首页|尼妥珠单抗联合奥沙利铂、紫杉醇化疗方案治疗宫颈癌患者的效果

尼妥珠单抗联合奥沙利铂、紫杉醇化疗方案治疗宫颈癌患者的效果

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目的:观察尼妥珠单抗联合奥沙利铂、紫杉醇化疗方案治疗宫颈癌患者的效果.方法:选取 2021 年 6 月至 2023 年 5 月该院收治的 68 例宫颈癌患者进行前瞻性研究,按照随机数字表法分为观察组与对照组各 34 例.对照组予以奥沙利铂联合紫杉醇化疗方案治疗,观察组在对照组基础上增加尼妥珠单抗治疗,比较两组疾病控制率、肿瘤标志物[鳞状细胞癌相关抗原(SCC)、细胞角蛋白 19 片段抗原 21-1(CYFRA21-1)、肿瘤特异性生长因子(TSGF)]水平、诱癌细胞因子[激肽释放酶相关肽酶 5(KLK5)、双皮质素样激酶 1(DCLK1)、基质金属蛋白酶-9(MMP-9)]水平和不良反应发生率.结果:观察组疾病控制率为 76.47%,高于对照组的 52.94%,差异有统计学意义(P<0.05);治疗 1、3 个周期后,两组血清SCC、CYFRA21-1、TSGF、KLK5、DCLK1、MMP-9 水平低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0.05);两组发热、血小板减少、皮疹、恶心以及肝功能异常等不良反应发生率比较,差异均无统计学意义(P>0.05).结论:尼妥珠单抗联合奥沙利铂、紫杉醇化疗方案治疗宫颈癌患者可提高疾病控制率,降低肿瘤标志物和诱癌细胞因子水平,效果优于奥沙利铂联合紫杉醇化疗方案治疗.
Effects of Nimotuzumab combined with Oxaliplatin and Paclitaxel chemotherapy in treatment of cervical cancer
Objective:To observe effects of Nimotuzumab combined with Oxaliplatin and Paclitaxel chemotherapy in treatment of cervical cancer.Methods:A prospective study was conducted on 68 patients with cervical cancer admitted to this hospital from June 2021 to May 2023.According to the random number table method,they were divided into observation group and control group,34 cases in each group.The control group was treated with Oxaliplatin combined with Paclitaxel chemotherapy,while the observation group was treated with Nimotuzumab on the basis of that of the control group.The disease control rate,the levels of tumor markers[squamous cell carcinoma-associated antigen(SCC),cytokeratin 19 fragment antigen 21-1(CYFRA21-1),tumor specific growth factor(TSGF)]and cancer inducible factors[kallikrein-related peptidase 5(KLK5),doublecortin-like kinase 1(DCLK1),matrix metalloproteinase-9(MMP-9)],and the incidence of adverse reactions were compared between the two groups.Results:The disease control rate of the observation group was 76.47%,which was higher than 52.94%of the control group,the difference was statistically significant(P<0.05).After 1 and 3 courses of treatment,the levels of serum SCC,CYFRA21-1,TSGF,KLK5,DCLK1 and MMP-9 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 was no significant difference in the incidence of adverse reactions such as fever,thrombocytopenia,rash,nausea and abnormal liver function between the two groups(P>0.05).Conclusions:Nimotuzumab combined with Oxaliplatin and Paclitaxel chemotherapy in the treatment of the cervical cancer patients can improve the disease control rate,and reduce the levels of tumor markers and cancer inducible factors.Moreover,it is superior to Oxaliplatin combined with Paclitaxel chemotherapy.

NimotuzumabPaclitaxelOxaliplatinCervical cancerTumor markerAdverse reaction

赵青竹、徐丽伟、王杉杉

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河南大学第一附属医院妇科,河南 开封 475000

尼妥珠单抗 紫杉醇 奥沙利铂 宫颈癌 肿瘤标志物 不良反应

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(14)
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