首页|卡瑞利珠单抗联合安罗替尼三线治疗晚期非小细胞肺癌的疗效观察

卡瑞利珠单抗联合安罗替尼三线治疗晚期非小细胞肺癌的疗效观察

扫码查看
目的 研讨晚期非小细胞肺癌采取卡瑞利珠单抗联合安罗替尼三线治疗的效果。方法 回顾性分析南阳市中心医院在 2021 年 2 月至 2023 年 2 月期间接受三线治疗的 82 例晚期非小细胞肺癌患者,其中 41 例接受安罗替尼单药治疗的患者设为对照组,41例接受卡瑞利珠单抗、安罗替尼治疗的患者设为观察组,比较两组治疗效果、相关临床指标、生存质量、用药不良反应情况。结果 观察组治疗有效率(43。90%)高于对照组(21。95%),差异有统计学意义(P<0。05)。治疗前,两组神经元特异性烯醇化酶(NSE)、血清癌胚抗原(CEA)、血管内皮生长因子(VEGF)水平比较,差异无统计学意义(P>0。05);治疗后,两组NSE、CEA、VEGF水平均有所降低,观察组低于对照组,差异有统计学意义(P<0。05)。治疗前,两组KPS评分比较,差异无统计学意义(P>0。05);治疗后,观察组KPS评分均有所提高,且观察组高于对照组,差异有统计学意义(P<0。05)。观察组用药不良反应发生率(36。59%)低于对照组(41。46%),差异无统计学意义(P>0。05)。结论 晚期非小细胞肺癌患者采取卡瑞利珠单抗、安罗替尼三线治疗临床疗效佳,能降低NSE、CEA、VEGF水平,提高患者生存质量,且不会额外增加用药不良反应,值得临床应用。
An Observation of Camrelizumab and Anlotinib Third-Line Therapy in Advanced Non-Small Cell Lung Cancer Patients
Objective To discuss the clinical effectiveness of Camrelizumab and Anlotinib third-line therapy in advanced non-small cell lung cancer patients.Methods A retrospective analysis was performed on 82 patients with advanced non-small cell lung cancer who received third-line treatment in Nanyang Central Hospital from February 2021 to February 2023.Among them,41 patients receiving Anrotinib monotherapy were set as the control group,and 41 patients receiving Carrillizumab and Anrotinib therapy were set as the observation group.The therapeutic effect,related clinical indexes,quality of life and adverse drug reactions were compared between the two groups.Results The effective rate of the observation group(43.90%)was higher than that of the control group(21.95%),and the difference was statistically significant(P<0.05).Before treatment,there were no significant differences in the levels of neuron-specific enolase(NSE),serum carcinoembryonic antigen(CEA)and vascular endothelial growth factor(VEGF)between the two groups(P>0.05);After treatment,the levels of NSE,CEA and VEGF in both groups were decreased,and the observation group were lower than the control group,the differences were statistically significant(P<0.05).Before treatment,there was no significant difference in KPS score between the two groups(P>0.05);After treatment,KPS score in observation group was improved,and observation group was higher than control group,the difference was statistically significant(P<0.05).The incidence of adverse drug reactions in observation group(36.59%)was lower than that in control group(41.46%),and the difference was not statistically significant(P>0.05).Conclusion In patients with advanced non-small cell lung cancer,carrellizumab and anlotinib have good clinical efficacy,which can reduce the levels of NSE,CEA and VEGF,improve the quality of life of patients,and do not increase adverse drug reactions,which is worthy of clinical application.

advanced stagecamrelizumabanlotinibnon-small cell lung cancerthird-line therapy

李治岐、万里新、刘越

展开 >

南阳市中心医院 肺部肿瘤内科,河南 南阳 473000

南阳市中心医院 肿瘤内一科,河南 南阳 473000

晚期 卡瑞利珠单抗 安罗替尼 非小细胞肺癌 三线治疗

2024

临床研究
西安交通大学

临床研究

影响因子:0.234
ISSN:2096-1278
年,卷(期):2024.32(1)
  • 25