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奥沙利铂联合卡培他滨治疗及综合护理用于晚期结直肠癌患者

Oxaliplatin combined with capecitabine therapy and comprehensive nursing in advanced colorectal cancer patients.

作者信息

Kuang Dan, Xu Hong, Shen Xiaoming

机构信息

Department of Nursing, Affiliated Hospital of Jiangnan University, Wuxi, China.

Department of Oncology, Affiliated Hospital of Jiangnan University, Wuxi, China.

出版信息

Front Med (Lausanne). 2025 Jul 2;12:1582683. doi: 10.3389/fmed.2025.1582683. eCollection 2025.

Abstract

OBJECTIVE

This study aimed to discuss the influence of oxaliplatin combined with capecitabine therapy and comprehensive nursing in advanced colorectal cancer (CRC) patients.

METHODS

A total of 100 advanced CRC patients, selected from January 2019 to January 2021, were divided into a control group (CG) and a research group (RG). Patients in the CG received capecitabine tablets and underwent routine nursing, while those in the RG received capecitabine tablets along with intravenous infusion of oxaliplatin and underwent comprehensive nursing. The short-term effects, levels of tumor markers, immune function, quality of life, occurrence of adverse reactions, negative emotions, and long-term survival rate in both groups were compared.

RESULTS

In comparison to the CG, the RG exhibited a higher total effective rate ( < 0.05), lower cancer antigen 125 (CA125) and carbohydrate-associated antigen 199 (CA199) levels ( < 0.05), higher CD4 and CD4/CD8 levels ( < 0.05), a higher Karnofsky performance status (KPS) score, a lower occurrence of adverse reactions ( < 0.05), lower Self-Rating Anxiety Scale (SAS) and Self-Rating Depression Scale (SDS) scores ( < 0.05), and a better long-term survival rate of patients after 2 years of follow-up ( < 0.05).

CONCLUSION

Oxaliplatin combined with capecitabine therapy, with comprehensive nursing, can effectively reduce clinical symptoms, enhance the immune function, and improve the quality of life of advanced CRC patients.

摘要

目的

本研究旨在探讨奥沙利铂联合卡培他滨治疗及综合护理对晚期结直肠癌(CRC)患者的影响。

方法

选取2019年1月至2021年1月期间的100例晚期CRC患者,分为对照组(CG)和研究组(RG)。CG组患者接受卡培他滨片治疗并进行常规护理,而RG组患者接受卡培他滨片治疗并静脉输注奥沙利铂,同时进行综合护理。比较两组患者的短期疗效、肿瘤标志物水平、免疫功能、生活质量、不良反应发生率、负面情绪及长期生存率。

结果

与CG组相比,RG组总有效率更高(<0.05),癌抗原125(CA125)和糖类抗原199(CA199)水平更低(<0.05),CD4和CD4/CD8水平更高(<0.05),卡氏功能状态(KPS)评分更高,不良反应发生率更低(<0.05),焦虑自评量表(SAS)和抑郁自评量表(SDS)评分更低(<0.05),随访2年后患者的长期生存率更好(<0.05)。

结论

奥沙利铂联合卡培他滨治疗并辅以综合护理,可有效减轻晚期CRC患者的临床症状,增强免疫功能,提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/976d/12263592/09609e004d46/fmed-12-1582683-g001.jpg

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