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化疗诱发非小细胞肺癌患者Ⅳ度粒细胞减少的相关因素分析
引用本文:王根和,吴怡青,方平,汪曙红.化疗诱发非小细胞肺癌患者Ⅳ度粒细胞减少的相关因素分析[J].中国肿瘤临床与康复,2010(1):30-32.
作者姓名:王根和  吴怡青  方平  汪曙红
作者单位:安徽省黄山市人民医院肿瘤科;
摘    要:目的分析非小细胞肺癌患者化疗诱发的Ⅳ度粒细胞减少的相关因素,为合理使用人粒细胞集落刺激因子提供依据。方法收集化疗诱发的Ⅳ度粒细胞减少的非小细胞肺癌患者的临床资料(A组),以同期化疗未出现粒细胞减少的非小细胞肺癌患者作为对照组(B组),采用单因素和多因素分析其危险因素。结果单因素分析显示,非小细胞肺癌患者出现Ⅳ度粒细胞减少的相关因素为PS2分、临床分期Ⅳ期、化疗前1周内使用GCSF、化疗延期大于1周、化疗周期数≥4个、多西紫杉醇+顺铂方案、合并放射治疗。多因素分析显示,出现Ⅳ度粒细胞减少的相关因素为临床分期Ⅳ期、化疗前1周内使用GCSF、化疗延期大于1周、化疗周期数≥4个、多西紫杉醇+顺铂方案。结论Ⅳ度粒细胞减少的危险因素为临床分期Ⅳ期、化疗前1周内使用GCSF、化疗延期大于1周、化疗周期数≥4个、多西紫杉醇+顺铂方案。高风险患者应该预防性应用GCSF。

关 键 词:肺肿瘤  Ⅳ粒细胞减少  人粒细胞集落刺激因子

Clinical analysis of risk factors for grade-4 neutropenia induced by chemotherapy in the non-small cell lung cancer
WANG Gen-he,WU Yi-qing,FANG Ping,et al.Clinical analysis of risk factors for grade-4 neutropenia induced by chemotherapy in the non-small cell lung cancer[J].Chinese Journal of Clinical Oncology and Rehabilitation,2010(1):30-32.
Authors:WANG Gen-he  WU Yi-qing  FANG Ping  
Institution:WANG Gen-he,WU Yi-qing,FANG Ping,et al(Department of Oncology,the People\'s Hospital of Huangshan,Anhui Province,Huangshan City,245000,China)
Abstract:Objective To analyze the risk factors for grade-4 neutropenia induced by chemotherapy in the non-small cell lung cancer and to provide evidence for the proper use of recombinant human granulocyte colony-stimulating Factor(rhG-CSF).Methods Patients with non-small cell lung cancer and grade-4 neutropenia induced by chemotherapy were selected(group A),and patients without chemotherapy-induced neutropenia were selected as control(group B).The risk factors were analyzed.Results In univariate analysis,the risk fa...
Keywords:Lung neoplasms  Neutropenia  Recombinant human granulocyte colony stimulating factor  
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