首页|替雷利珠单抗联合仑伐替尼对不可切除肝细胞癌患者的作用效果

替雷利珠单抗联合仑伐替尼对不可切除肝细胞癌患者的作用效果

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目的 探讨替雷利珠单抗联合仑伐替尼对不可切除肝细胞肝癌患者谷丙转氨酶(GPT)/谷草转氨酶(GOT)、白蛋白(ALB)/球蛋白(GLB)及生存期的影响.方法 选取医院2021年1月至2022年10月收治的92例不可切除肝细胞癌患者作为研究对象,根据治疗方法分组,对照组(44例)接受肝动脉化疗栓塞术(TACE)治疗,联合组(48例)在此基础上加用接受替雷利珠单抗与仑伐替尼,对比两组患者一般资料、GPT、GOT、ALB、GLB以及其生存情况.结果 两组患者一般资料差异无统计学意义(P>0.05).治疗前两组GPT、GOT、GPT/GOT、ALB、GLB、ALB/GLB差异无统计学意义(P>0.05),治疗后两组GPT、GOT、GPT/GOT、ALB、ALB/GLB均升高,GLB降低,但联合组GPT、GOT和GLB低于对照组,GPT/GOT、ALB和ALB/GLB高于对照组(P<0.05).随访6个月发现,1个月和3个月时两组生存率差异无统计学意义(P>0.05),6个月时联合组生存率高于对照组(P<0.05).结论 对于不可切除肝细胞癌患者,替雷利珠单抗和仑伐替尼联合用药能够减轻对肝功能的损伤,减轻机体炎症反应,有效延长患者生存时间.
Effects of Tislelizumab Combined with Lenvatinib in Patients with Unresectable Hepatocellular Carcinoma
Objective To discuss the clinical effects of tislelizumab combined with lenvatinib on glutamic-pyruvic transaminase/glutamic-oxaloacetic transaminase(GPT/GOT)ratio,albumin/globulin ratio(ALB/GLB)and survival time in patients with unresectable hepatocellular carcinoma.Methods Ninety-two patients with unresectable hepatocellular carcinoma in the hospital from January 2021 to October 2022 were enrolled,and divided into two groups according to the treatment methods.Control group(44 cases)received transcatheter arterial chemoembolization(TACE),based on this,combined group(48 cases)received tislelizumab combined with lenvatinib.The general data,GPT,GOT,ALB,GLB and survival rate was compared.Results There was no statistically difference in general information between the two groups of patients(P>0.05).There was no statistically difference in GPT,GOT,GPT/GOT,ALB,GLB and ALB/GLB between the two groups before treatment(P>0.05).After treatment,both groups showed an increase in GPT,GOT,GPT/GOT,ALB and ALB/GLB,while GLB decreased,and GPT,GOT and GLB in the combined group were lower than those in the control group,GPT/GOT,ALB and ALB/GLB were higher than those in the control group(P<0.05).After a 6-month follow-up,it was found that there was no statistically difference in survival rates between the two groups at 1 month and 3 months(P>0.05).At 6 months,the survival rate of the combined group was higher than that of the control group(P<0.05).Conclusion Tislelizumab combined with lenvatinib for patients with unresectable hepatocellular carcinoma can effectively alleviate the damage to the liver function,attenuate the body inflammation reaction and prolong the survival time in patients.

lenvatinibtislelizumabhepatocellular carcinomaalanine aminotransferasealbumin

王寅淼

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信阳市人民医院药学部,河南信阳 464000

仑伐替尼 替雷利珠 肝细胞癌 谷丙转氨酶 白蛋白

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(13)
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