首页|信迪利单抗联合白蛋白结合型紫杉醇化疗二线治疗晚期胃癌的疗效研究

信迪利单抗联合白蛋白结合型紫杉醇化疗二线治疗晚期胃癌的疗效研究

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目的 探究晚期胃癌患者,在二线治疗中联合应用信迪利单抗、紫杉醇(白蛋白结合型)的价值。方法 研究选取洛阳石化医院 2021 年 12 月至 2023 年 6 月期间收入的 62 例胃癌晚期患者。按临床化疗方案不同将其划分为研究组(n=31)采用信迪利单抗联合紫杉醇(白蛋白结合型)、对照组(n=31)单纯应用紫杉醇(白蛋白结合型),比较两组客观缓解率、免疫功能指标、肝肾功能指标、生存质量及不良反应差异。结果 研究组客观缓解率(45。16%)高于对照组(19。35%),差异有统计学意义(P<0。05);治疗前,两组免疫指标比较,差异无统计学意义(P>0。05);治疗后,两组免疫指标均降低,且研究组均高于对照组,差异有统计学意义(P<0。05);治疗前,两组胃癌量表评分比较,差异无统计学意义(P>0。05),治疗后,两组胃癌量表评分提高,且研究组高于对照组,差异有统计学意义(P<0。05);治疗后,两组肝肾功能指标、不良反应发生情况比较,差异无统计学意义(P>0。05)。结论 信迪利单抗联合白蛋白结合型紫杉醇化疗,在二线治疗晚期胃癌中的临床疗效较为理想,能够进一步改善患者免疫指标水平,提升生存质量,同时不会增加肝肾损伤等不良反应,具有临床应用价值。
Efficacy Study of Sintilimab Combined with Albumin-Bound Paclitaxel in Second-line Treatment of Advanced Gastric Cancer
Objective To explore the value of combining sintilimab and albumin-bound paclitaxel in the second-line treatment of patients with advanced gastric cancer.Methods A total of 62 patients with advanced gastric cancer who were admitted to Luoyang Petrochemical Hospital between December 2021 and June 2023 were selected.Based on different chemotherapy regimens,patients were divided into a study group(n=31)receiving sintilimab combined with albumin-bound paclitaxel and a control group(n=31)receiving only albumin-bound paclitaxel.The two groups were compared for objective response rate,immune function indicators,liver and kidney function indicators,quality of life,and adverse reactions.Results The objective response rate in the study group(45.16%)was significantly higher than that in the control group(19.35%)(P<0.05).Before treatment,there were no significant differences in immune indicators between the two groups(P>0.05).After treatment,the immune indicators decreased in both groups,with the study group showing significantly higher levels than the control group(P<0.05).There were no significant differences in gastric cancer scale scores before treatment(P>0.05),but after treatment,the scores improved in both groups,with the study group scoring significantly higher than the control group(P<0.05).No significant differences were found between the two groups in liver and kidney function indicators or the occurrence of adverse reactions after treatment(P>0.05).Conclusion The combination of sintilimab and albumin-bound paclitaxel in second-line treatment for advanced gastric cancer demonstrates favorable clinical efficacy,improves immune function levels,enhances quality of life,and does not increase the risk of liver and kidney damage or other adverse reactions,indicating its clinical application value.

Sintilimabalbumin-bound paclitaxelchemotherapysecond-line treatmentgastric cancer

席玲玲

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洛阳石化医院 内三科,河南 洛阳 471000

信迪利单抗 白蛋白结合型紫杉醇 化疗 二线治疗 胃癌

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)