帕博利珠单抗联合TP方案化疗对三阴性乳腺癌患者的影响OA
The Impact of Pembrolizumab Combined with TP Regimen Chemotherapy in Patients with Triple-negative Breast Cancer
目的:探究帕博利珠单抗联合紫杉类+铂类(TP 方案)化疗对三阴性乳腺癌(TNBC)患者的影响.方法:选取 2023 年 1 月—2025 年 8 月就诊于福建医科大学附属漳州市医院的 80 例 TNBC 患者,按随机数字表法分为观察组(帕博利珠单抗联合 TP 方案化疗)、对照组(TP 方案化疗),各 40 例.21 d 为 1 个周期,治疗 4 个周期.对比两组疗效、肿瘤标志物、免疫功能、毒副反应发生率.结果:治疗 4 个周期后,观察组糖类抗原 15-3(CA15-3)、癌胚抗原(CEA)、糖类抗原 125(CA125)、CD8+较对照组低,CD4+、CD4+/CD8+及客观缓解率较对照组高(P<0.05).两组毒副反应发生率比较,差异无统计学意义(P>0.05).结论:帕博利珠单抗联合 TP 方案化疗治疗 TNBC 效果较好,可改善患者的肿瘤标志物水平和免疫功能,且未显著增加毒副反应.
Objective:To explore the effect of Pembrolizumab combined with Taxanes+Platinum(TP regimen)chemotherapy on patients with triple-negative breast cancer(TNBC).Method:A total of 80 patients with TNBC who visited Zhangzhou Affiliated Hospital of Fujian Medical University from January 2023 to August 2025 were selected and divided into the observation group(Pembrolizumab combined with TP regimen chemotherapy)and the control group(TP regimen chemotherapy)according to the random number table method,with 40 cases in each group.Twenty-one days constituted one cycle,and the treatment lasted for four cycles.The therapeutic effects,tumor markers,immune functions and the incidence of toxic and side effects of the two groups were compared.Result:After 4 cycles of treatment,the levels of carbohydrate antigen 15-3(CA15-3),carcinoembryonic antigen(CEA),carbohydrate antigen 125(CA125),and CD8+in the observation group were lower than those in the control group,while CD4+,CD4+/CD8+,and the objective response rate were higher than those in the control group(P<0.05).There was no statistically significant difference in the incidence of toxic and side effects between the two groups(P>0.05).Conclusion:Pembrolizumab combined with TP regimen chemotherapy has good efficacy in the treatment of TNBC,improving patients'tumor marker levels and immune function without significantly increasing toxic and side effects.
陈建辉
福建医科大学附属漳州市医院乳腺外科 福建 漳州 363000
医药卫生
三阴性乳腺癌帕博利珠单抗化疗免疫功能
Triple-negative breast cancerPembrolizumabChemotherapyImmune function
《中国医学创新》 2026 (23)
7-11,5
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