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白蛋白结合型紫杉醇治疗晚期复发乳腺癌的近期疗效OA

Recent Efficacy of Albumin-bound Paclitaxel in the Treatment of Advanced Recurrent Breast Cancer

中文摘要英文摘要

目的 探讨晚期复发乳腺癌采用白蛋白结合型紫杉醇治疗的近期疗效.方法 选取 2022 年 3 月至 2023 年 3 月于中国人民解放军联勤保障部队第九六七医院接受治疗的晚期复发乳腺癌患者 100 例作为研究对象,随机分为对照组与观察组,各50 例,对照组患者采用紫杉醇注射液治疗,观察组患者使用白蛋白结合型紫杉醇治疗.比较两组患者治疗前后肿瘤标志物水平、免疫功能、疗效及药物不良反应发生率.结果 治疗后观察组癌胚抗原(CEA)、糖类抗原 125(CA125)、糖类抗原 135(CA135)水平低于对照组(P<0.05);治疗后观察组CD3+、CD4+、CD8+、CD4+/CD8+水平优于对照组(P<0.05);观察组治疗有效率高于对照组(P<0.05);观察组不良反应发生率低于对照组(P<0.05).结论 采用白蛋白结合型紫杉醇治疗晚期复发乳腺癌,能有效降低肿瘤标志物水平及药物的毒副作用,优化免疫功能,提升临床治疗效果,临床应用价值显著.

Objective To explore the short-term efficacy of albumin-bound paclitaxel in the treatment of advanced recurrent breast cancer.Methods A total of 100 patients with advanced recurrent breast cancer who received treatment at the 967 Hospital of the Joint Logistic Support Force of the Chinese People's Liberation Army from March 2022 to March 2023 were selected as the study objects,and were randomly divided into control group and observation group,with 50 cases in each group.The control group was treated with paclitaxel injection,and the observation group was treated with albumin-bound paclitaxel.The level of tumor markers,immune function before and after treatment,efficacy and incidence of adverse drug reactions were compared between the two groups.Results The levels of carcinoembryonic antigen(CEA),carbohydrate antigen 125(CA125)and carbohydrate antigen 135(CA135)in observation group were lower than those in control group(P<0.05).After treatment,the levels of CD3+,CD4+,CD8+and CD4+/CD8+in the observation group were better than those in the control group(P<0.05).The effective rate of the observation group was higher than that of the control group(P<0.05).The incidence of adverse reactions in observation group was lower than that in control group(P<0.05).Conclusion The use of albumin-bound paclitaxel in the treatment of advanced recurrent breast cancer can effectively reduce the level of tumor markers and the toxic side effects of drugs,optimize immune function,improve clinical therapeutic effect,and have significant clinical application value.

边福文;李洋

中国人民解放军联勤保障部队第九六七医院肿瘤科,辽宁大连 116001

临床医学

白蛋白结合型紫杉醇晚期复发乳腺癌近期疗效

Albumin-binding paclitaxelAdvanced recurrent breast cancerShort-term efficacy

《中国药物经济学》 2024 (007)

36-38,43 / 4

10.12010/j.issn.1673-5846.2024.07.006

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