首页|紫杉醇对胃癌晚期患者癌胚抗原、糖蛋白抗原19-9、糖蛋白抗原72-4水平变化的影响

紫杉醇对胃癌晚期患者癌胚抗原、糖蛋白抗原19-9、糖蛋白抗原72-4水平变化的影响

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目的 探讨紫杉醇对胃癌晚期患者癌胚抗原(carcino-embryonic antigen,CEA)、糖蛋白抗原(carbohydrate antigen,CA)19-9、糖蛋白抗原72-4水平变化的影响.方法 收集浙江省平湖市中医院收治的晚期胃癌患者46例,随机分为对照组和实验组,每组各23例,对照组给予顺铂+卡培他滨治疗,实验组给予紫杉醇+卡培他滨治疗,治疗结束后,对所有患者的血清CEA、CA19-9、CA72-4、血管内皮生长因子(vascular endothelial growth factor,VEGF)、内皮抑素(endostatin)水平及临床疗效情况进行检测.结果 治疗后,与对照组比较,①实验组患者血清CEA水平较低 (P<0.05);②实验组患者的血清CA19-9、CA72-4水平较低(P<0.05);③实验组患者的VEGF水平较低(P<0.05);④实验组患者的血清Endostatin水平较高(P<0.05);⑤实验组患者的临床有效率较高(P<0.05).结论 紫杉醇能够显著降低胃癌晚期患者血清CEA、CA19-9、CA72-4及VEGF水平,升高血清Endostatin水平,提高治疗效果,对临床有指导意义.
Effect of paclitaxel on carcino-embryonic antigen carcino-embryonic antigen, carbohydrate antigen 19-9 and carbohydrate antigen 72-4 levels in patients with advanced gastric cancer
Objective To analysis the effect of paclitaxel on CEA, CA19-9 and CA72-4 levels in patients with advanced gastric cancer.Methods46 patients who were diagnosed with advanced gastric cancer in Pinghu hospital of traditional Chinese medicine were collected.All patients were randomly divided into experimental group and control group,23 cases in each group.The control group was treated with cis-platinum complexes and capecitabine, and the experimental group was treated with paclitaxel and capecitabine, after the treatment, the serum levels of CEA, CA19-9, CA72-4, vascular endothelial growth factor, endostatin and clinical curative effect were detected in all patients.ResultsAfter treatment, compared with control group,①the serum level of CEA was lower in the experimental group (P<0.05);②the serum level of CA19-9 and CA72-4 were lower in the experimental group (P<0.05);③the serum level of VEGF was lower in the experimental group (P<0.05);④the serum level of Endostatin was higher in the experimental group (P<0.05);⑤The clinical efficiency of the experimental group was higher(P<0.05).ConclusionsThe paclitaxel can significantly reduce the serumCEA, CA19-9, CA72-4 and VEGF levels, elevated serum Endostatin level in patients with advanced gastric cancer, improve the treatment effect, and have a guiding significance for clinica.

paclitaxeladvanced gastric cancerCEACA19-9CA72-4

马冀、叶旦阳

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浙江省平湖市中医院 检验科,浙江 平湖 314200

浙江省余姚市第二人民医院 内科,浙江 余姚 315400

紫杉醇 胃癌晚期 CEA CA19-9 CA72-4

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):2017.37(6)
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