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中华肺部疾病杂志(电子版) ›› 2023, Vol. 16 ›› Issue (04) : 511 -513. doi: 10.3877/cma.j.issn.1674-6902.2023.04.013

临床研究

卡瑞利珠单抗联合卡铂和培美曲塞治疗进展期肺腺癌的疗效及预后分析
汪沛, 倪蓓君, 元及, 宫为一, 范军()   
  1. 230041 合肥,安徽中科庚玖医院胸外科
    230041 合肥,中国科学院合肥肿瘤医院护理部
    230041 合肥,安徽省武警总队医院心胸外科
    230041 合肥,中国科学技术大学第一附属医院胸外科
  • 收稿日期:2023-01-14 出版日期:2023-08-25
  • 通信作者: 范军

Analysis of efficacy and prognosis of Carlizumab combined with Carboplatin and Pemetrexed in advanced lung adenocarcinoma

Pei Wang, Peijun Ni, Ji Yuan   

  • Received:2023-01-14 Published:2023-08-25
引用本文:

汪沛, 倪蓓君, 元及, 宫为一, 范军. 卡瑞利珠单抗联合卡铂和培美曲塞治疗进展期肺腺癌的疗效及预后分析[J]. 中华肺部疾病杂志(电子版), 2023, 16(04): 511-513.

Pei Wang, Peijun Ni, Ji Yuan. Analysis of efficacy and prognosis of Carlizumab combined with Carboplatin and Pemetrexed in advanced lung adenocarcinoma[J]. Chinese Journal of Lung Diseases(Electronic Edition), 2023, 16(04): 511-513.

目的

分析卡瑞利珠单抗联合卡铂和培美曲塞化疗治疗进展期肺腺癌的疗效及预后。

方法

选择2021年1月1日至2021年9月31日我院收治的进展期肺腺癌患者59例,随机分为观察组29例,对照组30例,对照组按常规卡铂联合培美曲塞方案化疗,观察组在对照组基础上加用卡瑞利珠单抗,比较两组肿瘤进展、安全性及预后情况。

结果

治疗4个周期、治疗结束时、治疗后1个月、治疗后2个月及治疗后3个月,观察组部分缓解(PR)高于对照组(P<0.05),观察组疾病进展(PD)低于对照组,差异无统计学意义(P>0.05);两组治疗前CEA及CYRFA21-1对比无统计学意义(P>0.05),观察组治疗后CEA及CYRFA21-1低于对照组(P<0.05);观察组发生较多反应性毛细血管增生症(RCCEP),不良事件(AEs)与对照组比较统计学意义(P>0.05),两组不良事件Ⅲ级以上对比统计学意义(P>0.05);观察组中位无进展生存期(mPFS)长于对照组(P<0.05)[(8.31±2.33)个月vs. (5.87±1.74)个月],观察组中位总生存期(mOS)长于对照组(P<0.05)[(10.22±3.01)个月vs.(7.32±2.14)个月]。

结论

卡瑞利珠单抗联合卡铂和培美曲塞较单纯卡铂联合培美曲塞改善进展期肺腺癌治疗效果好,具有临床意义。

表1 两组治疗效果比较[n(%)]
表2 两组治疗前后血清肿瘤指标对比
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