目的分析西妥昔单抗联合氟尿嘧啶/亚叶酸钙+奥沙利铂(mFOLFOX6)治疗晚期结直肠癌患者的临床疗效。方法将62例晚期结直肠癌患者作为研究对象,随机将其分为观察组和对照组,每组31例。对照组患者行mFOLFOX6方案治疗,观察组患者在对照组治疗基础上行西妥昔单抗治疗。比较两组患者的血清肿瘤标志物水平、卡氏功能状态(KPS)量表评分、临床疗效和毒副反应。结果治疗前,两组患者的血清癌胚抗原、糖类抗原19-9水平差异均无统计学意义(均P>0.05);治疗4个疗程后,两组患者的血清癌胚抗原、糖类抗原19-9水平均降低,且观察组上述指标的水平均低于对照组(均P<0.05)。治疗前,两组患者的KPS量表评分差异无统计学意义(P>0.05);治疗4个疗程后,两组患者的KPS量表评分均升高,且观察组的KPS量表评分高于对照组(P<0.05)。治疗4个疗程后,观察组患者的客观缓解率、疾病控制率均高于对照组(均P<0.05)。治疗期间,观察组患者的痤疮样皮疹发生率高于对照组(P<0.05)。结论西妥昔单抗联合mFOLFOX6治疗晚期结直肠癌患者临床疗效显著,但患者痤疮样皮疹发生率较高。
ObjectiveTo analyze the clinical efficacy of cetuximab combined with fluorouracil/calcium folinate + oxaliplatin (mFOLFOX6) in the treatment of patients with advanced colorectal cancer. MethodsA total of 62 patients with advanced colorectal cancer were selected as the research objects and randomly divided into the observation group and the control group, with 31 cases in each group. Patients in the control group were treated with mFOLFOX6 regimen, based on which patients in the observation group were treated with cetuximab additionally. The serum tumor markers levels, Karnofsky performance status(KPS) scale score, clinical efficacy and side effects were compared between the two groups. ResultsBefore treatment, there was no statistically significant difference in serum carcinoembryonic antigen and carbohydrate antigen 19-9 levels between the two groups (all P>0.05). After 4 courses of treatment, the levels of serum carcinoembryonic antigen and carbohydrate antigen 19-9 in the two groups decreased, and the levels of the aforementioned indicators in the observation group were lower than those in the control group (all P<0.05). Before treatment, there was no statistically significant difference in the KPS scale score between the two groups (P>0.05). After 4 courses of treatment, the scores of KPS scale of both groups increased, and the observation group was higher than the control group (P<0.05). After 4 courses of treatment, the objective response rate and disease control rate in the observation group were higher than those in the control group (all P<0.05). During treatment, the incidence of acneiform rash in the observation group was higher than that in the control group (P<0.05). ConclusionCetuximab combined with mFOLFOX6 has a significant clinical efficacy in the treatment of patients with advanced colorectal cancer, but the incidence of acneiform rash in patients is quite high.