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重组人血管内皮抑制素注射液联合NP方案治疗晚期非小细胞肺癌的疗效观察
引用本文:王巍炜,李高峰,洪志鹏,郭刚,向旭东,陈瑞彬.重组人血管内皮抑制素注射液联合NP方案治疗晚期非小细胞肺癌的疗效观察[J].现代保健,2010(8):23-25.
作者姓名:王巍炜  李高峰  洪志鹏  郭刚  向旭东  陈瑞彬
作者单位:[1]昆明医学院第三临床附属医院肺癌研究中心,650118 [2]昆明医学院第一临床附属医院,650118
基金项目:云南省教育厅应用基金(09y0173),云南省科技厅社会发展科技计划应用基础研究项(2009ZC120M)
摘    要:目的观察了解重组人血管内皮抑制素注射液(恩度)联合NP方案治疗老年晚期非小细胞肺癌(NSCLC)的临床疗效和毒性反应。方法37例Ⅲ~Ⅳ期NSCLC患者均经病理组织学和(或)细胞学检查确诊。恩度联合顺铂治疗2~4个周期后评价疗效。结果37例患者中CR4例,PR15例,有效率51.4%(19/37)。中位TTP为6.8个月,1年生存率为43.2%。最主要的毒副反应为白细胞及血小板降低,但均可耐受。结论恩度联合NP方案治疗老年晚期NSCLC有较好疗效,可明显改善患者生存质量,毒副反应轻,易于耐受。

关 键 词:重组人血管内皮抑素/恩度  非小细胞肺癌  化疗  老年人

Clinical observation of Recombinant Human Endostatin Injection with NP chemotherapy in treating elder advanced non-smaileelllungcancer
Institution:WANG Wei - wei , LI Gao - feng , HONG Zhi - peng , GUO Gang , XIANC Xu - dong , CHEN Rui - bin. ( The Third Affiliated Hospital of Kunming Medical University, Kunming 650118, China)
Abstract:Objective To evaluate the clinical effect and toxicity of endostar injection with NP chemotherapy in treating elder advanced non - small cell lung cancer(NSCLC). Methods 37 patients with advanced NSCLC diagnosed by pathology or cytology were enrolled into the study. The patients received and were evaluated effect after 2 - 4 cycles. Results Complete remisson (CR) was observrd in 4 cases and PR in 15 cases in 37 cases, the total response rate was 51.4% ( 19/ 37). Median TIP was 6. 8 months and one years survival rate was 43.2% ( 16/37 ). The main side effects were leucopenia and thrombocytopenia, but they were tolerable. Conclusion The regimen of endostar injection with NP chemotherapy is effective, safe and well - tolerable in the treatment of elder advanced NSCLC.
Keywords:Recombinant Human Endostatin Injection/Endostar  Non -small cell lung cancer (NSCLC)  Chemotherapy  Elder patients
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