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卡瑞利珠单抗联合化疗对晚期非鳞非小细胞肺癌的影响

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目的:探讨卡瑞利珠单抗联合化疗对晚期非鳞非小细胞肺癌(NSCLC)患者的影响。方法:选取 2022 年 5 月—2023 年 5 月中山陈星海中西医结合医院收治的 60 例晚期非鳞NSCLC患者。随机将其分为卡瑞利珠单抗组(n=30)和化疗治疗组(n=30)。化疗治疗组给予化疗,卡瑞利珠单抗组在化疗治疗组基础上给予卡瑞利珠单抗。比较两组临床疗效,治疗前后T淋巴细胞亚群、生活质量及毒副反应。结果:卡瑞利珠单抗组客观缓解率(ORR)为 63。33%,高于化疗治疗组的33。33%,差异有统计学意义(P<0。05)。治疗后,两组CD4+和CD4+/CD8+水平均升高,卡瑞利珠单抗组CD4+和CD4+/CD8+均高于化疗治疗组,CD8+低于化疗治疗组,差异有统计学意义(P<0。05)。治疗后,两组躯体功能、社会功能、角色功能、认知功能、情绪功能及总体健康状况评分升高,卡瑞利珠单抗组躯体功能、社会功能、角色功能、认知功能、情绪功能及总体健康状况评分均高于化疗治疗组,差异有统计学意义(P<0。05)。两组毒副反应发生率比较,差异无统计学意义(P>0。05)。结论:卡瑞利珠单抗联合化疗治疗晚期非鳞NSCLC具有较好临床效果,可以改善免疫功能,提高患者生活质量,具有安全性。
Effect of Carrilizumab Combined with Chemotherapy on Advanced Non-squamous Non-small Cell Lung Cancer
Objective:To investigate the effect of Carrilizumab combined with chemotherapy on advanced non-squamous non-small cell lung cancer(NSCLC).Method:A total of 60 patients with advanced non-squamous NSCLC admitted to Zhongshan Chenxinghai Hospital of Integrated Traditional Chinese and Western Medicine from May 2022 to May 2023 were selected.They were randomly divided into Carrilizumab group(n=30)and chemotherapy treatment group(n=30).The chemotherapy treatment group was given chemotherapy,and the Carrilizumab group was given Carrilizumab on the basis of chemotherapy treatment group.The clinical efficacy,T lymphocyte subsets,quality of life before and after treatment,toxicity and side effects were compared between the two groups.Result:The objective response rate(ORR)in Carrelizumab group was 63.33%,which was higher than 33.33%in chemotherapy treatment group,and the difference was statistically significant(P<0.05).After treatment,CD4+and CD4+/CD8+levels in both groups were increased,and CD4+and CD4+/CD8+levels in Carrilizumab group were higher than those in chemotherapy non-squamous group,while CD8+level was lower than that in chemotherapy treatment group,and the differences were statistically significant(P<0.05).After treatment,the scores of physical function,social function,role function,cognitive function,emotional function and general health status of the two groups were increased,and the scores of physical function,social function,role function,cognitive function,emotional function and general health status of Carrellizumab group were higher than those of the chemotherapy treatment group,and the differences were statistically significant(P<0.05).There was no significant difference in the incidence of toxic and side effects between the two groups(P>0.05).Conclusion:Carrellizumab combined with chemotherapy in the treatment of advanced non-squamous NSCLC has good clinical efficacy,can improve the immune function,improve the quality of life of patients,and has a safety.

CarrilizumabAdvanced non-squamous non-small cell lung cancerImmunity functionPulmonary immunity prognostic index

李增辉、峗淑莉、骆嘉华、刘振海

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中山陈星海中西医结合医院 广东 中山 528415

卡瑞利珠单抗 晚期非鳞非小细胞肺癌 免疫功能 肺免疫预后指数

中山市医学科研项目

2022J272

2024

中外医学研究
中国医院管理杂志社

中外医学研究

影响因子:1.149
ISSN:1674-6805
年,卷(期):2024.22(15)
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