首页|伊立替康联合卡培他滨治疗晚期结直肠癌的疗效及安全性

伊立替康联合卡培他滨治疗晚期结直肠癌的疗效及安全性

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目的 研究伊立替康联合卡培他滨对晚期结直肠癌患者的治疗效果。方法 选择本院晚期结直肠癌患者106例,随机分为对比组和实验组,每组53例。对比组采取卡培他滨+奥沙利铂治疗,实验组采取卡培他滨+伊立替康治疗,观察两组治疗效果、安全性等差异。结果 实验组并发症发病率低于对比组,差异有统计学意义(P<0。05)。治疗前两组IFG-Ⅱ、TGF-α指标对比,差异无统计学意义(P>0。05);治疗后1个月、6个月实验组IFG-Ⅱ、TGF-α指标均低于对比组,差异有统计学意义(P<0。05)。实验组中位生存时间、无进展生存时间、住院时间、生活质量评分均高于对比组,差异有统计学意义(P<0。05)。实验组治疗总有效率高于对比组,差异有统计学意义(P<0。05)。结论 晚期结直肠癌患者的手术治疗意义较小,采取化疗治疗的效果更好,对患者进行卡培他滨联合伊立替康治疗的效果更好,安全性也随之改善,值得临床重视。
Curative Effect and Safety of Irinotecan Combined with Capecitabine in Treatment of Advanced Colorectal Cancer
Objective To study curative effect of irinotecan combined with capecitabine on patients with advanced colorectal cancer.Methods The paper chose 106 patients with advanced colorectal cancer in our hospital,and divided them into control group and experimental group randomly,with 53 cases in each group.Control group was treated with treatment with capecitabine and oxaliplatin,while experimental group with treatment with capecitabine and irinotecan.Difference in treatment effect and safety was observed between two groups.Results The incidence of complications in the experimental group was lower than that in the control group,and the difference was statistically significant(P<0.05).There was no significant difference in IFG-Ⅱ and TGF-α indicators between the two groups before treatment(P>0.05).1 month and 6 months after treatment The IFG-Ⅱ and TGF-α indicators of the experimental group were lower than those of the control group,and the difference was statistically significant(P<0.05).The median survival time,progression-free survival time,hospitalization time,and quality of life score of the experimental group were all higher than those of the control group.In the comparison group,the difference was statistically significant(P<0.05).The total effective rate of treatment in the experimental group was higher than that in the comparison group,and the difference was statistically significant(P<0.05).Conclusion Surgical treatment can achieve less significance for advanced colorectal cancer patients,and chemotherapy treatment is more effective.Combination of capecitabine and irinotecan treatment is more effective,with better safety,which is worthy of clinical attention.

IrinotecanCapecitabineAdvanced Colorectal Cancer

张伟

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宁县第二人民医院 肿瘤科,甘肃 宁县 745200

伊立替康 卡培他滨 晚期结直肠癌

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(10)