首页|桂枝茯苓丸联合PD-1治疗晚期卵巢癌的临床研究

桂枝茯苓丸联合PD-1治疗晚期卵巢癌的临床研究

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目的 研究桂枝茯苓丸联合卡瑞利珠单抗(PD-1)治疗晚期卵巢癌患者的临床疗效.方法 选取60例晚期卵巢癌患者,根据随机抽签法分为对照组与试验组,每组30例.对照组采用卡瑞利珠单抗方案治疗,试验组在对照组治疗基础上联合桂枝茯苓丸治疗.比较两组患者治疗前后肿瘤指标、客观疗效及中医证候积分.结果 治疗后两组糖类抗原125(CA125)指标均明显下降,且试验组明显低于对照组(P<0.05).试验组客观缓解率、疾病控制率分别为33.33%、60.00%,均显著高于对照组的10.00%、33.33%(P<0.05).治疗后试验组乏力、腹胀、腹痛积分均低于治疗前(P<0.05).试验组治疗后乏力、腹痛评分均低于对照组(P<0.05).结论 晚期卵巢癌患者采用桂枝茯苓丸联合卡瑞利珠单抗治疗,可降低CA125表达水平,提高患者客观疗效,且能显著降低患者中医证候积分,值得临床推广.
Clinical study of guizhi fuling pill combined with PD-1 in the treatment of advanced ovarian cancer
Objective To study the clinical efficacy of guizhi fuling pill combined with carrellizumab(PD-1)in the treatment of advanced ovarian cancer.Methods 60 patients with advanced ovarian cancer were selected and divided into control group and experimental group according to random drawing method,with 30 cases in each group.The control group was treated with carrilizumab regimen,and the experimental group was treated with guizhi fuling pill based on the control group.The tumor indexes,objective efficacy and TCM syndrome scores of the two groups were compared before and after treatment.Results After treatment,carbohydrate antigen 125(CA125)indexes of both groups were significantly decreased,and the test group was significantly lower than the control group(P<0.05).The objective remission rate and disease control rate of experimental group were 33.33%and 60.00%,respectively,which were significantly higher than those of control group(10.00%and 33.33%,P<0.05).After treatment,the scores of fatigue,abdominal distension and abdominal pain in experimental group were lower than those before treatment(P<0.05).After treatment,the scores of fatigue and abdominal pain in experimental groups were lower than those in control group(P<0.05).Conclusion The treatment of advanced ovarian cancer patients with guizhi fuling pill combined with carrellizumab can reduce the expression level of CA125,improve the objective curative effect of patients,and significantly reduce the TCM syndrome score of patients,which is worthy of clinical promotion.

Advanced ovarian cancerGuizhi fuling pillCarrilizumab

周丹、谢磊

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泰州市中医院 肿瘤科,江苏 泰州 225300

晚期卵巢癌 桂枝茯苓丸 卡瑞利珠单抗

2024

实用妇科内分泌电子杂志

实用妇科内分泌电子杂志

ISSN:
年,卷(期):2024.11(2)
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