首页|贝伐珠单抗联合化疗治疗转移性结直肠癌的效果研究

贝伐珠单抗联合化疗治疗转移性结直肠癌的效果研究

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目的:研究贝伐珠单抗联合化疗治疗对转移性结直肠癌(MCRC)患者的肿瘤标志物及机体免疫的影响.方法:选取 2021 年 3 月—2022 年 12 月经九江市第一人民医院确诊为MCRC的患者 78 例,按随机数字表法分组,每组 39 例.对照组仅接受FOLFOX-6 方案化疗,观察组基于对照组化疗条件施加贝伐珠单抗靶向治疗,比较两组方案近期疗效、治疗前后肿瘤标志物[癌胚抗原(CEA)、糖类抗原 19-9(CA19-9)、生殖细胞特异性蛋白DDX4(DDX4)]和机体免疫状况[CD3+、CD4+、自然杀伤细胞(NK)].结果:观察组客观有效率、疾病控制率均高于对照组(P<0.05).治疗后,观察组 3 项肿瘤标志物(CEA、CA19-9 及DDX4)检测值均低于对照组(P<0.05).治疗后,观察组 3 项机体免疫指标(CD3+、CD4+及NK)检测值均高于对照组(P<0.05).结论:贝伐珠单抗联合化疗治疗能够提升MCRC患者的近期治疗效果,降低肿瘤标志物水平,或与其可调节机体免疫状况有关.
Effect of Bevacizumab Combined with Chemotherapy in the Treatment of Metastatic Colorectal Cancer
Objective:To study the effect of Bevacizumab combined with chemotherapy on tumor markers and body immunity in patients with metastatic colorectal cancer(MCRC).Method:A total of 78 patients diagnosed with MCRC in Jiujiang NO.1 People's Hospital from March 2021 to December 2022 were selected and divided into groups using a random number table method,with 39 patients in each group.The control group only received FOLFOX-6 chemotherapy,and the observation group received Bevacizumab targeted therapy based on the chemotherapy conditions of the control group.The short-term efficacy,tumor markers[carcinoembryonic antigen(CEA),carbohydrate antigen 19-9(CA19-9),germ cell specific protein DDX4(DDX4)]and body immune status[CD3+,CD4+,natural killer cell(NK)]before and after treatment of the two groups were compared.Result:The objective effective rate and disease control rate of the observation group were higher than those of the control group(P<0.05).After treatment,the detection values of three tumor markers(CEA,CA19-9 and DDX4)in the observation group were lower than those in the control group(P<0.05).After treatment,the detection values of three immune indicators(CD3+,CD4+and NK)in the observation group were higher than those in the control group(P<0.05).Conclusion:Bevacizumab combined with chemotherapy can improve the short-term therapeutic effect of MCRC patients,reduce the levels of tumor markers,or it may be related to the regulation of immune status of the body.

Metastatic colorectal cancerBevacizumabTargeted therapyTumor markersBody immunity

罗素梅、熊超、曾灵芝、杨敏捷

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九江市第一人民医院肿瘤科 江西 九江 332000

九江市第一人民医院骨三科 江西 九江 332000

转移性结直肠癌 贝伐珠单抗 靶向治疗 肿瘤标志物 机体免疫

2024

中国医学创新
中国保健协会

中国医学创新

影响因子:1.706
ISSN:1674-4985
年,卷(期):2024.21(24)