中国当代医药2024,Vol.31Issue(22) :63-67.

雷替曲塞联合贝伐珠单抗对晚期结直肠癌患者肿瘤标志物及基质金属蛋白酶的影响

Influence of Raltitrexed combined with Bevacizumab for tumor markers and matrix metalloproteinases of patients with advanced colorectal cancer

郝媛媛 杨皓辰 荣文杰 荣阳 孟肖 荣根满
中国当代医药2024,Vol.31Issue(22) :63-67.

雷替曲塞联合贝伐珠单抗对晚期结直肠癌患者肿瘤标志物及基质金属蛋白酶的影响

Influence of Raltitrexed combined with Bevacizumab for tumor markers and matrix metalloproteinases of patients with advanced colorectal cancer

郝媛媛 1杨皓辰 2荣文杰 2荣阳 3孟肖 4荣根满5
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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. 南通大学医学院,江苏南通 226001
  • 3. 辽宁省辽阳市中心医院医务部,辽宁辽阳 111000
  • 4. 山西医科大学临床医学院,山西晋中 030600
  • 5. 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 探讨雷替曲塞联合贝伐珠单抗对晚期结直肠癌患者肿瘤标志物及基质金属蛋白酶的影响.方法 选取2020年2月至2022年10月辽阳市中心医院收治的92例晚期结直肠癌患者为研究对象,按照随机数字表法分为对照组(46例)和观察组(46例).对照组采用卡培他滨联合贝伐珠单抗进行治疗,观察组采用雷替曲塞联合贝伐珠单抗进行治疗.比较两组的临床总有效率、疾病控制率、不良反应发生率、治疗前后的肿瘤标志物[癌胚抗原(CEA)、糖类抗原19-9(CA19-9)、糖类抗原125(CA125)及糖类抗原72-4(CA72-4)]及基质金属蛋白酶[基质金属蛋白酶-2(MMP-2)、基质金属蛋白酶-9(MMP-9)及基质金属蛋白酶抑制剂-1(TIMP-1)].结果 观察组的临床总有效率及疾病控制率均高于对照组,不良反应发生率低于对照组,差异有统计学意义(P<0.05);治疗前两组的肿瘤标志物及基质金属蛋白酶比较,差异无统计学意义(P>0.05);治疗2个周期及4个周期后两组的肿瘤标志物及基质金属蛋白酶均低于治疗前,且观察组的上述两大类指标均低于对照组,差异有统计学意义(P<0.05).结论 雷替曲塞联合贝伐珠单抗在晚期结直肠癌患者中的疗效较好,安全性较高,且可有效降低肿瘤标志物及基质金属蛋白酶的表达,在晚期结直肠癌患者中的应用价值较高.

Abstract

Objective To investigate the influence of Raltitrexed combined with Bevacizumab for tumor markers and matrix metalloproteinases of patients with advanced colorectal cancer.Methods A total of 92 patients with advanced colorectal cancer in Liaoyang City Central Hospital from February 2020 to October 2022 were selected as the study object,and they were divided into control group(46 cases)and observation group(46 cases)according to random number table method.The control group was treated with Capecitabine combined with Bevacizumab,and the observation group was treated with Raltitrexed combined with Bevacizumab.Then the clinical effective rates,disease control rates,adverse reactions rates,tumor markers(carcinoembryonic antigen[CEA],carbohydrate antigen 19-9[CA19-9],carbohydrate antigen 125[CA125]and carbohydrate antigen 72-4[CA72-4])and matrix metalloproteinases(matrix metalloproteinase-2[MMP-2],matrix metalloproteinase-9[MMP-9]and tissue inhibitor of metalloproteinase[TIMP-1])before and after the treatment of two groups were compared.Results The clinical effective rate and disease control rate of observation group were higher than those of control group,the adverse reactions rates were significantly lower than those of control group,and the differences were statistically significant(P<0.05).The tumor markers and matrix metalloproteinases of two groups before the treatment were compared,and the differences were not statistically significant(P>0.05).The tumor markers and matrix metallopro-teinases of two groups at second and forth cycles after the treatment were lower than those before the treatment,and the two items of observation group were all lower than those of control group,and the differences were statistically significant(P<0.05).Conclusion The effect of Raltitrexed combined with Bevacizumab in patients with advanced colorectal cancer is bet-ter,its safety is higher,and it can effectively control the expression of tumor markers and matrix metalloproteinases of patients,so its application value in patients with advanced colorectal cancer is higher.

关键词

雷替曲塞/贝伐珠单抗/晚期结直肠癌/肿瘤标志物/基质金属蛋白酶

Key words

Raltitrexed/Bevacizumab/Advanced colorectal cancer/Tumor markers/Matrix metalloproteinases

引用本文复制引用

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
参考文献量15
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