ABSTRACT
Objective:To investigate the efficacy of different doses of apatinib combined with chemotherapy in the treatment of advanced gastric cancer and its effect on prognosis.Methods:Sixty-nine patients with advanced gastric cancer who received treatment in Lishui City People's Hospital from January 2015 to February 2019 were retrospectively analyzed. All patients received apatinib combined with teggio chemotherapy. These patients were divided into groups A, B and C according to the different dosages of apatinib used: 250 mg/d ( n = 21, group A), 500 mg/d ( n = 23, group B) and 850 mg/d ( n = 23, group C). The control rate of gastric cancer, serum levels of carcinoembryonic antigen, carbohydrate antigen 19-9 (CA19-9), carbohydrate antigen 72-4 (CA72-4), toxic and side effects, and survival within 1 year after surgery were determined among the three groups. Results:By the end of follow-up, one patient from group A was lost, one patient from group B interrupted medication because of personal reasons, and two patients from group C withdrew from the treatment due to serious discomfort caused by drugs. After treatment, disease control rate in group C was significantly higher than that in group A [91.30% (21/23) vs. 60.00% (12/20), χ2 = 6.484, P < 0.05]. Serum levels of carcinoembryonic, CA19-9 and CA72-4 in group C were (27.51 ± 2.21) μg/L, (101.46 ± 8.02) g/L, (46.34 ± 6.15) U/mL, respectively, which were significantly lower than those in group B [(29.33 ± 2.17) μg/L, (106.67 ± 8.10) g/L, (50.67 ± 6.20) U/mL, t = 2.786, 2.168, 2.352, all P < 0.05]. Serum levels of carcinoembryonic, CA19-9 and CA72-4 in group B were significantly lower than those in group A [(31.63 ± 2.92) μg/L, (112.12 ± 8.38) g/L, (55.12 ± 6.48) U/mL, t = 2.915, 2.142, 2.274, all P < 0.05]. The incidences of hand foot syndrome and gastrointestinal discomfort in group C were (34.78% (8/23) and (39.13% (9/23), respectively, which were significantly higher than those in group A [15.00% (3/23) and 25.00% (5/20), χ2 = 5.734, 4.769, both P < 0.05]. After 1-year follow-up,1-year survival rate in group C was significantly higher than that in group A [39.13% (9/23) vs. 10.00% (2/20), log-Rank χ2 = 6.600, P < 0.05]. Conclusion:High-dose apatinib combined with chemotherapy in the treatment of advanced gastric cancer has a high disease control rate and a high 1-year survival rate, but it has serious adverse drug reactions.
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Chemerin is a cytokine that attracts much attention in the reproductive process. This study aimed to explore the effects of chemerin and its receptor chemokine-like receptor 1 (CMKLR1) on the maintenance of early pregnancy. The expression levels of chemerin and CMKLR1 in the decidua tissues of 20 early normal pregnant women and 20 early spontaneous abortion women were examined by Western blot and real-time polymerase chain reaction analyses. CMKLR1 receptor antagonist (α-NETA) was then intrauterinely injected into normal pregnant mice model to assess its effect on the outcome of pregnancy and the phosphorylation rate of ERK1/2 in decidua tissues.We found that the expression level of chemerin in women who had experienced early spontaneous abortion was lower than in those who had experienced normal early pregnancy (P < 0.01); conversely, CMKLR1 expression was higher in the former than in the latter (P < 0.01). In a pregnant-mouse model, the embryo resorption rate of α-NETA group was higher than that in the negative control group (61.5% vs. 10.8%) (P < 0.001). Compared with the control group, ERK1/2 phosphorylation in decidua tissues decreased in the α-NETA-treated group (P < 0.01). These results suggested that the inhibition of the chemerin/CMKLR1 signaling pathway can lead to the abortion of mouse embryos, and that chemerin/CMKLR1 may play an important role in the maintenance of early pregnancy possibly by regulating ERK1/2 phosphorylation.
Subject(s)
Adult , Animals , Female , Humans , Mice , Pregnancy , Young Adult , Chemokines , Metabolism , Intercellular Signaling Peptides and Proteins , Metabolism , Metabolism , Pregnancy Rate , Pregnancy, Animal , Receptors, Chemokine , Metabolism , Receptors, G-Protein-Coupled , Metabolism , Signal TransductionABSTRACT
Objective To observe the clinical efficacy of PHENIX electrical stimulation in preventing complications after missed abortion.Method A thousand patients receiving uterine cavity operation on missed abortion were randomized into two groups, 500 cases in each group. Patients in the two groups were asked to orally take Estradiol valerate, successively for 3 d prior to the operation. Right after the operation, the treatment group started to receive electrical stimulation at Guanyuanshu (BL 26) and Guanyuan (CV 4) via PHENIX USB 4/8 neuromuscular stimulation therapeutic apparatus, together with conventional preventive anti-inflammatory treatment; the control group only received the conventional preventive anti-inflammatory treatment after the operation. The colporrhagia duration and the resumption of menstruation in the two groups were observed, and the menstruation, postoperative adhesion ratio and adhesion rate were compared between the two groups.Result There were significant differences in comparing the duration of colporrhagia and the time of the resumption of menstruation after the operation between the two groups (P<0.05); there were significant differences in comparing the postoperative menstruation, intrauterine adhesion ratio and adhesion rate between the two groups (P<0.05).Conclusion PHENIX electrical stimulation can shorten the time of colporrhagia after missed abortion, promote the resumption of menstruation, and effectively prevent intrauterine adhesions.
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Objective To observe the clinical effect of 0.9％ sodium nasal irrigation to adjuvant treatment of allergic rhinitis with postnasal drip symptoms.Methods Fifty-eight patients of allergic rhinitis with postnasal drip symptoms were divided into two groups by random number table method,29 cases in each.The treatment group was treated on the basis by antihistamine drugs in the specification,nasal steroid and nasal decongestants,given 0.9％ sodium to nasal irrigation before nasal steroid;the control group was not given 0.9％ sodium to nasal irrigation before nasal steroid,treatment for 6 weeks,improvement of allergic rhinitis symptoms and postnasal drip symptoms were observed in two groups.Results The clinical efficacy of allergic rhinitis:the total effective rate in treatment group was higher than that in control group [96.6％ (28/29) vs.72.4％ (21/29)],which reached statistical significance (P ＜ 0.05).The clinical efficacy of postnasal drip symptoms:the effective rate in treatment group was higher than that in control group [89.7％ (26/29) vs.58.6％(17/29)],which reached statistical significance(P＜ 0.05).Conclusions 0.9％ sodium nasal irrigation can improve the nasal symptoms of allergic rhinitis,reduce postnasal drip symptoms at the same time.It is a safe and effective treatment method.