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低剂量紫杉醇持续静脉滴注联合顺铂治疗晚期非小细胞肺癌疗效观察
作者:成红艳  
单位:11
关键词:紫杉醇 持续静脉滴注 顺铂 非小细胞肺癌 化疗 
分类号:
出版年·卷·期(页码):2010·29·第四期(0-)
摘要:

目的 :观察低剂量紫杉醇(PTX)持续静脉滴注联合顺铂(DDP)治疗晚期非小细胞肺癌(NSCLC)的疗效和毒性。方法:经纤维支气管镜检查病理组织学或细胞学证实的32例晚期NSCLC患者均采用低剂量紫杉醇持续静脉输注联合顺铂方案化疗,具体:紫杉醇 25 mg/m2/d,d1-3、8-10,静脉滴注16小时;顺铂 75 mg/m2,d1-3、d8~10,静脉滴注,21天为 1疗程,连用 2个疗程。结果:32例均可评价疗效,总有效率 (完全缓解 +部分缓解 )为 43.8%,而初治患者总有效率高于复治患者,分别为50.0%(9/18)和35.7%(5/14),但无统计学意义(P>0.05)。毒副作用主要表现为骨髓抑制、脱发和乏力,其他毒副作用较轻,均在可耐受的范围内。结论:低剂量紫杉醇持续静脉输注联合顺铂治疗晚期非小细胞肺癌疗效较好,毒副作用可以耐受,值得进一步研究。

Objective To observe the effect and toxicity in advanced non-small cell lung cancer(NSCLC) after intravenous drip low-dose paclitaxel (PTX)plus cisplatin(DDP).Methods 32 NSCLC patients were testified by pathologic or cytologic diagnosis,were received low-dose paclitaxel 25 mg/m2/d by continuous intravenous drip 16 hours, on d1-3、8-10,and cisplatin 75 mg/m2 by intravenous infusion on d1-3、d8~10.The treatment was repeated every 21 days, up to 2 cycles. Therapeutic effect and side2 effects were observed . Results I n 32 patients, the overall response rate was 43.8%. Response rates of initial treat ment and retreat ment were 50.0% (9 /18) and 35.7% ( 5 /14) respectively . No significant difference was seen between t wo groups (χ2= 0.6429, P>0.05) . The main toxicities were hypoplasia of bonemarrow,alopecie and hypodynamia, and other side effects were mild. all of these can be tolerated by patients. Conclusion: The combination therapy of low-dose paclitaxel plus cisplatin could be the ideal chemotherapy protocol with tolerable toxicity for patients advanced NSCLC.

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