菏泽医学专科学校学报2024,Vol.36Issue(1) :21-25.DOI:10.3969/j.issn.1008-4118.2024.01.005

含贝伐珠单抗联合方案应用于卵巢癌患者的效果分析

Efficacy of bevacizumab-containing combination regimen in patients with ovarian cancer

李婉 陈静 王娜
菏泽医学专科学校学报2024,Vol.36Issue(1) :21-25.DOI:10.3969/j.issn.1008-4118.2024.01.005

含贝伐珠单抗联合方案应用于卵巢癌患者的效果分析

Efficacy of bevacizumab-containing combination regimen in patients with ovarian cancer

李婉 1陈静 1王娜1
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作者信息

  • 1. 南阳市中心医院,河南 南阳 473000
  • 折叠

摘要

目的 研究含贝伐珠单抗联合方案应用于卵巢癌患者中的效果.方法 选取我院收治的 86例卵巢癌患者,依据不同化疗方案分为两组,其中接受紫杉醇+卡铂化疗方案的患者 40 例为TC化疗组,在化疗组基础上加用贝伐珠单抗方案的患者46例为联合组.比较两组的近期疗效、毒性反应、血清学指标、免疫功能.结果 治疗7 天、1个月、6个月后,联合组的CD3+、CD4+、CD4+/CD8+水平高于TC化疗组(P<0.05).治疗1、6个月后,联合组的糖类抗原153(CA153)、糖类抗原199(CA199)、糖类抗原125(CA125)水平低于TC化疗组(P<0.05).联合组的治疗有效率、1 年生存率高于TC化疗组(P<0.05).两组的血红蛋白降低、血小板减少毒性反应分级相比无差异(P>0.05);联合组的白细胞减少、恶心呕吐、腹泻毒性反应分级中 1~2 级占比高于TC化疗组(P<0.05).结论 含贝伐珠单抗的联合方案应用于卵巢癌患者中,可促进其免疫功能、血清学指标改善,且用药安全性高,患者1年内生存率高.

Abstract

Objective To explore the effect of bevacizumab-containing combination regimen in patients with ovarian cancer,and to analyze the changes of CA153 and CA199 before and after treatment.Methods A total of 86 patients with ovarian cancer admitted to our hospital were selected as the research objects.According to different chemotherapy regimens,they were divided into two groups,including 40 patients who received paclitaxel+carboplatin chemotherapy were in the TC chemotherapy group,and 46 patients who were treated with bevacizumab on the basis of chemotherapy group were in the combined group.The short-term efficacy,toxicity,serological indexes and immune function of the two groups were compared.Results After 7 days,1 month and 6 months of treatment,the levels of CD3+,CD4+ and CD4+/CD8+ in the combined group were higher than those in the TC chemotherapy group(P<0.05).After 1 and 6 months of treatment,the levels of carbohydrate antigen 153(CA153),carbohydrate antigen 199(CA199)and carbohydrate antigen 125(CA125)in the combined group were lower than those in the TC chemotherapy group(P<0.05).The total effective rate and 1-year survival rate of the combined group were higher than those of the TC chemotherapy group(P<0.05).There was no significant difference in the grade of hemoglobin reduction and thrombocytopenia between the two groups(P>0.05).The proportion of grade 1-2 toxicity of leukopenia,nausea,vomiting and diarrhea in combination group was higher than those in TC chemotherapy group(P<0.05).Conclusion The combination regimen containing bevacizumab can improve immune function and serological indexes in ovarian cancer patients,which has high drug safety and the survival rate of patients within 1 year.

关键词

CA153/CA199/卵巢癌/联合化疗/贝伐珠单抗

Key words

CA153/CA199/Ovarian cancer/Combined chemotherapy/Bevacizumab

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出版年

2024
菏泽医学专科学校学报
菏泽医学专科学校

菏泽医学专科学校学报

影响因子:0.438
ISSN:1008-4118
参考文献量18
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