首页|卡瑞利珠单抗辅助治疗晚期非小细胞肺癌及对肿瘤标志物的影响和安全性分析

卡瑞利珠单抗辅助治疗晚期非小细胞肺癌及对肿瘤标志物的影响和安全性分析

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目的:探讨卡瑞利珠单抗辅助治疗晚期非小细胞肺癌及对肿瘤标志物的影响和安全性.方法:按随机数字表法将 2020 年 8 月至 2022 年 8 月本院收治的 86 例晚期非小细胞肺癌患者分为对照组(43 例,采用注射用培美曲塞二钠+顺铂注射液化疗方案)和研究组(43 例,给予注射用卡瑞利珠单抗辅助注射用培美曲塞二钠、顺铂注射液治疗).21 d为1 个化疗周期,于治疗 3 个周期后对患者的疗效进行评估.将两组患者治疗后临床总有效率,治疗前后血清肿瘤标志物水平,生活质量评分,以及不良反应的发生情况进行对比.结果:治疗后,研究组患者的临床总有效率(65.12%),比对照组(41.86%)高(P<0.05);与治疗前相比,各治疗组的血清糖类抗原 125、癌胚抗原、细胞角蛋白 19 片段抗原 21-1、神经元特异性烯醇化酶均明显降低(P<0.05),其中研究组更为显著(P<0.05);与治疗前相比,各治疗组躯体功能、情绪功能、社会功能、认知功能、角色功能评分均明显增加(P<0.05),其中研究组更为显著(P<0.05);两组不良反应无明显差异(P>0.05).结论:将卡瑞利珠单抗辅助治疗药物应用于晚期非小细胞肺癌患者的治疗中,有助于患者临床总有效率的提高,降低血清CA125、CEA、CYFRA21-1 等指标水平,提升生活质量,且不会使不良反应增加.
Carrilizumab adjuvant therapy for advanced non-small cell lung cancer and its effect on tumor markers and safety analysis
Objective:To investigate the adjuvant treatment of advanced non-small cell lung cancer with carrilizumab and its effect on tumor markers and safety.Method:According to random number table method,86 patients with advanced non-small cell lung cancer admitted to our hospital from August 2020 to August 2022 were divided into control group(43 cases receiving pemetrexed disodium + cisplatin injection chemotherapy regimen)and study group(43 cases receiving carrilizumab for injection assisted pemetrexed disodium and cisplatin injection therapy).21 d was one chemotherapy cycle,and the efficacy of patients was evaluated after 3 cycles of treatment.The total clinical response rate,the level of serum tumor markers before and after treatment,the quality-of-life score,and the occurrence of adverse reactions were compared between the two groups.Results:After treatment,the total clinical effectiveness of the study group(65.12%)was higher than that of the control group(41.86%)(P<0.05).Compared with before treatment,the treatment group of serum carbohydrate antigen 125,carcinoembryonic antigen,recombinant cytokeratin fragment antigen,21-1 and neuron-specific enolase were significantly decreased(P<0.05),especially in the study group(P<0.05).Compared with before treatment,the scores of physical function,emotional function,social function,cognitive function and role function were significantly increased in all treatment groups(P<0.05),especially in the study group(P<0.05).There was no significant difference in ADR between the two groups(P>0.05).Conclusions:The application of carrelizumab combined with chemotherapy in the treatment of advanced non-small cell lung cancer patients is helpful to improve the total clinical response rate,reduce the levels of serum CA125,CEA,CYFRA21-1 and other indicators,improve the quality of life,and does not increase adverse reactions.

CarrilizumabAdvanced non-small cell lung cancerTumor markerSecurity

李焕焕、聂志勇、吴涛、袁冬冬、张悦姗、刘文会

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安阳市肿瘤医院肿瘤内科,河南 安阳 455001

卡瑞利珠单抗 晚期非小细胞肺癌 肿瘤标志物 安全性

河南省医学科技攻关计划(联合共建)

LHGJ20191289

2024

四川生理科学杂志
四川省生理科学会

四川生理科学杂志

影响因子:0.575
ISSN:1671-3885
年,卷(期):2024.46(2)
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