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奈达铂联合多西他赛治疗晚期非小细胞肺癌临床观察
引用本文:肖天林,刘小红,杨超.奈达铂联合多西他赛治疗晚期非小细胞肺癌临床观察[J].现代肿瘤医学,2010,18(1).
作者姓名:肖天林  刘小红  杨超
作者单位:湖北省襄樊市中心医院肿瘤科,湖北,襄樊,441021
摘    要:目的:观察奈达铂联合多西他赛治疗晚期非小细胞肺癌(non-small cell lung cancer,NSCLC)的疗效和不良反应.方法:78例经病理和/或细胞学确诊的NSCLC患者,随机分成治疗组40例和对照组38例.治疗组采用奈达铂 80mg/m2,静滴,d1.对照组采用顺铂25mg/m2,静滴,连续3d.两组均联合国产多西他赛75mg/m2,静滴d1;两种治疗方案均28天为1个周期.结果:治疗组和对照组治疗有效率分别为37.5%及42.1%,无明显统计学差异(P>0.05);治疗组胃肠道反应明显低于对照组 (P<0.05);两组肝毒性无明显差异,但肾毒性治疗组较对照组低(P=0.05);两组白细胞下降发生率分别为37.5%及39.5%,无显著差异;血红蛋白下降率分别为47.5%及52.6%, 无统计学差异;治疗组与对照组血小板下降率分别为47.5%及23.7%,具有统计学差异(P<0.05).结论:治疗组与对照组的疗效基本接近,但治疗组胃肠道反应及肾毒性较轻,血小板的抑制率治疗组高于对照组外,血红蛋白及白细胞下降发生率无差异,奈达铂更易为医生和患者所接受.

关 键 词:奈达铂  顺铂  非小细胞肺癌

Clinical study of the regimen of combination nedaplain and docetaxel chemotherapy in the treatment for advanced non-small cell lung cancer
XIAO Tian-lin,LIU Xiao-hong,YANG Chao.Clinical study of the regimen of combination nedaplain and docetaxel chemotherapy in the treatment for advanced non-small cell lung cancer[J].Journal of Modern Oncology,2010,18(1).
Authors:XIAO Tian-lin  LIU Xiao-hong  YANG Chao
Institution:XIAO Tian-lin,LIU Xiao-hong,YANG Chao Department of Medical Oncology,Xiangfan Central Hospital,Xiangfan 441021,China.
Abstract:Objective:To investigate the efficacy and side effects of the regimen of combined chemotherapy nedaplatin and docetaxel in the treatment of advanced non-small cell lung cancer.Methods:A total of 78 patients with advanced non-small cell lung cancer diagnosed by the pathology and/or cytology were divided into the nedaplatin group(treatment group,n=40)and cisplatin group(control group,n=38).Nedaplatin was given at 80mg/m2 intravenously at the first day in the treatment group.Cisplatin was administrated at 25mg...
Keywords:nedaplatin  cisplatin  non-small cell lung cancer  
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