姑息性放疗联合阿帕替尼治疗晚期肺癌的近期疗效与安全性

Short-term efficacy and safety of palliative radiotherapy combined with apatinib in treating advanced lung cancer

  • 摘要:
      目的  观察晚期肺癌患者接受姑息性放疗联合阿帕替尼治疗的临床近期疗效及安全性。
      方法  回顾性分析40例晚期肺癌患者的临床资料,按照治疗方法的不同将患者分为对照组和观察组,每组20例。对照组患者单纯接受姑息性放疗,观察组患者在此基础上联用阿帕替尼治疗。比较治疗后2组的临床近期总有效率、临床症状评分和毒副反应发生率。
      结果  观察组近期客观缓解率为70.00%、疾病控制率为90.00%,分别高于对照组的30.00%、60.00%,差异有统计学意义(P < 0.05);观察组疼痛评分、气喘评分和胸水评分均低于对照组,差异有统计学意义(P < 0.05);观察组高血压发生率高于对照组,差异有统计学意义(P < 0.05),2组其他毒副反应发生率差异无统计学意义(P>0.05)。
      结论  相较于单纯姑息性放疗,姑息性放疗联合阿帕替尼治疗晚期肺癌的近期疗效更佳,可明显改善患者临床症状,且安全性较好。

     

    Abstract:
      Objective  To observe the short-term efficacy and safety of palliative radiotherapy combined with apatinib for advanced lung cancer.
      Methods  Data of 40 patients with advanced lung cancer was retrospectively studied. Patients were divided into observation group (n=20) and control group (n=20) according to the treatment methods. In the observation group, patients received both palliative radiotherapy and apatinib, while in the control group, patients received palliative radiotherapy only. The total clinical short-term efficacy, clinical symptomscores and incidence of side effects between the two groups were compared.
      Results  The short-term objective remission rate and disease control rate of the observation group were 70.00% and 90.00%, respectively, which were higher than those of the control group (30.00% and 60.00%, respectively) (P < 0.05). The pain score, asthma score and pleural fluid score in the observation group were significantly lower than those in the control group (P < 0.05). The incidence of hypertension in the observation group was higher than that in the control group (P < 0.05). There was no significant difference in the incidence of other toxic reactions between the two groups (P>0.05).
      Conclusion  When compared with palliative radiotherapy alone, palliative radiotherapy combined with apatinib shows better short-term effect, improved clinical symptoms and higher safety.

     

/

返回文章
返回