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埃克替尼治疗晚期非小细胞肺癌患者的临床效果

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目的 分析埃克替尼治疗晚期非小细胞肺癌(NSCLC)患者的临床效果。方法 选取2019 年 4月至2022年 4 月我院收治的 80 例晚期NSCLC患者为研究对象,根据随机数字表法将其分为对照组(n=40,吉非替尼)和研究组(n=40,埃克替尼)。比较两组的治疗效果。结果 研究组的疾病控制率高于对照组,差异具有统计学意义(P<0。05)。治疗后,研究组的miR-185-5p、miR-204-5p高于对照组,Lemur酪氨酸激酶3(LMTK-3)、POK红系髓性致癌因子(Pokemon)水平低于对照组,差异具有统计学意义(P<0。05)。治疗后,研究组的CD3+、CD4+、CD8+、CD4+/CD8+优于对照组,差异具有统计学意义(P<0。05)。两组的并发症总发生率比较,差异无统计学意义(P>0。05)。研究组的体力状况优于对照组,差异具有统计学意义(P<0。05)。结论 埃克替尼治疗晚期NSCLC患者的效果明显,可改善免疫指标及体力状况,更好地控制病情,改善预后,临床可进一步推广运用。
Clinical effect of icotinib in the treatment of patients with advanced non-small cell lung cancer
Objective To analyze the clinical effect of icotinib in the treatment of patients with advanced non-small cell lung cancer(NSCLC).Methods A total of 80 patients with advanced NSCLC admitted in our hospital from April 2019 to April 2022 were selected as the research objects.According to the random number table method,the patients were divided into control group(n=40,gefitinib)and study group(n=40,icotinib).The therapeutic effects of the two groups were compared.Results The disease control rate of the study group was higher than that of the control group,and the difference was statistically significant(P<0.05).After treatment,the miR-185-5p and miR-204-5p in the study group were higher than those in the control group,and the levels of lemur tyrosine kinase-3(LMTK-3)and POK erythroid myeloid ontogenic factor(Pokemon)were lower than those in the control group,and the differences were statistically significant(P<0.05).After treatment,the CD3+,CD4+,CD8+ and CD4+/CD8+ in the study group were better than those in the control group,and the differences were statistically significant(P<0.05).There was no significant difference in the total incidence of complications between the two groups(P>0.05).The physical condition of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).Conclusion The icotinib in the treatment of patients with advanced NSCLC has a obvious effect,it can improve the immune index and physical condition,better control the disease and improve the prognosis,which can be further promoted and applied in clinic.

advanced non-small cell lung cancergefitinibicotinib

侯亚儒、舒新乐

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汉中市中心医院,陕西 汉中,723000

晚期非小细胞肺癌 吉非替尼 埃克替尼

2024

临床医学研究与实践

临床医学研究与实践

ISSN:
年,卷(期):2024.9(13)
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