首页|以替吉奥为基础联合阿帕替尼三药方案对进展期胃癌患者的影响

以替吉奥为基础联合阿帕替尼三药方案对进展期胃癌患者的影响

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目的 研究以替吉奥为基础联合阿帕替尼对进展期胃癌患者免疫功能及血清细胞因子水平的影响.方法 选取本院 89 例进展期胃癌患者,采用随机数字表法分组,对常规组 44 例采用奥沙利铂、替吉奥治疗,对研究组 45 例增加阿帕替尼,对比两组患者血清肿瘤标志物水平、血清细胞因子水平、免疫功能和不良反应.结果 研究组治疗后癌胚抗原(CEA)、糖类抗原 125(CA125)水平低于常规组(P<0.05);研究组治疗后血清γ-干扰素(IFN-γ)、正常上皮细胞特异性-1基因(NES1)、白介素-10(IL-10)和肿瘤坏死因子-α(TNF-α)水平高于常规组(P<0.05);研究组治疗后T淋巴细胞(CD8+)水平低于常规组,CD3+、CD4+水平高于常规组(P<0.05).结论 以替吉奥为基础联合阿帕替尼三药方案对进展期胃癌患者效果确切,能够有效提高患者的免疫功能,改善血清细胞因子水平,降低血清肿瘤标志物水平,安全性高.
The Impact of a Triple-drug Regimen Based on Tegafur Combined with Apatinib on Patients with Advanced Gastric Cancer
Objective To study the effects of Tegafur-based Three-Drug Regimen combined Apatinib on immune function and serum cytokine levels in patients with advanced gastric cancer.Methods A total of 89 patients with advanced gastric cancer in our hospital were divided by random number table method.44 patients in the conventional group were treated with Oxaliplatin and Tegafur,and 45 patients in the study group were treated with Apatinib.Serum tumor marker levels,serum cytokine levels,immune function and adverse reactions were compared between the two groups.Results The levels of carcinoembryonic antigen(CEA)and carbohydrate antigen 125(CA125)in the study group were lower than those in the conventional group(P<0.05).After treatment,the serum levels of γ-interferon(IFN-γ),normal epithelial cell specific-1 gene(NES1),interleukin-10(IL-10)and tumor necrosis factor-α(TNF-α)in the study group were higher than those in the conventional group(P<0.05).The level of T lymphocytes(CD8+)in the study group was lower than that in the conventional group after treatment,and the levels of CD3+and CD4+were higher than those in the conventional group(P<0.05).Conclusion The three-drug regimen based on Tegafur combined with Apatinib can effectively improve the immune function of patients with advanced gastric cancer,improve the level of serum cytokines,and reduce the level of serum tumor markers,with high safety.

TegafurApatinibAdvanced Gastric CancerOxaliplatin

林志明、杨柳、杨旭初

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商水县人民医院血液肿瘤科(老年病科),河南商水 466100

商水县人民医院药剂科,河南商水 466100

河南省肿瘤医院中西医结合肿瘤内科,河南郑州 450000

替吉奥 阿帕替尼 进展期胃癌 奥沙利铂

2024

生物医学工程学进展
上海市生物医学工程学会

生物医学工程学进展

影响因子:0.504
ISSN:1674-1242
年,卷(期):2024.45(3)