首页|卡瑞利珠单抗联合白蛋白紫杉醇治疗老年晚期三阴性乳腺癌对照研究

卡瑞利珠单抗联合白蛋白紫杉醇治疗老年晚期三阴性乳腺癌对照研究

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目的 探讨卡瑞利珠单抗联合白蛋白紫杉醇治疗老年晚期三阴性乳腺癌(TNBC)患者的临床疗效.方法 将 80 例老年晚期TNBC患者按照其治疗意愿分为观察组和对照组,每组各 40例.对照组患者采用白蛋白紫杉醇治疗,观察组患者在对照组基础上联合卡瑞利珠单抗治疗,21 d为 1 个治疗周期,两组均持续治疗 6 个周期.比较两组患者临床疗效、毒副反应发生情况、1 a生存率及治疗前后血清肿瘤标志物[癌胚抗原(CEA)、糖类抗原 153(CA153)、血管内皮生长因子(VEGF)]水平、生活质量[乳腺癌患者生命质量测定量表(FACT-B)评分].结果 观察组患者疾病控制率高于对照组(P<0.05).治疗后,观察组患者血清CEA、CA153、VEGF水平低于对照组,FACT-B总分及生理状况、情感状况、功能状况维度评分高于对照组(P<0.01).两组患者骨髓抑制、恶心呕吐、心脏毒性、肝功能异常、肾功能异常等毒副反应发生情况比较,差异无统计学意义(P>0.05).两组患者 1 a生存率比较,差异无统计学意义(P>0.05).结论 卡瑞利珠单抗联合白蛋白紫杉醇治疗老年晚期TNBC疗效较好,可有效降低患者血清肿瘤标志物水平,提高患者的生活质量,且不会增加毒副作用.
Control study of camrelizumab combined with albumin-bound paclitaxel in senile advanced triple-negative breast cancer
Objective To explore the clinical effectiveness of camrelizumab plus albumin-bound paclitaxelin in the treatment of senile advanced triple-negative breast cancer(TNBC).Methods Eighty elderly patients with advanced TNBC were divided into observation and control group according to patients'will to treatment,with 40 ones in each.Controls received albumin-bound paclitaxelin treatment and observation group was plus camrelizumab on the basis of controls,21 days were a treatment cycle,and both groups were continuously treated for 6 cycles.Such indexes were compared between two groups as clinical effectiveness,occurrence of toxic and side effect,survival rates within 1 year as well as pre-and post-treatment serum markers(carcinoembryonic antigen[CEA],carbohydrate antigen 153[CA153],vascular endothelial growth factor[VEGF])levels and quality of life(Functional Assessment of Cancer Therapy-B[FACT-B]scores).Results The disease control rate was higher in observation than control group and difference statistically significant(P<0.05).After treatment,serum CEA,CA153 and VEGF level were lower and the total,physiological,emotional and functional status score of the FACT-B higher in observation than control group(P<0.01).Intergroup differences in the occurrence of toxic and side effects such as myelosuppression,nausea and vomiting,cardiotoxicity,and abnormal liver and renal functions weren't statistically significant(P>0.05).Intergroup difference in survival rate within 1 year wasn't statistically significant(P>0.05).Conclusion Camrelizumab plus albumin-bound paclitaxel has better curative effect in senile advanced TNBC,can effectively reduce the levels of serum tumor markers,improve patients'quality of life,and doesn't increase toxic and side effects.

triple-negative breast cancercamreli-zumabalbumin-bound paclitaxelserum tumor marker

孙李凌、付亚如、周利霞

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455000(河南·安阳)濮阳市安阳地区医院

三阴性乳腺癌 卡瑞利珠单抗 白蛋白紫杉醇 血清肿瘤标志物

2025

临床心身疾病杂志
河南省精神病医院(新乡医学院第二附属医院)

临床心身疾病杂志

影响因子:1.01
ISSN:1672-187X
年,卷(期):2025.31(1)