首页|尼妥珠单抗联合同期放化疗用于局部晚期鼻咽癌患者的效果

尼妥珠单抗联合同期放化疗用于局部晚期鼻咽癌患者的效果

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目的:观察尼妥珠单抗联合同期放化疗用于局部晚期鼻咽癌患者的效果.方法:选取 2022 年 1 月至 2023 年 1 月该院收治的 60 例局部晚期鼻咽癌患者进行前瞻性研究,按随机数字表法将其分为对照组与观察组各 30 例.对照组采用同期放化疗,观察组在对照组基础上联合尼妥珠单抗治疗,比较两组临床疗效,治疗前后肿瘤标志物指标[鳞状细胞癌相关抗原(SCCAg)、细胞角蛋白 19 片段抗原21-1(CYFRA21-1)]水平,不良反应发生率、疾病复发率和远处转移率.结果:观察组客观缓解率(ORR)为 83.33%(25/30),高于对照组的60.00%(18/30),差异有统计学意义(P<0.05);治疗后,两组SCCAg、CYFRA21-1水平均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);两组不良反应发生率、疾病复发率和远处转移率比较,差异均无统计学意义(P>0.05).结论:尼妥珠单抗联合同期放化疗用于局部晚期鼻咽癌患者可提高ORR,降低肿瘤标志物指标水平,其效果优于单纯同期放化疗.
Effects of Nimotuzumab combined with concurrent chemoradiotherapy in treatment of patients with local advanced nasopharyngeal carcinoma
Objective:To observe effects of Nimotuzumab combined with concurrent chemoradiotherapy in treatment of patients with local advanced nasopharyngeal carcinoma.Methods:A prospective study was conducted on 60 patients with locally advanced nasopharyngeal carcinoma admitted to this hospital from January 2022 to January 2023.According to the random number table method,they were divided into control group and observation group,30 cases in each group.The control group was treated with concurrent chemoradiotherapy,while the observation group was treated with Nimotuzumab on the basis of that of the control group.The clinical efficacy,the tumor marker indexes[squamous cell carcinoma-associated antigen(SCCAg),cyto-keratin 19 fragment antigen 21-1(CYFRA21-1)]levels before and after the treatment,the incidence of adverse reactions,the disease recurrence rate,and the distant metastasis rate were compared between the two groups.Results:The objective response rate(ORR)of the observation group was 83.33%(25/30),which was higher than 60.00%(18/30)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the levels of SCCAg and CYFRA21-1 in the two groups were lower than those before the treatment,those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).However,there were no significant differences in the incidence of adverse reactions,the disease recurrence rate and the distant metastasis rate between the two groups(P>0.05).Conclusions:Nimotuzumab combined with concurrent chemoradiotherapy can improve ORR and reduce the levels of tumor markers in the patients with local advanced nasopharyngeal carcinoma.Moreover,it is superior to concurrent chemoradiotherapy.

Local advanced nasopharyngeal carcinomaNimotuzumabConcurrent chemoradiotherapyTumor markerAdverse reaction

肖家骠、刘良胜、戴芳芳

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泰和县人民医院肿瘤血液科,江西 吉安 343700

局部晚期鼻咽癌 尼妥珠单抗 同期放化疗 肿瘤标志物 不良反应

吉安市科技计划指导性项目

20233-044007

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(6)
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