首页|鸦胆子油乳联合放疗对中老年食管癌患者血清肿瘤标志物及生活质量的影响

鸦胆子油乳联合放疗对中老年食管癌患者血清肿瘤标志物及生活质量的影响

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目的 探讨鸦胆子油乳联合放疗在中老年食管癌患者中的疗效。方法 选取2019年1月至2022年12月南通市通州区人民医院收治的96例中老年食管癌患者为研究对象,按照随机数字表法分为对照组与观察组,各48例。对照组实施放疗,观察组在对照组基础上加用鸦胆子油乳治疗。比较两组患者血清肿瘤标志物、临床疗效、生活质量及不良反应。结果 观察组患者治疗后血清肿瘤标志物中的糖类抗原199(CA199)、糖类抗原125(CA125)及癌胚抗原(CEA)水平均低于对照组,差异有统计学意义(P<0。05);观察组患者疾病控制率高于对照组,差异有统计学意义(P<0。05);观察组患者治疗后生活质量综合评定问卷(GQOLI-74)中各维度评分均高于对照组,差异有统计学意义(P<0。05);观察组患者不良反应总发生率低于对照组,差异有统计学意义(P<0。05)。结论 针对中老年食管癌患者实施鸦胆子油乳联合放疗,能够降低患者血清肿瘤标志物水平,获得较好的疾病控制效果,还可减少不良反应的发生,提升生活质量。
Effect of Brucea javanica oil emulsion combined with radiotherapy on serum tumor markers and quality of life in middle-aged and elderly pa-tients with esophageal cancer
Objective To investigate the efficacy of Brucea javanica oil emulsion combined with radiotherapy in mid-dle-aged and elderly patients with esophageal cancer.Methods A total of 96 middle-aged and elderly patients with esophageal cancer admitted to the Nantong Tongzhou People's Hospital from January 2019 to December 2022 were selected as the research objects.They were divided into the control group and the observation group according to random number table method,with 48 cases in each group.The control group was treated with radiotherapy,and the observation group was treated with Brucea javanica oil emulsion on the basis of the control group.The serum tumor markers,clinical efficacy,qual-ity of life,and adverse reactions were compared between two groups.Results After treatment,the levels of serum carbohy-drate antigen 199(CA199),cancer associated carbohydrate antigen 125(CA125)and carcinoembryonic antigen(CEA)in serum tumor markers in the observation group were lower than those in the control group,and the differences were statisti-cally significant(P<0.05).The disease control rate in the observation group was higher than that in the control group,with statistically significant difference(P<0.05).The scores of all dimensions in the GQOLI-74 comprehensive assessment questionnaire for quality of life after treatment in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).The total incidence of adverse reactions in the observation group was lower than that in the control group,with statistically significant difference(P<0.05).Conclusion The combination of Brucea javanica oil emulsion and radiotherapy for middle-aged and elderly patients with esophageal cancer can reduce the level of serum tumor markers,achieve better disease control effect,reduce the occurrence of adverse reactions,and improve the quality of life.

Esophageal cancerBrucea javanica oil emulsionRadiotherapySerum tumor markersQuality of lifeAd-verse reactions

刘辉楠、陈大可、顾小林、曹嘉伽

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江苏省南通市通州区人民医院肿瘤科,江苏南通 226300

食管癌 鸦胆子油乳 放疗 血清肿瘤标志物 生活质量 不良反应

2024

中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
年,卷(期):2024.31(3)
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