基于患者报告结局评价金复康口服液联合卡瑞利珠单抗治疗非小细胞肺癌临床研究
DOI:
CSTR:
作者:
作者单位:

作者简介:

通讯作者:

中图分类号:

R273;R734.2

基金项目:

商丘市第一人民医院2025年第一至四季度院级科研立项项目(YJ20250117)


Clinical Study on Jinfukang Oral Liquid Combined with Camrelizumab for Non-Small Cell Lung Cancer and Its Evaluation Based on Patient-Reported Outcomes
Author:
Affiliation:

Fund Project:

  • 摘要
  • |
  • 图/表
  • |
  • 访问统计
  • |
  • 参考文献
  • |
  • 相似文献
  • |
  • 引证文献
  • |
  • 资源附件
  • |
  • 文章评论
    摘要:

    目的:观察金复康口服液联合卡瑞利珠单抗治疗非小细胞肺癌(NSCLC) 的临床效果,并采用患者报告结局(PRO) 进行评价。方法:选取2024年4月—2025年4月商丘市第一人民医院收治的80例NSCLC患者,按照随机数字表法分为联合组、单抗组各40例。单抗组采用卡瑞利珠单抗治疗,联合组采用金复康口服液联合卡瑞利珠单抗治疗,比较2组临床疗效、不良反应发生率,以及治疗前后中医证候评分、PRO(肺癌生活质量QLQ-C30量表) 评分、肿瘤标志物[癌胚抗原(CEA)、肿瘤特异性生长因子(TSGF)、细胞角蛋白19 片段抗原(CYFRA21-1)] 水平及免疫指标CD4+、CD4+/CD8+水平。结果:治疗后,联合组总有效率为82.50% (33/40),单抗组为62.50% (25/40),组间比较,差异有统计学意义(P<0.05)。治疗后,2组胸闷、咳嗽、乏力、气短懒言、自汗盗汗、口干咽燥等中医证候评分均较治疗前降低(P<0.05),且联合组各项评分均低于单抗组(P<0.05)。治疗后,2组QLQ-C30量表中3个领域评分均较治疗前降低(P<0.05),且联合组3个领域评分均低于单抗组(P<0.05)。治疗后,2组肿瘤标志物CYFRA21-1、TSGF、CEA水平均较治疗前降低(P<0.05),且联合组3项指标水平均低于单抗组(P<0.05)。治疗后,2组CD4+、CD4+/CD8+水平均较治疗前升高(P<0.05),且联合组2项免疫功能指标水平均高于单抗组(P<0.05)。治疗期间,联合组不良反应发生率为17.50% (7/40),单抗组为40.00% (16/40),2 组比较,差异有统计学意义(P<0.05)。结论:金复康口服液联合卡瑞利珠单抗治疗NSCLC疗效肯定,尤其对患者情绪、症状的改善效果较好,并可提高免疫功能及生活质量,且安全性更高。

    Abstract:

    Abstract:Objective:To observe the clinical efficacy of Jinfukang Oral Liquid combined with Camrelizumab on non-small cell lung cancer (NSCLC), and to evaluate it using the patient-reported outcomes (PRO). Methods: A total of 80 NSCLC patients admitted to the First People's Hospital of Shangqiu from April 2024 to April 2025 were selected and divided into the combination group and the monoclonal antibody group according to the random number table method, with 40 cases in each group. The monoclonal antibody group was treated with Camrelizumab, and the combination group was treated with Jinfukang Oral Liquid combined with Camrelizumab. The efficacy and incidence of adverse reactions, and before and after treatment, the traditional Chinese medicine syndrome score, PRO indexes [scores of Quality of Life Questionnaire Core-30( QLQ-C30) for lung cancer],levels of tumor markers [carcinoembryonic antigen (CEA), tumor specific growth factor (TSGF), cytokeratin 19 fragment antigen (CYFRA21-1)], levels of immune indexes (CD4+ , CD4+/CD8+) were compared between the two groups. Results: After treatment, the total effective rate was 82.50% (33/40) in the combination group, higher than that of 62.50% (25/40) in the monoclonal antibody group, the difference being significant (P<0.05). After treatment, the traditional Chinese medicine syndrome scores of chest distress,cough,weakness,shortness of breath and reluctance to talk,spontaneous sweating and night sweating, and dry mouth and pharynx in both groups were decreased when compared with those before treatment (P<0.05),and the above scores in the combination group were lower than those in the monoclonal antibody group (P<0.05). After treatment, the scores of three domains in QLQ-C30 for lung cancer in the two groups were reduced when compared with those before treatment (P<0.05), and the above scores in the combination group were lower than those in the monoclonal antibody group (P<0.05). After treatment,the levels of CYFRA21-1,TSGF,and CEA in both groups were decreased when compared with those before treatment (P<0.05),and the above levels in the combination group were lower than those in the monoclonal antibody group (P<0.05). After treatment, the levels of CD4+ and CD4+/CD8+ in the two groups were increased when compared with those before treatment (P<0.05),and the above levels in the combination group were higher than those in the monoclonal antibody group (P<0.05). During treatment,the incidence of adverse reactions was 17.50% (7/40) in the combination group,and 40.00% (16/40) in the monoclonal antibody group, the difference being significant (P<0.05). Conclusion: The combined use of Jinfukang Oral Liquid and Camrelizumab has a definite curative effect on NSCLC, especially in improving patients' emotions and symptoms. It can also enhance the immune function and quality of life with higher safety.

    参考文献
    相似文献
    引证文献
引用本文

詹莉琼,杨菊菊,谢添.基于患者报告结局评价金复康口服液联合卡瑞利珠单抗治疗非小细胞肺癌临床研究[J].新中医,2026,58(20):98-103

复制
分享
相关视频

文章指标
  • 点击次数:
  • 下载次数:
  • HTML阅读次数:
  • 引用次数:
历史
  • 收稿日期:
  • 最后修改日期:
  • 录用日期:
  • 在线发布日期: 2026-10-21
  • 出版日期:
文章二维码