PD-1抑制剂联合化疗或安罗替尼治疗晚期非小细胞肺癌的临床疗效分析

    Clinical efficacy of PD-1 inhibitor combined with chemotherapy or anlotinib in the treatment of advanced non-small cell lung cancer

    • 摘要:
      目的: 探讨程序性死亡受体1(PD-1)抑制剂联合化疗或安罗替尼治疗晚期非小细胞肺癌(NSCLC)的临床疗效。
      方法: 回顾性分析2020年12月至2022年12月收治的44例晚期NSCLC病人的临床资料,根据治疗方案分为A组和B组,各22例。A组为PD-1抑制剂联合化疗药物;B组为PD-1抑制剂联合安罗替尼。比较2组临床疗效、生存情况及药物不良反应。
      结果: B组疾病控制率为90.91%,高于A组的59.09%(P < 0.05),2组的无进展生存期和总生存期差异均无统计学意义(P > 0.05)。治疗期间,B组血液毒性和胃肠道反应的不良反应发生率均低于A组(P < 0.05)。
      结论: PD-1抑制剂联合安罗替尼治疗晚期 NSCLC具有同PD-1抑制剂联合化疗相似的治疗效果,且不良反应明显减少。

       

      Abstract:
      Objective To investigate the clinical efficacy of programmed death receptor 1 (PD-1) inhibitor combined with chemotherapy or anlotinib in the treatment of advanced non-small cell lung cancer (NSCLC).
      Methods The clinical data of 44 patients with advanced NSCLC from December 2020 to December 2022 were retrospectively analyzed. The patients were divided into the group A and group B (22 cases in each group) according to the treatment regimen. The group A was treated with PD-1 inhibitor combined with chemotherapy drugs, and group B was treated with PD-1 inhibitor combined with anlotinib. The clinical efficacy, survival and adverse drug reactions were compared between two groups.
      Results The disease control rate in the group B was 90.91%, which was significantly higher than that in group A (59.09%) (P < 0.05). There was no statistical significance in the progression-free survival and overall survival between two groups (P > 0.05). During the treatment period, the incidence rates of adverse reactions (including the blood toxicity and gas trointestinal reactions) in group B were significantly less than those in group A (P < 0.05).
      Conclusions PD-1 inhibitor combined with antirotinib in the treatment of advanced NSCLC has a similar therapeutic effect as PD-1 inhibitor combined with chemotherapy, and the adverse reactions significantly reduce.

       

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