健康大视野·医学分册2023,Issue(2) :1-3.

吉非替尼靶向治疗表皮生长因子受体基因敏感突变的晚期非小细胞肺癌的疗效及安全性

李海霞
健康大视野·医学分册2023,Issue(2) :1-3.

吉非替尼靶向治疗表皮生长因子受体基因敏感突变的晚期非小细胞肺癌的疗效及安全性

李海霞1
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作者信息

  • 1. 山东省临沂市肿瘤医院肿瘤内科,山东 临沂 276000
  • 折叠

摘要

目的:探讨采用吉非替尼对表皮生长因子受体(EGFR)基因敏感突变的晚期非小细胞肺癌(NSCLC)患者实施靶向治疗的效果及安全性.方法:基于固定时间(2021年4月-2022年4月)、地点(本院)与对象(EGFR基因敏感突变的晚期NSCLC患者),选取102例,将其实施分组(2组,随机数字表法,每组皆为51例),A组采用紫杉醇+卡铂化疗方案施治,B组以此为基础,加用吉非替尼实施靶向治疗,就两组治疗效果(疾病控制率)、肿瘤标志物[癌胚抗原(CEA)、糖类抗原199(CA199)、血管内皮生长因子(VEGF)]

Abstract

Objective To evaluate the efficacy and safety of gefitinib in the treatment of advanced non-small cell lung cancer (NSCLC) patients with epidermal growth factor receptor (EGFR) gene sensitive mutation. MethodsBased on the fixed time (April 2021 to April 2022), place (our hospital) and object (advanced NSCLC patients with EGFR gene sensitive mutation), 102 patients were selected and divided into two groups (two groups, random number table method, 51 patients in each group). Group A was treated with paclitaxel+carboplatin chemotherapy scheme, and Group B was treated with gefitinib targeted therapy based on this, with respect to the treatment effect (disease control rate) The tumor markers [carcinoembryonic antigen (CEA), carbohydrate antigen 199 (CA199), vascular endothelial growth factor (VEGF)] were compared, and the adverse reactions of the two groups were compared. Results The disease control rate of group B (68.63%) was significantly higher than that of group A (47.06%) (P<0.05), while the incidence of adverse reactions was significantly lower than that of group A (9.80% vs 25.49%) (P<0.05). The levels of CEA, CA199 and VEGF in group B were lower than those in group A (P<0.05).ConclusionTargeted therapy with gefitinib for patients with advanced NSCLC (EGFR gene sensitive mutation) is effective and safe, and can significantly reduce the level of tumor markers.

关键词

非小细胞肺癌/晚期/吉非替尼/表皮生长因子受体/基因敏感突变

Key words

Non-small-cell lung carcinoma/Late stage/gefitinib/EGFR/Sensitive mutation

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出版年

2023
健康大视野·医学分册
中国保健协会

健康大视野·医学分册

ISSN:1005-0019
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