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IP与EP方案治疗小细胞肺癌的比较研究
引用本文:杨光华,陈运芳,赵富丽,苏春荣,吴春华,李琦. IP与EP方案治疗小细胞肺癌的比较研究[J]. 医药论坛杂志, 2011, 0(16): 54-55,58
作者姓名:杨光华  陈运芳  赵富丽  苏春荣  吴春华  李琦
作者单位:驻马店市中心人民医院肿瘤科;
摘    要:目的比较伊立替康加顺铂(CPT11+DDP)及依托泊苷加顺铂(VP16+DDP)两种方案一线治疗小细胞肺癌的临床疗效、不良反应。方法初治小细胞肺癌患者67例,IP组34例患者,应用DDP 40mg/m2静脉滴注,d1~d3,CPT~1160mg/m2静脉滴注,d1、d8、d15。EP组33例患者,应用方案DDP 40mg/m2静脉滴注,VP-16100mg/m2静脉滴注,d1~d5,两种方案均为28d为一个周期,连用4~6个周期。两个周期后评价疗效及不良反应。结果 IP组有效率58.8%,EP组有效率39.4%,两组比较差异有统计学意义(P<0.05);IP组无进展生存期4.1个月,EP组无进展生存期2.9个月,两组比较差异无统计学意义(P>0.05);两组不良反应发生率比较差异均无统计学意义,P>0.05。结论与依托泊泔联合顺铂方案相比,伊立替康联合顺铂方案疗效相似,不良反应相近,且无进展生存期延长,是小细胞肺癌一线治疗的安全有效方案。

关 键 词:小细胞肺癌  顺铂/伊立替康  顺铂/依托泊苷

Clinical study of comparison of IP and EP for first-line treatment of small cell lung cancer
YANG Guang-hua,CHEN Yun-fang,ZHAO Fu-li,SU Chun-rong,WU Chun-hua,LI Qi. Clinical study of comparison of IP and EP for first-line treatment of small cell lung cancer[J]. Journal of Medical Forum, 2011, 0(16): 54-55,58
Authors:YANG Guang-hua  CHEN Yun-fang  ZHAO Fu-li  SU Chun-rong  WU Chun-hua  LI Qi
Affiliation:YANG Guang-hua,CHEN Yun-fang,ZHAO Fu-li,SU Chun-rong,WU Chun-hua,LI Qi Department of Oncology,Zhumadian Central Hospital,Zhumadian,Henan 463000,China
Abstract:Objective To evaluate the efficacy and side effects between the Irinotecan+cisplatin(CPT11+DDP) and etoposide+cisplatin(VP16+DDP) for first-line treatment of small cell lung cancer(SCLC).Methods Sixty-seven SCLC patients untreated were divided into two groups(IP group and EP group).IP group(34 cases)were treated with DDP(40mg/m2) by intravenous infusion on the first 3 days and irinotecan(60mg/m2) on the first day,the 8th day and the 15th day.EP group(33cases) were treated in the same way with IP group and e...
Keywords:Small cell lung cancer  Irinotecan/cisplatin  Etoposide /cisplatin  
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