SBRT 加免疫疗法对 NSCLC 患者免疫状态和生存质量的影响:放疗和免疫疗法联合疗法研究。

IF 1.4 4区 医学 Q4 ENGINEERING, BIOMEDICAL Technology and Health Care Pub Date : 2024-07-29 DOI:10.3233/THC-241177
Liang Shao, Ying Gao, Dan Zhang, Mengdan Yang, Mimi Jiang, Hongfeng Li, Yanting Yan
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引用次数: 0

摘要

背景:非小细胞肺癌(NSCLC)占所有肺癌患者的80%以上。立体定向放射治疗(SBRT)主要适用于不适合手术或拒绝手术的早期非小细胞肺癌患者:分析立体定向放射治疗(SBRT)加免疫治疗对非小细胞肺癌(NSCLC)患者免疫状态和生存质量的影响:采用随机数字表法将我院2019-2022年收治的NSCLC患者分为对照组(SBRT)61例和观察组(SBRT加免疫治疗)60例,比较两组患者的疗效、血清中肿瘤标志物水平、外周血中免疫细胞水平和活性以及卡氏功能状态(KPS)评分:观察组的有效率高于对照组(P< 0.05)。两组治疗前血清肿瘤标志物含量、外周血免疫细胞水平和活性、KPS评分无统计学差异(P>0.05)。治疗后,血清肿瘤标志物含量低于对照组,免疫细胞水平、NK细胞相关活性和KPS评分高于对照组(P<0.05):结论:SBRT 加免疫治疗可降低 NSCLC 患者的各种肿瘤标志物水平,改善免疫状态和生存质量。
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Effect of SBRT plus immunotherapy on immune status and survival quality of NSCLC patients: A study of combined radiotherapy and immunotherapy.

Background: non-small cell lung cancer (NSCLC) accounts for more than 80% of all lung cancer populations. Stereotactic radiotherapy (SBRT) is mainly suitable for early NSCLC patients who are not suitable for surgery or refuse surgery.

Objective: To analyze the effects of stereotactic radiotherapy (SBRT) plus immunotherapy for non-small cell lung cancer (NSCLC) patients on their immune status and survival quality.

Methods: NSCLC patients admitted to our hospital from 2019-2022 were divided into 61 cases in control group (SBRT) and 60 cases in observation group (SBRT plus immunotherapy) by the randomized numerical table method to compare the efficacy, the level of tumor markers in the serum, the level and activity of the immune cells in the peripheral blood and the Kahlil's functional status (KPS) scores.

Results: The observation group had a higher efficacy rate than that of the control group (P< 0.05). There was no statistical difference between the two groups in serum tumor marker content, immune cell level and activity in peripheral blood and KPS score before treatment (P> 0.05). After treatment, serum tumor markers were lower than those in control group, and immune cell level, NK cell-related activity and KPS score were higher than those in control group (P< 0.05).

Conclusion: SBRT plus immunotherapy can reduce the level of various tumor markers, improve the immune status and quality of survival for NSCLC patients.

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来源期刊
Technology and Health Care
Technology and Health Care HEALTH CARE SCIENCES & SERVICES-ENGINEERING, BIOMEDICAL
CiteScore
2.10
自引率
6.20%
发文量
282
审稿时长
>12 weeks
期刊介绍: Technology and Health Care is intended to serve as a forum for the presentation of original articles and technical notes, observing rigorous scientific standards. Furthermore, upon invitation, reviews, tutorials, discussion papers and minisymposia are featured. The main focus of THC is related to the overlapping areas of engineering and medicine. The following types of contributions are considered: 1.Original articles: New concepts, procedures and devices associated with the use of technology in medical research and clinical practice are presented to a readership with a widespread background in engineering and/or medicine. In particular, the clinical benefit deriving from the application of engineering methods and devices in clinical medicine should be demonstrated. Typically, full length original contributions have a length of 4000 words, thereby taking duly into account figures and tables. 2.Technical Notes and Short Communications: Technical Notes relate to novel technical developments with relevance for clinical medicine. In Short Communications, clinical applications are shortly described. 3.Both Technical Notes and Short Communications typically have a length of 1500 words. Reviews and Tutorials (upon invitation only): Tutorial and educational articles for persons with a primarily medical background on principles of engineering with particular significance for biomedical applications and vice versa are presented. The Editorial Board is responsible for the selection of topics. 4.Minisymposia (upon invitation only): Under the leadership of a Special Editor, controversial or important issues relating to health care are highlighted and discussed by various authors. 5.Letters to the Editors: Discussions or short statements (not indexed).
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