nab-紫杉醇在晚期宫颈癌患者中的摄入量及疗效研究

IF 0.5 4区 医学 Q4 OBSTETRICS & GYNECOLOGY European journal of gynaecological oncology Pub Date : 2023-01-01 DOI:10.22514/ejgo.2023.061
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引用次数: 0

摘要

子宫颈癌是女性中第二常见的恶性肿瘤。本研究旨在探讨nab-紫杉醇在晚期宫颈癌患者化疗中的摄入量及疗效,为临床用药提供更多依据。选取武汉市第三医院2021年7月至2022年7月期间接受化疗的晚期宫颈癌患者96例,采用包膜法随机分为观察组(nab-紫杉醇+顺铂治疗)和对照组(紫杉醇+顺铂治疗)。观察两组患者的近期疗效、肿瘤标志物、免疫功能指标、不良反应及生活质量,并进行比较。治疗后,两组患者血清肿瘤标志物均明显降低,CD4+和CD4+/ CD8 +均明显升高。观察组各指标改善效果均有统计学意义(p <0.05)。观察组疾病有效控制率高于对照组,治疗相关不良反应发生率高于对照组。观察组的Karnofsky绩效量表(KPS)有效率较对照组提高(p <0.05)。综上所述,nab-紫杉醇在晚期宫颈癌患者化疗中具有显著优势,可增强免疫功能,提高疾病控制效果,促进功能状态改善。
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Study on the intake and efficacy of nab-paclitaxel in patients with advanced cervical cancer
Cervical cancer is the second most common malignant tumor in women. This study aimed to investigate the intake and effect of nab-paclitaxel in chemotherapy for patients with advanced cervical cancer, to collect more evidence for clinical medication. A total of 96 patients with advanced cervical cancer who received chemotherapy treatment in Wuhan Third Hospital from July 2021 to July 2022 were randomly divided into observation group (treated with nab-paclitaxel + cisplatin) and control group (treated with paclitaxel + cisplatin) by envelope method. The short-term efficacy, tumor markers, immune function indicators, adverse reactions and quality of life of both groups were observed and compared with each other. After treatment, serum tumor markers were notably decreased, while cluster of differentiation 4 (CD4)+ and CD4+/cluster of differentiation 8 (CD8)+ were clearly increased in both groups. The observation group showed the improvement effect of each index in a statistically significant manner (p < 0.05) than the control group. The effective disease control rate of observation group was higher than that of the control group while the incidence of treatment-related adverse reactions in the observation group was higher than that of the control group. The observation group indicated improved effective rate of Karnofsky Performance Scale (KPS) than the control group (p < 0.05). In conclusion, nab-paclitaxel has significant advantages in chemotherapy for patients suffering from advanced cervical cancer, which can strengthen immune function, improve the effectiveness of disease control, and promote the improvement of functional status.
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来源期刊
自引率
25.00%
发文量
58
审稿时长
1 months
期刊介绍: EJGO is dedicated to publishing editorial articles in the Distinguished Expert Series and original research papers, case reports, letters to the Editor, book reviews, and newsletters. The Journal was founded in 1980 the second gynaecologic oncology hyperspecialization Journal in the world. Its aim is the diffusion of scientific, clinical and practical progress, and knowledge in female neoplastic diseases in an interdisciplinary approach among gynaecologists, oncologists, radiotherapists, surgeons, chemotherapists, pathologists, epidemiologists, and so on.
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