首页|奥沙利铂或顺铂联合氟尿嘧啶方案治疗食管癌患者的研究

奥沙利铂或顺铂联合氟尿嘧啶方案治疗食管癌患者的研究

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目的 分析奥沙利铂或顺铂与氟尿嘧啶联合治疗食管癌的效果。方法 选取 2022 年 1 月至 2023 年 8 月南阳市中心医院收治的62例食管癌患者,遵循随机抽样法分组,B组(n=31)以奥沙利铂、氟尿嘧啶联合治疗,A组(n=31)以顺铂、氟尿嘧啶联合治疗,比较两组不良反应、血清肿瘤标志物水平、临床疗效、生活质量。结果 B组疾病控制率、客观缓解率均高于A组,差异均有统计学意义(P<0。05)。治疗前,两组血清肿瘤标志物水平比较,差异无统计学意义(P>0。05),治疗2个周期、治疗结束后,B组各项血清肿瘤标志物水平均低于A组,差异均有统计学意义(P<0。05)。治疗前,两组中文版癌症患者生命质量通用量表(FACT-G)评分比较,差异无统计学意义(P>0。05),治疗2个周期、治疗结束后,B组FACT-G各项评分均高于A组,差异均有统计学意义(P<0。05)。两组不良反应比较,差异无统计学意义(P>0。05)。结论 奥沙利铂、氟尿嘧啶联合治疗食管癌,患者病情得到控制,降低血清肿瘤标志物水平,提高患者生活质量,不会额外增加不良反应,值得临床应用。
Study on the Treatment of Esophageal Cancer Patients with Oxaliplatin or Cisplatin Combined with Fluorouracil
Objective To analyze the effects of oxaliplatin or cisplatin combined with fluorouracil in the treatment of esophageal cancer.Methods A total of 62 esophageal cancer patients admitted to Nanyang Central Hospital from January 2022 to August 2023 were selected and randomly divided into two groups.Group B(n=31)received treatment with oxaliplatin and fluorouracil,while Group A(n=31)received treatment with cisplatin and fluorouracil.The two groups were compared for adverse reactions,serum tumor marker levels,clinical efficacy,and quality of life.Results The disease control rate and objective response rate in Group B were higher than those in Group A,with statistically significant differences(P<0.05).There were no significant differences in serum tumor marker levels between the two groups before treatment(P>0.05).After two treatment cycles and at the end of treatment,serum tumor marker levels in Group B were significantly lower than those in Group A(P<0.05).Prior to treatment,there were no significant differences in the Chinese version of the Functional Assessment of Cancer Therapy-General(FACT-G)scores between the two groups(P>0.05).After two treatment cycles and at the end of treatment,FACT-G scores in Group B were significantly higher than those in Group A(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups(P>0.05).Conclusion The combination of oxaliplatin and fluorouracil for the treatment of esophageal cancer effectively controls the disease,reduces serum tumor marker levels,and improves patients'quality of life without increasing adverse reactions,making it a worthwhile option for clinical application.

esophageal canceroxaliplatinfluorouracilcisplatintumor markers

王宁

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南阳市中心医院 消化道肿瘤内科,河南 南阳 473000

食管癌 奥沙利铂 氟尿嘧啶 顺铂 肿瘤标志物

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(12)