首页|阿帕替尼联合奥沙利铂和替吉奥治疗晚期胃癌的有效性及安全性评价

阿帕替尼联合奥沙利铂和替吉奥治疗晚期胃癌的有效性及安全性评价

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目的 探讨阿帕替尼(AMT)联合奥沙利铂(L-OHP)和替吉奥治疗晚期胃癌的有效性及安全性。方法 选取 2021 年 1 月~2023年 12 月收治的 85 例晚期胃癌患者作为研究对象,分为两组,对照组(n=42)给予L-OHP和替吉奥治疗,观察组(n=43)在对照组基础上给予AMT治疗。比较两组患者的近期临床控制效果、药物不良反应以及生活质量[生活质量简表(SF-36)]、血清指标[癌胚抗原(CEA)、糖类抗原 19-9(CA19-9)]。结果 观察组的近期临床效果控制情况(缓解率 30。23%、控制率 72。09%)显著优于对照组(缓解率11。90%、控制率 47。62%)(P<0。05);观察组不良反应发生率(30。23%)与对照组(35。71%)比较,差异无统计学意义(P>0。05);治疗后观察组SF-36 评分高于对照组(P<0。05);治疗后观察组血清CEA、CA19-9 水平低于对照组(P<0。05)。结论 AMT联合L-OHP和替吉奥治疗晚期胃癌的有效性及安全性良好。
Effectiveness and safety of apatinib combined with oxaliplatin and S-1 in advanced gastric cancer
Objective To explore effectiveness and safety of apatinib(AMT)combined with oxaliplatin(L-OHP)and tegafur gimeracil oteracil potassium capsule(S-1)in advanced gastric cancer.Methods Eighty-five patients with advanced gastric cancer admitted from January 2021 to December 2023 were selected for the study.The patients were divided into the control group(n=42,L-OHP+S-1)and the observation group(n=43,AMT on basis of the control group).The short-term clinical control effect,adverse drug reactions,quality of life[the 36-item shot-form health status survey(SF-36)]and serum indexes[carcinoembryonic antigen(CEA),carbohydrate antigen 19-9(CA19-9)]were compared between the two groups.Results The short-term clinical control effect(remission rate:30.23%,control rate:72.09%)was significantly better in the observation group than that in the control group(remission rate:11.90%,control rate:47.62%;P<0.05).There was no statistically significant difference in the incidence of adverse reactions between the observation group and the control group(30.23%vs.35.71%,P>0.05).After treatment,the SF-36 score in the observation group was higher than that in the control group(P<0.05),and the levels of serum CEA and CA19-9 were lower than those in the control group(P<0.05).Conclusion AMT combined with L-OHP and S-1 has good effectiveness and safety in the treatment of advanced gastric cancer.

ApatinibAdvanced gastric cancerEffectivenessSafety

李红凤、杨美玲、张奕晗

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保山市第二人民医院肿瘤科,云南 保山 678000

阿帕替尼 晚期胃癌 有效性 安全性

2024

中国处方药
南方医药经济研究所

中国处方药

影响因子:0.649
ISSN:1671-945X
年,卷(期):2024.22(12)