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贝伐珠单抗联合化疗治疗转移性结直肠癌的效果研究OA

Effect of Bevacizumab Combined with Chemotherapy in the Treatment of Metastatic Colorectal Cancer

中文摘要英文摘要

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.

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.

罗素梅;熊超;曾灵芝;杨敏捷

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

Metastatic colorectal cancerBevacizumabTargeted therapyTumor markersBody immunity

《中国医学创新》 2024 (024)

37-40 / 4

10.3969/j.issn.1674-4985.2024.24.009

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