首页|信迪利单抗联合含铂双药化疗治疗TP53基因突变非小细胞肺癌的疗效探究

信迪利单抗联合含铂双药化疗治疗TP53基因突变非小细胞肺癌的疗效探究

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目的 探讨TP53基因突变非小细胞肺癌联用信迪利单抗和含铂双药化疗治疗的疗效.方法 选取南通市通州区人民医院于2020年3月—2023年2月收治的72例TP53基因突变非小细胞肺癌患者为研究对象,用随机数表法分为对照组和观察组,各36例.对照组采用含铂双药化疗,观察组采用信迪利单抗+含铂双药化疗治疗,比较两组患者治疗疗效,免疫球蛋白指标水平、T细胞亚群指标水平、肿瘤标志物水平和不良反应情况.结果 观察组治疗总有效率高于对照组,差异有统计学意义(P<0.05).治疗前,两组患者免疫球蛋白指标、肿瘤标注物水平、免疫功能指标差异无统计学意义(P均>0.05);治疗后,观察组免疫球蛋白指标、CD4+均高于对照组,观察组肿瘤标志物水平、CD8+均低于对照组,差异有统计学意义(P均<0.05);两组患者不良反应发生情况对比,差异无统计学意义(P>0.05).结论 TP53基因突变非小细胞肺癌联用信迪利单抗和含铂双药化疗能够获得较为理想的效果,不仅能够提高免疫功能水平,同时还能够降低肿瘤标志物水平,延缓肿瘤发展,且不会增加更多的不良反应.
Efficacy of Sindilizumab Combined with Platinum-containing Double-agent Chemotherapy in the Treatment of TP53 Mutated Non-small Cell Lung Cancer
Objective To investigate the efficacy of combination chemotherapy with sindilizumab and platinum-containing double-drug in the treatment of TP53 gene mutated non-small cell lung cancer.Methods A total of 72 non-small cell lung cancer patients with TP53 gene mutation admitted to Tongzhou District People's Hospital from March 2020 to February 2023 were selected as the study objects,and were divided into control group and observation group by random number table method,with 36 cases in each group.The control group was treated with platinum-containing double-drug chemotherapy,and the observation group was treated with sindillizumab + platinum-containing double-drug chemotherapy.The therapeutic efficacy,immunoglobulin index level,T cell subgroup index level,tumor marker level and adverse reactions of the two groups were compared.Results The total effective rate of the observation group was higher than that of the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in immunoglobulin index,tumor labeling level and im-mune function index between 2 groups(all P>0.05).After treatment,immunoglobulin index and CD4+ in observation group were higher than those in control group,while tumor marker level and CD8+ in observation group were lower than those in control group,and the differences were statistically significant(all P<0.05).There was no significant dif-ference in the occurrence of adverse reactions between the two groups(P>0.05).Conclusion The combination of sindilizumab and platinum-containing double-drug chemotherapy for non-small cell lung cancer with TP53 gene mu-tation can achieve a relatively ideal effect,which can not only improve the level of immune function,but also reduce the level of tumor markers,delay tumor development,and do not increase more adverse reactions.

Non-small cell lung cancerTP53 gene mutationChemotherapySindilizumab

张莉

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南通市通州区人民医院肿瘤科,江苏南通 226300

非小细胞肺癌 TP53基因突变 化疗 信迪利单抗

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(6)
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