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机构地区:[1]中国医科大学肿瘤医院肿瘤内科,辽宁沈阳110001
出 处:《辽宁中医杂志》2017年第3期553-555,共3页Liaoning Journal of Traditional Chinese Medicine
摘 要:目的:对于非小细胞肺癌患者,文章旨再比较GP化疗联合中药参一胶囊的疗效及不良反应。方法:本组病例共计180例,其中A组90例,应用化疗联合参一胶囊治疗;B组90例,应用单纯化疗治疗。两组患者均以3周为1个治疗周期,疗效及不良反应评价则选取治疗后两个周期时的结果予以判定。结果:180例患者均可评价疗效。其中,A组疾病控制率(DCR)为91.11%,中位无进展生存期(PFS)为4.1个月,B组DCR为35.56%,中位PFS为3.1个月,两组比较差异有统计学意义(P=0.045,P=0.05)。B组血小板降低发生率高于A组(75.55%vs 10%),两组不良反应的差异具有统计学意义(P<0.05)。A组客观反应率(ORR)为22.22%,B组ORR为11.11%,两组比较差异无统计学意义(P=0.876)。结论:应用参一胶囊联合GP化疗方案治疗非小细胞肺癌,可以提高临床有效率,降低不良反应的发生。Objective: In patients with small cell lung cancer,the purpose of this paper is to compare the effect and adverse reaction of GP chemotherapy combined with Shenyi capsule. Methods: In accordance with into the standard group of 81 patients and40 cases received chemotherapy combined with Shenyi capsule( group A),41 cases received chemotherapy alone( group B),21 days for a cycle,at least 2 cycles of chemotherapy in patients with curative effect and adverse reactions were evaluated. Results:There were 81 patients assessable for efficacy,which a set of objective response rate( ORR) was 22. 22%. In group B,Orr was11. 11%. The difference between the two groups was not significant P = 0. 876; the diseases control rate( DCR) was 91. 11%,the median progression free survival( PFS) was 4. 1 months. Group B DCR was 35. 56%,the median PFS was 3. 1 months. The difference between the two groups had statistical significance( P = 0. 045,P = 0. 05). B group rash rate was higher than group A( 75. 55% vs 10%). Differences in adverse reactions of the two groups were statistically significant( P〈0. 05). Conclusion: Application of Shenyi capsule combined with GP chemotherapy regimen in the treatment of small cell lung cancer can improve clinical efficiency and reduce the occurrence of adverse reactions.
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