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卡瑞利珠单抗联合阿帕替尼治疗晚期胃癌的效果及安全性

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目的 观察卡瑞利珠单抗联合阿帕替尼治疗晚期胃癌的临床疗效及安全性。方法 选取2020年6月至2021年12月九江市第一人民医院收治的46例晚期胃癌患者作为研究对象,按照随机数字表法分为观察组和对照组,每组23例。观察组采用卡瑞利珠单抗联合阿帕替尼治疗,对照组采用阿帕替尼单药治疗,每21天为1个疗程,连续治疗12个疗程。比较两组患者的无进展生存期(PFS)、总生存期(OS)、临床疗效、生活质量及不良反应发生率。结果 观察组的PFS、OS均高于对照组,差异有统计学意义(P<0。05);两组患者的客观缓解率(ORR)、疾病控制率(DCR)比较,差异无统计学意义(P>0。05);治疗3、6、9、12个疗程时,两组患者的卡氏功能状态(KPS)评分均高于本组治疗前,差异有统计学意义(P<0。05);治疗6、9、12个疗程时,观察组的KPS评分均高于对照组,差异有统计学意义(P<0。05);两组患者的不良反应总发生率比较,差异无统计学意义(P>0。05)。结论 卡瑞利珠单抗联合阿帕替尼治疗既往化疗失败的晚期胃癌效果显著,抑制了肿瘤的进展,延长了患者的生存期,提高了患者的生活质量,毒副作用小。
Efficacy and safety of Camrelizumab combined with Apatinib in the treatment of advanced gastric cancer
Objective To observe the clinical efficacy and safety of Camrelizumab combined with Apatinib in the treatment of advanced gastric cancer.Methods A total of 46 patients with advanced gastric cancer admitted to Jiujiang NO.1 People's Hospital from June 2020 to December 2021 were selected as research objects,and they were divided into observation group and control group according to random number table method,with 23 cases in each group.The observation group was treated with Camrelizumab combined with Apatinib,while the control group was treated with Apatinib monotherapy every 21 days for 12 consecutive courses.Progression-free survival(PFS),overall survival(OS),clinical efficacy,quality of life and inci-dence of adverse reactions were compared between the two groups.Results PFS and OS in observation group were higher than those in control group,the differences were statistically significant(P<0.05).There were no significant differences in objective response rate(ORR)and disease control rate(DCR)between the two groups(P>0.05).After 3,6,9 and 12 treat-ment courses,the Karnofsky performance status(KPS)scores of two groups were higher than those before treatment,the dif-ferences were statistically significant(P<0.05).After 6,9 and 12 treatment courses,the KPS scores of observation group were higher than those of control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of adverse reactions between the two groups(P>0.05).Conclusion Camrelizumab com-bined with Apatinib is effective in the treatment of ad-vanced gastric cancer with chemotherapy failure,which can inhibit the progression of tumor,prolong the survival period of patients,improve the quality of life of patients,and have little toxic side effects.

Gastric cancerCamrelizumabApatinibClinical efficacyQuality of life

石鑫、李言冰、黄英、王志

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江西省九江市第一人民医院肿瘤科,江西九江 332000

胃癌 卡瑞利珠单抗 阿帕替尼 临床疗效 生活质量

江西省卫生健康委科技计划项目

SKJP220219601

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(8)
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