铂 替吉奥 临床疗效 免疫功能

2024

河南医学研究
河南省医学科学院

河南医学研究

影响因子:0.979
ISSN:1004-437X
年,卷(期):2024.33(6)
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