首页|贝伐珠单抗联合紫杉醇治疗卵巢癌疗效及对患者免疫功能影响

贝伐珠单抗联合紫杉醇治疗卵巢癌疗效及对患者免疫功能影响

扫码查看
目的:探讨贝伐珠单抗联合紫杉醇治疗卵巢癌的疗效及对患者免疫功能的影响。方法:选择2018年1月-2023年1月本院接收治疗的卵巢癌患者84例,按患者治疗意愿分为观察组和对照组各42例。两组均基础给予卡铂方案,对照组给予紫杉醇治疗,观察组给予贝伐珠单抗联合紫杉醇治疗。比较两组临床治疗效果、免疫功能、肿瘤标记物变化及不良反应发生情况。结果:治疗后总有效率观察组(76。2%)高于对照组(52。4%),两组免疫功能指标CD3、CD4、CD8、NK 均降低但观察组(67。23±4。22、33。02±3。21、28。81±3。23、25。58±2。71)%高于对照组(61。04±4。05、28。47±3。12、24。14±3。04、22。68±2。04)%,两组 HE4、CA125、CEA 均降低且观察组(22。80±11。41 pmol/L、15。91±9。41 U/ml、2。24±0。78μg/L)低于对照组(57。56±17。06 pmol/L、30。84±13。24 U/ml、4。83±1。26μg/L)(均p<0。05);两组不良反应主要为血小板降低、白细胞降低、肝功能不全及胃肠道反应,但两组无差异(P>0。05)。结论:贝伐珠单抗联合紫杉醇治疗卵巢癌效果较好,可能与其可有效改善患者免疫功能有关。
Efficacy of bevacizumab combined with paclitaxel for treating patients with ovarian cancer and its influence on the immune function of the patients
Objective:To study the efficacy of bevacizumab combined with paclitaxel for treating patients with ovarian cancer,and to analyze its influence on the immune function of the patients.Methods:84 patients with ovarian cancer who received treatment in the hospital were selected and divided into two groups(42 cases in each group)by random number table method from January 2018 to January 2023.The patients in the two groups were given carboplatin regi-men,and the patients in the control group were given paclitaxel treatment and the patients in the experimental group were given bevacizumab combined with paclitaxel treatment.The clinical therapeutic effect,the immune function,the ovarian blood flow parameters,the changes of tumor markers and the occurrence of adverse reactions of the patients were compared between the two groups.Results:The total effective rate(76.2%)of the patients in the experimental group was significantly higher than that(52.4%)of the patients in the control group.The values of CD3,CD4,CD8 and NK of the patients in the two groups after treatment had increased significantly,and which(67.23±4.22%,33.02±3.21%,28.81±3.23%and 25.58±2.71%)of the patients in the experimental group were significantly higher than those(61.04±4.05%,28.47±3.12%,24.14±3.04%and 22.68±2.04%)of the patients in the control group.The levels of HE4,CA125 and CEA of the patients in the two groups after treatment had decreased significantly,and which(22.80±11.41 pmol/L,15.91±9.41 U/ml and 2.24±0.78μg/L)of the patients in the experimental group were significantly lower than those(57.56±17.06 pmol/L,30.84±13.24)U/ml and 4.83±1.26μg/L)of the patients in the control group(all P<0.05).The thrombocytopenia,leukopenia,liver dysfunction and gastrointestinal reactions of the patients in the two groups were their main adverse reactions,but which of the patients had no significant difference between the two groups(P>0.05).Conclusion:Bevacizumab combined with paclitaxel has the better effect in the treatment of the patients with ovarian cancer,which may be related to the effective improvement of the immune func-tion of the patients.

Ovarian cancerBevacizumabPaclitaxelCarboplatin schemeClinical efficacyImmune functionAd-verse reaction

陈方园、牛猛、董燕兵、王彪、张峰

展开 >

安徽省阜南县人民医院(236300)

安徽省阜阳市第二人民医院

卵巢癌 紫杉醇 贝伐珠单抗 卡铂方案 临床疗效 免疫功能 不良反应

2024

中国计划生育学杂志
国家人口计生委科学技术研究所

中国计划生育学杂志

CSTPCD
影响因子:1.759
ISSN:1004-8189
年,卷(期):2024.32(12)