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克唑替尼联合化疗治疗晚期非小细胞肺癌的疗效及对患者生活质量和不良反应发生率的影响。

Efficacy of Crizotinib Combined with Chemotherapy in Treating Advanced Non-Small-Cell Lung Cancer and Effect on Patients' Quality of Life and Adverse Reaction Rate.

机构信息

Cardiothoracic Surgery, Qingdao Hospital of Traditional Chinese Medicine (Qingdao Hiser Hospital), 4 Renmin Road, Qingdao City, Shandong Province, China.

Thoracic Surgery, No. 971 Hospital of PLA Navy, 22 Minjiang Road, Shinan District, Qingdao City, Shandong Province, China.

出版信息

J Healthc Eng. 2022 Mar 10;2022:7898737. doi: 10.1155/2022/7898737. eCollection 2022.

Abstract

PURPOSE

To explore the efficacy of crizotinib combined with chemotherapy in treating advanced non-small-cell lung cancer (NSCLC) and its effect on patients' quality of life (QOL) and adverse reaction rate (ARR).

METHODS

90 advanced NSCLC patients admitted to our hospital (from 01, 2019 to 01, 2020) were chosen as the research objects and randomly split into the control group (CG) and experimental group (EG) by flipping a coin, with 45 cases each. Chemotherapy was performed to CG, and the crizotinib treatment was introduced to EG on this basis, so as to compare their clinical efficacy, ARR and 3-year survival rate, and QOL before and after intervention by the Generic Quality of Life Inventory-74 (GQOLI-74).

RESULTS

Compared with CG, EG after treatment obtained obviously higher total clinical effective rate ( < 0.001), lower total ARR ( < 0.05), higher GQOLI-74 scores ( < 0.001), and higher 3-year survival rate ( < 0.05).

CONCLUSION

Combining crizotinib with chemotherapy to advanced NSCLC patients can effectively improve the patients' level of quality of life, prolong the long-term survival rate, and present a better effect than single chemotherapy. Further study is conducive to establishing a better treatment scheme for advanced NSCLC patients.

摘要

目的

探索克唑替尼联合化疗治疗晚期非小细胞肺癌(NSCLC)的疗效及其对患者生活质量(QOL)和不良反应发生率(ARR)的影响。

方法

选择我院 2019 年 1 月至 2020 年 1 月收治的 90 例晚期 NSCLC 患者为研究对象,采用抛硬币法随机分为对照组(CG)和实验组(EG),每组 45 例。CG 行化疗,EG 在 CG 基础上引入克唑替尼治疗,对比两组的临床疗效、ARR 和 3 年生存率,采用生活质量综合评定问卷-74(GQOLI-74)比较干预前后的 QOL。

结果

治疗后,EG 的总临床有效率明显高于 CG( < 0.001),总 ARR 明显低于 CG( < 0.05),GQOLI-74 评分明显高于 CG( < 0.001),3 年生存率明显高于 CG( < 0.05)。

结论

将克唑替尼联合化疗用于晚期 NSCLC 患者,能有效提高患者的生活质量水平,延长长期生存率,疗效优于单纯化疗。进一步研究有助于为晚期 NSCLC 患者建立更好的治疗方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f4c3/8930210/45607b289630/JHE2022-7898737.001.jpg

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