摘要
目的 对比替吉奥联合阿帕替尼与单独应用替吉奥治疗晚期胃癌患者的临床疗效分析。方法 选取2016年6月-2017年 6月我院收治的胃癌晚期患者60例,并采用数字表法随机分组为观察组和对照组,各30例。观察组患者给予替吉奥 联合阿帕替尼治疗,对照组患者给予单药替吉奥治疗,观察两组患者治疗后的临床疗效以及不良反应发生情况。结 果 治疗后,观察组患者的总有效率(93.33%)明显高于对照组的总有效率(63.33%);对照组患者的不良反应发 生率(33.33%)明显高于观察组的不良反应发生率(6.67%),差异均具有统计学意义(P<0.05)。结论 替吉奥联 合阿帕替尼应用于晚期胃癌患者可有效提升患者的临床疗效,且其所发生的毒副反应可耐受,值得推广。
Objective To investigate the clinic effect between Tegafur Gimeracil Otera combined with apatinib and single-drug Tegafur Gimeracil Otera in treating advanced gastric cancer. Methods 60 cases with advanced gastric cancer in our hospital from June 2016 to June 2017 were selected and divided into the observation group and the control group according to number table method, 30 cases in each group. The observation group was given Tegafur Gimeracil Otera combined with apatinib and the control group was given single-drug Tegafur Gimeracil Otera, clinic effect and adverse reactions of the two groups after treatment were observed. Results After treatment, total efficiency of the observation group (93.33%) was significantly higher than that of the control group (63.33%), adverse reaction rate of the control group (33.33%) was significantly higher than that of the observation group (6.67%), the difference was statistic significant (P<0.05). Conclusion Tegafur Gimeracil Otera combined with apatinib in treating advanced gastric cancer can improve clinic effect, toxic and side effect are tolerable, it is worthy of promotion.
【关键词】替吉奥;阿帕替尼;晚期胃癌;临床疗效
【中图分类号】R735.2
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2018.02.015
前言
胃癌是胃粘膜上皮发生的恶性肿瘤,初期无显著 临床症状,当出现显著临床症状时,多病变已发展为 晚期。晚期患者的主要临床症状为上腹部疼痛,全身 乏力、消瘦,严重影响患者的正常工作与生活,如不 能及时控制其发展,将对患者的生命安全造成较大威 胁[1]。目前临床多应用化疗对晚期疾病进行治疗,替 吉奥是治疗该疾病的常用药物,且适用于既往治疗失 败或无法接受强度化疗患者。阿帕替尼是目前晚期胃 癌靶向药物中唯一的口服制剂,对延长晚期胃癌生命 有较好的临床疗效。为提高对疾病局部的控制率以及 提高患者生存率,本研究选取2016年6月~2017年6月 在我院接受治疗的胃癌晚期患者60例进行临床对比分 析,现报道如下。
罕少疾病杂志
第25卷, 第 2 期
2019年11月
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