首页|EGFR-TKI靶向治疗辅助传统化疗对老年晚期肺癌患者血清肿瘤标志物、免疫功能指标的影响

EGFR-TKI靶向治疗辅助传统化疗对老年晚期肺癌患者血清肿瘤标志物、免疫功能指标的影响

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目的 探讨表皮生长因子受体酪氨酸激酶抑制剂(EGFR-TKI)靶向治疗辅助传统化疗对老年晚期肺癌患者血清肿瘤标志物、免疫功能指标的影响.方法 选择老年晚期肺癌患者74 例,以随机数字表法分为观察组(n=37)与对照组(n=37).对照组采用传统化疗,基于此,观察组加用EGFR-TKI靶向治疗.比较 2 组近期疗效、血清肿瘤标志物、免疫功能及不良反应.结果 相比对照组,观察组近期疗效更佳,不良反应更少,差异有统计学意义(P<0.05).相比对照组,观察组治疗后CD3+、CD4+、CD4+/CD8+更高,肿瘤标志物及CD8+更低,差异有统计学意义(P<0.05).结论 老年晚期肺癌患者在传统化疗的基础上加用EGFR-TKI靶向治疗可提升近期疗效,改善免疫功能,降低肿瘤标志物水平,且不良反应较少,值得临床广泛应用.
The Effect of EGFR-TKI Targeted Therapy Combined with Traditional Chemotherapy on Serum Tumor Markers and Immune Function Indicators in Elderly Patients with Ad-vanced Lung Cancer
Objective To investigate the effects of epidermal growth factor receptor tyrosine kinase inhibitor(EGFR-TKI)targeted therapy combined with traditional chemotherapy on serum tumor markers and immune function indexes in elderly pa-tients with advanced lung cancer.Methods 74 elderly patients with advanced lung cancer were selected and divided into the ob-servation group(n=37)and the control group(n=37)by random number table.The control group was treated with traditional chemotherapy,and the observation group was treated with EGFR-TKI targeted therapy.The short-term efficacy,serum tumor mark-ers,immune function and adverse reactions were compared between the 2 groups.Results Compared with the control group,the observation group had better short-term efficacy and less adverse reactions,the difference was statistically significant(P<0.05).Compared with the control group,CD3+,CD4+,CD4+/CD8+were higher in the observation group after treatment,and tumor markers and CD8+were lower,with statistical significance(P<0.05).Conclusion In elderly patients with advanced lung canc-er,EGFR-TKI targeting therapy on the basis of traditional chemotherapy can improve the short-term efficacy,improve immune function,reduce the level of tumor markers,and have fewer adverse reactions,which is worthy of clinical wide application.

Advanced senile lung cancerEGFR-TKI targeted therapyTraditional chemotherapyTumor markersIm-mune function

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450000 河南省郑州颐和医院

老年晚期肺癌 EGFR-TKI靶向治疗 传统化疗 肿瘤标志物 免疫功能

2024

实用癌症杂志
江西省肿瘤医院 江西省肿瘤研究所

实用癌症杂志

影响因子:1.241
ISSN:1001-5930
年,卷(期):2024.39(12)