文章摘要
冯燕 肖琪琳.贝伐珠单抗联合吉西他滨治疗晚期宫颈癌临床疗效研究[J].实用中西医结合临床,2018,18(6):1-3,51
贝伐珠单抗联合吉西他滨治疗晚期宫颈癌临床疗效研究
The Clinical Efficacy Study on Advanced Cervical Cancer Treated by Bevacizumab Combined with Gemcitabine
  
DOI:
中文关键词: 晚期宫颈癌  贝伐珠单抗  吉西他滨  临床疗效  安全性  生活质量
英文关键词: Advanced cervical cancer  Bevacizumab  Gemcitabine  Clinical efficacy  Safety  The quality of life
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作者单位
冯燕 肖琪琳 河南省郑州市人民医院河南省洛阳市中心医院 
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中文摘要:
      目的:探讨贝伐珠单抗联合吉西他滨对晚期宫颈癌患者临床疗效、安全性及生活质量的影响。方法:选取2014年9月~2017年9月我院收治的80例晚期宫颈癌患者为研究对象,按照治疗方式不同将80例患者分为观察组与对照组,每组40例。对照组予吉西他滨治疗,观察组予贝伐珠单抗联合吉西他滨治疗,对比两组疗效、安全性及生活质量。结果:(1)观察组总有效率为62.5%、临床控制率为90.0%,均显著高于对照组的37.5%和57.5%(P<0.05);(2)观察组治疗前后WBC、ALT比较无显著差异(t=0.76、1.43,P>0.05),观察组治疗前后PLT比较有显著差异(t=5.92,P<0.05),对照组治疗前后PLT、ALT比较有显著差异(t=4.85、3.29,P<0.05),对照组治疗前后WBC比较无显著差异(t=0.85,P>0.05),观察组治疗后ALT异常上升水平显著低于对照组(t=5.62,P<0.05);(3)观察组严重不良反应率为10.0%,显著低于对照组的40.0%(?字2=12.43,P>0.05);(4)治疗前两组Spitzer指数比较无显著差异(P>0.05),治疗后两组Spitzer指数均显著高于治疗前(P<0.05),且观察组Spitzer指数显著高于对照组(P<0.05)。结论:贝伐珠单抗联合吉西他滨治疗晚期宫颈癌临床疗效优于吉西他滨单药治疗,且疗效肯定,并发症少、安全性较高,能有效提高患者生活质量。
英文摘要:
      Objective: To explore the clinical efficacy, safety and quality of life of patients with advanced cervical cancer treated by bevacizumab combined with gemcitabine. Methods: Choose 80 patient in our hospital with advanced cervical cancer from September 2014 to September 2017, divided into two groups, 40 cases in each group, the control group treated by gemcitabine, the observation group treated by bevacizumab combined with gemcitabine. To Compared the curative effect, safety and quality of life of two groups. Results: (1)The total effective rate of the observation group was 62.5%, and the clinical control rate was 90.0%, were significantly higher than that of the control group, with total effective rate of 45.0%, and clinical control rate of 57.5% (P<0.05). (2)Before and after treatment, the WBC, ALT of the observation group had no significant difference (t=0.76, 1.43, P>0.05), the PLT was more significant differences (t= 5.92, P<0.05). The PLT, ALT in the control group were more significant difference (t=4.85, 3.29, P<0.05), there was no significant difference in the WBC of the control group before and after treatment (t=0.85, P>0.85), the observation group ALT abnormal increased after the treatment was significantly lower than the control group (t=5.62, P<0.05). (3)The severe adverse reaction rate of the observation group was 10.0%, significantly lower than that in the control group (?字2=12.43, P<0.05). (4)Before treatment, there was no significant difference between the two groups in the Spitzer index (P>0.05); after treatment, the Spitzer index in both groups was significantly higher than before treatment (P<0.05), and the observation group was significantly higher than the control group (P<0.05). Conclusion: The clinical curative effect of bevacizumab combined with gemcitabine treatment of advanced cervical cancer is superior to gemcitabine alone, fewer complications, higher safety, can effectively improve the quality of life, is worth promoting.
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