首页|贝伐珠单抗联合XELOX化疗方案治疗老年晚期结直肠癌患者的效果

贝伐珠单抗联合XELOX化疗方案治疗老年晚期结直肠癌患者的效果

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目的:分析贝伐珠单抗结合XELOX化疗方案对老年晚期结直肠癌患者的影响.方法:选取2021年1月—2023年1月湖北武穴市第一人民医院收治的92例老年晚期结直肠癌患者,按随机数字表法分为两组,各46例.对照组行XELOX化疗方案治疗,观察组加以贝伐珠单抗治疗.比较两组临床疗效、免疫功能、肿瘤标志物水平、生存质量、不良反应.结果:观察组治疗总有效率为78.26%,高于对照组的54.35%(P<0.05);观察组治疗后CD3+、CD4+与世界卫生组织生存质量测定简易量表(WHOQOL-BREF)内各维度评分高于对照组,CD8+、各肿瘤标志物水平低于对照组(P<0.05);两组不良反应发生率比较,差异无统计学意义(P>0.05).结论:贝伐珠单抗结合XELOX化疗方案可改善老年晚期结直肠癌患者的免疫功能,降低肿瘤标志物水平,提高生存质量,且无严重不良反应,具有一定的应用价值.
Effect of Bevacizumab Combined with XELOX Chemotherapy Regimen in the Treatment of Elderly Patients with Advanced Colorectal Cancer
Objective:To analyze the effect of bevacizumab combined with XELOX chemotherapy regimen on elderly patients with advanced colorectal cancer. Methods:A total of 92 elderly patients with advanced colorectal cancer admitted to Hubei Wuxue First People's Hospital from January 2021 to January 2023 were selected and divided into two groups according to the random number table method,with 46 patients in each group. The control group was treated with XELOX chemotherapy regimen,and the observation group was treated with bevacizumab. The clinical efficacy,immune function,tumor marker level,quality of life and adverse reactions were compared between the two groups. Results:The total effective rate of treatment in the observation group was 78.26%,which was higher than 54.35% in the control group (P<0.05). After treatment,the scores of CD3+,CD4+and WHOQOL-BREF in the observation group were higher than those in the control group,and the levels of CD8+and tumor markers were lower than those in the control group (P<0.05). There was no significant difference in the incidence of adverse reactions between the two groups (P>0.05). Conclusion:Bevacizumab combined with XELOX chemotherapy can improve the immune function of elderly patients with advanced colorectal cancer,reduce the level of tumor markers,improve the quality of life,and have no serious adverse reactions,which has certain application value.

Advanced colorectal cancerBevacizumabImmune functionQuality of lifeAdverse reactions

陈晓春、文帅、朱海霞

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武穴市第一人民医院肿瘤科,湖北武穴 435400

晚期结直肠癌 贝伐珠单抗 免疫功能 生存质量 不良反应

2024

中国药物滥用防治杂志
中国药物滥用防治协会 军事医学科学院毒物药物研究所

中国药物滥用防治杂志

影响因子:0.584
ISSN:1006-902X
年,卷(期):2024.30(11)