betway必威登陆网址 (betway.com )学报››2021,Vol. 42››Issue (2): 95-98.DOI:10.3969/j.issn.1004-7115.2021.02.005

• 论著 •上一篇下一篇

阿帕替尼联合替吉奥在晚期胃癌化疗中的作用

陈明祥, 夏小雯, 高雁

  1. 仪征市人民医院肿瘤内科,江苏 仪征 211400
  • 收稿日期:2020-10-12发布日期:2021-09-01
  • 作者简介:陈明祥(1973—),男,江苏仪征人,硕士,副主任医师,主要从事胃癌的基础与临床研究工作。E-mail:cmxy8478@163.com。
  • 基金资助:
    杭州市卫生科技计划一般项目(编号:2015B61)。

Effect of apatinib combined with tegafur in chemotherapy of advanced gastric cancer

CHEN Ming-xiang, XIA Xiao-wen, GAO Yan

  1. Dept. of Oncology, Yizheng People's Hospital,Yizheng 211400,China
  • Received:2020-10-12Published:2021-09-01

摘要:目的 探讨抗血管生成药物阿帕替尼(Apatinib)联合氟脲嘧啶类药物替吉奥(S-1)在胃癌晚期化疗中的作用。方法 选取2017年1月到2018年12月在本院接受治疗的胃癌晚期患者90例,采取数字表随机分组方法分成三组,对照组一30例口服阿帕替尼治疗,对照组二30例口服替吉奥治疗,观察组30例阿帕替尼联合替吉奥,比较三组的疗效以及不良反应。结果 研究组的近期疗效的有效率为73.33%,其显著高于其他两组对照的43.33%和40.00%(χ2=5.351,P=0.021);比较三组患者服药后的不良反应情况,研究组肝功能障碍、肾功能障碍、高血压不良反应发生率显著低于其他两个对照组(P<0.05)。三组患者的生活质量对比发现,研究组相对对照组有显著提升;从营养评分来看,研究组营养评分显著高于对照组(F=11.025,P<0.001)。 结论 阿帕替尼联合替吉奥治疗胃癌晚期相比两种单药用药更有效且更安全,不但有利于患者的恢复治疗,而且可以帮助提高患者的生活质量,可以在临床大范围推广使用。

关键词:阿帕替尼,替吉奥,胃癌,晚期,作用

Abstract:Objective: To investigate the effect of antiangiogenic drug Apatinib combined with fluorouracil drug Sergio (s-1) on the role of chemotherapy in advanced gastric cancer. Methods: Ninety cases of patients with gastric cancer treated in our hospital from January 2017 to December 2018, were randomly divided into three groups, 30 cases in control group for oral Apatinib treatment, 30 cases in control group for oral Sergio treatment, 30 cases observation group for Apatinib and Sergio S-1 treatment,and curative of effect three groups and adverse reactions were compared. Results: The short-term effective rate of 73.33% in the study group was significantly higher than that of the other two groups (43.33% and 40.00%, respectively).By comparing the adverse reactions of the three groups of patients after taking the medicine, liver dysfunction, renal dysfunction and the adverse reactions were significantly reduced was significantly lower than that in the two control groups. The quality of life of the patients in the three groups was compared. In terms of nutrition score, the nutrition score of the study group was significantly higher than that of the control group, and the difference between groups was statistically significant (P<0.05).Conclusion: Apatinib combined with S-1 is more effective and safer than the two single drugs in the treatment of advanced gastric cancer, which is not only conducive to the recovery of patients, but also helpful to the improvement of the quality of life of patients, and can be widely used in clinical practice.

Key words:Apatinib,Tegafur gimeracil oteracil potassium,gastric cancer,function

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