中国当代医药2024,Vol.31Issue(19) :56-59.

安罗替尼联合卡瑞利珠单抗对晚期非小细胞肺癌患者的疗效、安全性及对预后标志物的影响

Effect and safety of Anlotinib combined with Camrelizumab in patients with advanced non-small cell lung cancer and influence for prognostic markers

夏琳 荣阳 赵景娟 郝媛媛 杨皓辰 荣文杰 荣根满
中国当代医药2024,Vol.31Issue(19) :56-59.

安罗替尼联合卡瑞利珠单抗对晚期非小细胞肺癌患者的疗效、安全性及对预后标志物的影响

Effect and safety of Anlotinib combined with Camrelizumab in patients with advanced non-small cell lung cancer and influence for prognostic markers

夏琳 1荣阳 2赵景娟 1郝媛媛 1杨皓辰 3荣文杰 3荣根满4
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作者信息

  • 1. 辽宁省辽阳市中心医院肿瘤二科,辽宁辽阳 111000
  • 2. 辽宁省辽阳市中心医院医务科,辽宁辽阳 111000
  • 3. 南通大学医学院,江苏南通 226001
  • 4. 中铁十九局集团中心医院医务科,辽宁辽阳 111000
  • 折叠

摘要

目的 探究安罗替尼联合卡瑞利珠单抗在晚期非小细胞肺癌患者治疗中的临床疗效、安全性及对预后标志物的影响.方法 选取2019年6月至2022年9月辽阳市中心医院肿瘤二科的80例晚期非小细胞肺癌患者为研究对象,按照随机数表法分为对照组(40例)和观察组(40例).对照组采用安罗替尼进行治疗,观察组则采用安罗替尼联合卡瑞利珠单抗治疗.比较两组非小细胞肺癌的治疗有效率、各类毒副反应发生率、治疗前后的肿瘤标志物[癌胚抗原(CEA)、神经元烯醇化酶(NSE)及细胞角蛋白19片段抗原21-1(Cyfra21-1)]及预后标志物[循环肿瘤细胞(CTC)、中性粒细胞与淋巴细胞比率(NLR)及白细胞介素-8(IL-8)].结果 观察组的临床治疗有效率高于对照组,差异有统计学意义(P<0.05),两组的各类毒副反应发生率比较,差异无统计学意义(P>0.05),治疗2个周期及4个周期后观察组的肿瘤标志物及预后标志物低于对照组及治疗前,差异有统计学意义(P<0.05).结论 安罗替尼联合卡瑞利珠单抗在晚期非小细胞肺癌患者治疗中的应用效果较好,安全性值得肯定,且可显著改善预后标志物的表达,因此在晚期非小细胞肺癌患者中的应用价值较高.

Abstract

Objective To investigate the effect and safety of Anlotinib combined with Camrelizumab in patients with ad-vanced non-small cell lung cancer and influence for prognostic markers.Methods 80 patients with advanced non-small cell lung cancer in Department of Tumor Ⅱ,Liaoyang Central Hospital from June 2019 to September 2022 were chosen as the study object,and they divided into control group(40 cases)and observation group(40 cases)by the random number table.The control group were treated with Anlotinib,the observation group were treated with Anlotinib combined with Cam-relizumab.The total effective rates,various toxic and side effects rates,tumor markers(carcinoma embryonic antigen[CEA],neuron-specific enolase[NSE]and cytokeratin 19 fragment antigen 21-1[Cyfra21-1])and prognostic markers(circulating tumor cell[CTC],neutrophil-to-lymphocyte ratio[NLR]and interleukin-8[IL-8])before and after the treatment of two groups were compared.Results The total effective rate of observation group was higher than that of control group,the differ-ence was statistically significant(P<0.05),the various toxic and side effects rates of two groups were compared,the differ-ences were not statistically significant(P>0.05),the tumor markers and prognostic markers of observation group at second and forth treatment cycles were lower than those of control group and before the treatment,the differences were statistically significant(P<0.05).Conclusion The effect of Anlotinib combined with Camrelizumab in patients with advanced non-small cell lung cancer is better,its safety is worth recognition too,and it can significantly improve the expression of prognostic markers,so its application value in patients with advanced non-small cell lung cancer is higher.

关键词

安罗替尼/卡瑞利珠单抗/晚期非小细胞肺癌/疗效/安全性/预后标志物

Key words

Anlotinib/Camrelizumab/Advanced non-small cell lung cancer/Effect/Safety/Prognostic markers

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出版年

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
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