首页|阿帕替尼联合替吉奥治疗晚期胃癌患者的效果及对IL-6家族因子的影响

阿帕替尼联合替吉奥治疗晚期胃癌患者的效果及对IL-6家族因子的影响

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目的:探究阿帕替尼联合替吉奥治疗晚期胃癌患者的效果及对白介素-6(IL-6)家族因子的影响.方法:将 2020 年 4 月—2022 年 11 月辽阳市中心医院的 90 例晚期胃癌患者依据随机数字表法分为对照组 45 例和观察组 45 例.对照组采用替吉奥进行治疗,观察组则采用阿帕替尼联合替吉奥进行治疗.比较两组的总有效率、各类不良反应发生率、治疗前后的生存质量[癌症患者生命质量评定 30 问卷(QLQ-C30)评分]及IL-6 家族因子[IL-6、白介素-27(IL-27)及白介素-31(IL-31)].结果:观察组的总有效率显著高于对照组,差异有统计学意义(P<0.05).两组的各类不良反应发生率比较,差异均无统计学意义(P>0.05).治疗前两组的QLQ-C30 各维度评分及IL-6 家族因子比较,差异均无统计学意义(P>0.05),治疗 2 个周期及 4 个周期后观察组的QLQ-C30 各维度评分均显著高于对照组,IL-6 家族因子均显著低于对照组,差异均有统计学意义(P<0.05).结论:阿帕替尼联合替吉奥在晚期胃癌患者中的应用效果较好,安全性值得肯定,且可显著改善患者的生存质量及IL-6 家族因子的表达,因此在晚期胃癌患者中的应用价值较高.
Effect of Apatinib Combined with Tegafur,Gimeracil and Oteracil Potassium in the Treatment of Advanced Gastric Cancer and Its Influence on IL-6 Family Factors
Objective:To explore the effect of Apatinib combined with Tegafur,Gimeracil and Oteracil Potassiumin in the treatment of advanced gastric cancer patients and the influence on interleukin-6(IL-6)family factors.Method:A total of 90 patients with advanced gastric cancer in Liaoyang Central Hospital from April 2020 to November 2022 were divided into control group(45 cases)and observation group(45 cases)according to random number table method.The control group was treated with Tegafur,Gimeracil and Oteracil Potassium,the observation group was treated with Apatinib combined with Tegafur,Gimeracil and Oteracil Potassium.The total effective rates,various adverse reactions rates,life quality[the quality of life questionnaire core 30(QLQ-C30 score)]and IL-6 family factors[IL-6,interleukin-27(IL-27)and interleukin-31(IL-31)]before and after treatment of two groups were compared.Result:The total effective rate of observation group was significantly higher than that of control group,the difference was statistically significant(P<0.05).The various adverse reactions rates of two groups were compared,the differences were not statistically significant(P>0.05).There were no statistical significance in QLQ-C30 scores and IL-6 family factors between two groups before treatment(P>0.05);after 2 and 4 cycles of treatment,the QLQ-C30 scores of the observation group were significantly higher than those of the control group,and the IL-6 family factors were significantly lower than those of the control group,the differences were statistically significant(P<0.05).Conclusion:The effect of Apatinib combined with Tegafur,Gimeracil and Oteracil Potassium in patients with advanced gastric cancer is better,its safety is confirmed,and it can significantly improve the life quality and expression of IL-6 family factors of patients,so its application value in the patients with advanced gastric cancer is higher.

ApatinibTegafur,Gimeracil and Oteracil PotassiumAdvanced gastric cancerSafetyIL-6 family factors

赵景娟、荣阳、杨皓辰、荣文杰、荣根满

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辽阳市中心医院肿瘤二科 辽宁 辽阳 111000

辽阳市中心医院医务科 辽宁 辽阳 111000

南通大学医学院 江苏 南通 226001

中铁十九局集团中心医院医务科 辽宁 辽阳 111000

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阿帕替尼 替吉奥 晚期胃癌 安全性 IL-6家族因子

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(25)