首页|特瑞普利单抗联合顺铂及多西他赛诱导化疗局部晚期鼻咽癌的疗效分析

特瑞普利单抗联合顺铂及多西他赛诱导化疗局部晚期鼻咽癌的疗效分析

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目的 研究特瑞普利单抗联合顺铂及多西他赛诱导化疗治疗局部晚期鼻咽癌的疗效.方法 非随机选取钦州市第一人民医院于2022年1月—2023年9月收治的45例局部晚期鼻咽癌患者作为研究对象,按治疗方式分为对照组(n=22,应用顺铂和多西他赛诱导化疗)和观察组(n=23,在对照组基础上联用特瑞普利单抗),比较两组的临床疗效、不良反应发生情况及T细胞亚群指标水平.结果 观察组临床总客观缓解率为91.30%(21/23),高于对照组的 59.09%(13/22),差异有统计学意义(χ2=6.318,P<0.05).观察组的外周血CD4+、CD4+/CD8+高于对照组,差异有统计学意义(P均<0.05).两组不良反应发生率比较,差异无统计学意义(P>0.05).结论 局部晚期鼻咽癌患者采用特瑞普利单抗、顺铂和多西他赛联合治疗方案可获理想疗效,且安全性较高.
Analysis on the Efficacy of Tereprimab Combined with Cisplatin and Docetaxel Induced Chemotherapy for Locally Advanced Nasopharyngeal Cancer
Objective To study the efficacy of triplelizumab combined with cisplatin and docetaxel in the treatment of locally advanced nasopharyngeal carcinoma.Methods Forty-five patients with locally advanced nasopharyngeal carci-noma admitted to the First People's Hospital of Qinzhou City from January 2022 to September 2023 were non-randomly selected as research object,and divided into control group(n=22,cisplatin and docetaxel induction chemo-therapy)and observation group(n=23,combined with terprilizumab on the basis of control group)according to treat-ment methods.The clinical efficacy,the occurrence of adverse reactions and the level of T cell subsets were compared between the two groups.Results The total clinical objective remission rate of the observation group was 91.30%(21/23),higher than 59.09%(13/22)of the control group,the difference was statistically significant(χ2=6.318,P<0.05).CD4+and CD4+/CD8+in peripheral blood of the observation group were higher than those of the control group,and the differences were statistically significant(both P<0.05).There were no significant differences in the incidence of adverse reactions between the two groups(all P>0.05).Conclusion The combination of triplizumab,cisplatin and docetaxel in patients with locally advanced nasopharyngeal carcinoma can achieve ideal efficacy and high safety.

TreprilimumabCisplatinLocally advanced nasopharyngeal carcinomaInduced chemotherapyDocetaxel

黄丽珍

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钦州市第一人民医院肿瘤内科,广西 钦州 535000

特瑞普利单抗 顺铂 局部晚期鼻咽癌 诱导化疗 多西他赛

2024

系统医学

系统医学

ISSN:
年,卷(期):2024.9(22)