ISSN 2097-5724 CN 61-1535/R 主管·主办:陕西省疾病预防控制中心
疾病预防与控制 Disease Prevention and Control 医学学术期刊 双月刊
2026-01-010 临床药物与手术治疗 2026, (01)

贝伐珠单抗靶向治疗对晚期结直肠癌患者的临床疗效

中国贵航集团三 0 二医院

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摘要

摘要:目的 探讨贝伐珠单抗靶向治疗对晚期结直肠癌患者的临床疗效。方法 选取我院于收治的 2024 年 1 月至 2025 年 5 月结直肠癌晚期患者,共 66 例,将其分为两组(随机数字表法),各 33 例。对照组给予常规改良 的联合化疗方案,观察组加用贝伐珠单抗注射液治疗,收集两组治疗有效率、肿瘤标志物、免疫指标水平及不良反应进行比较。结果 治疗后,观察组相较于对照组的有效率更高(90.91% vs. 69.70%),差异显著(P<0.05)。 观察组相较于对照组,其肿瘤标志物水平更低,并且具有统计学差异(P<0.05)。治疗后,两组免疫功能相比较,观察组免疫指标水平相较于对照组更高,但并无统计学差异。观察组患者在不良反应发生率方面与对照组比较差异不显著。结论 贝伐珠单抗联合化疗可通过抑制降低肿瘤细胞的活性,但并不增加不良反应的发生率,故可减轻免疫功能损伤,从而能够有效控制晚期结直肠癌病情。

Abstract

Abstract: Objective To explore the clinical efficacy of bevacizumab targeted therapy in patients with advanced colorectal cancer. Methods Sixty-six patients with advanced colorectal cancer admitted to our hospital from January 2024 to May 2025 were selected. The patients were randomly divided into two groups, with 33 cases in each group, using the random number table method. The control group was given the conventional modified, sixth-edition combination chemotherapy regimen, while the observation group was additionally treated with bevacizumab injection. Collected and compared the treatment efficacy, tumor markers, immune indicator levels, and adverse reactions of the two groups. Results After treatment, the observation group had a higher effective rate compared to the control group (90.91% vs. 69.70%), with a significant difference (P<0.05). The observation group had lower levels of tumor markers compared to the control group, with statistical significance (P<0.05). After treatment, when comparing immune function between the two groups, the immune indicators of the observation group were higher than those of the control group, but there was no statistical difference. The incidence of adverse reactions in the observation group was not significantly different from that in the control group. Conclusion Bevacizumab combined with chemotherapy can reduce tumor cell activity by inhibition, but does not increase the incidence of adverse reactions, thus it can alleviate immune dysfunction and effectively control the progression of advanced colorectal cancer.

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[1]王瑞娜.贝伐珠单抗靶向治疗对晚期结直肠癌患者的临床疗效[J],2026,01(01):.