首页|重组人血管内皮抑制素联合化疗对中晚期恶性肿瘤患者化疗效果及血管内皮生长因子水平的影响

重组人血管内皮抑制素联合化疗对中晚期恶性肿瘤患者化疗效果及血管内皮生长因子水平的影响

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目的 探讨重组人血管内皮抑制素联合化疗对中晚期肿瘤患者的疗效及血管内皮生长因子(vascular endothelial growth factor,VEGF)水平的影响.方法 选取2012年2月~2016年2月浙江省荣军医院收治的中晚期恶性肿瘤患者250例,随机分为试验组(125例)和对照组(125例).试验组采用重组人血管内皮抑制素+化疗联合治疗,对照组常规化疗治疗,每周期21d,两个周期的治疗结束后,比较试验组和对照组两组患者的临床疗效及不良反应发生情况,同时检测其肿瘤血管中VEGF水平.结果 2个周期的治疗结束之后,试验组患者病情客观缓解率、疾病控制率显著高于对照组患者,差异有统计学意义(P<0.05);治疗后试验组和对照组患者血清中VEGF的表达水平均下降明显,试验组比对照组下降更明显,差异有统计学意义(P<0.05).结论 重组人血管内皮抑制素联合化疗治疗中晚期恶性肿瘤可增强化疗效果,调控VEGF水平.
Effect of recombinant human endostatin combined with chemotherapy on chemotherapy response and VEGF expression in patients with advanced malignant tumor
Objective To investigate the effect of recombinant human endostatin combined with chemotherapy on the expression of vascular endothelial growth factor (VEGF) in patients with advanced cancer.Methods250 patients with advanced malignant tumors were randomly selected from February 2012 to February 2016 the Third Hospital of Jiaxing, with unit control method experiment principle divided into two groups: experimental group (125 cases) and control group (125 cases).The experimental group treated by recombinant human endostatin combined chemotherapy, control group received routine chemotherapy for a week during the period of 21 days, after two cycles of treatment, clinical efficacy and adverse reactions of the two groups of patients were compared, and the expression of VEGF in tumor blood vessels weredetected.ResultsAfter two cycles of treatment, objective response rate, disease control rate in the experimental group patients was significantly higher than that in control group (P<0.05);after treatment, the expression level of VEGF in serum of the experimental group and the control groupwere decreased significantly, but the experimental group was lower than that of control group was more obvious (P<0.05).ConclusionRecombinant human endostatin combined with chemotherapy in the treatment of advanced malignant tumors can enhance the effect of chemotherapy, regulate the level of VEGF.

malignant tumorrecombinant human endostatinchemotherapyangiogenic factor

张秦、陈华飞、朱有才

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浙江省荣军医院(嘉兴市第三医院)肿瘤内科,浙江嘉兴314000

恶性肿瘤 重组人血管内皮抑制素 化疗 血管新生因子

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(5)
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