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对比研究尼莫司汀持续小剂量与常规剂量治疗脑胶质瘤的临床疗效

Comparative Study Between Low-dose ACNU Continuous and Conventionaldose Treatment of Glioma Clinical Efficacy
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摘要 目的:比较盐酸尼莫司汀(ACNU)经静脉持续小剂量滴注与常规静脉滴注的临床疗效。方法:选取2004年~2006年30例经病理证实的恶性胶质廇病人,并且经过常规手术和放疗后,随机20例为24h小剂量滴注组,另10例为常规2h给药组。每组间隔1月行第二个疗程,共6个疗程。结果:实验组灌注治疗的完全反应(CR)、部分反应(PR)高于对照组(P<0.05):实验组、对照组平均生存期分别为(22.2±8.25)月和(14.23±7.62)月,实验组生存期也长于对照组(P<0.05),两组有显著性差异。结论:ACNU持续小剂量给药治疗脑胶质瘤的临床疗效优于常规给药。 Objective: To compare the clinical treatment efficacy of the Glioma by low-dose continuous infusion ACNU and conventional- dose. Methods: From 2004 to 2006, 30 postoperative and post radiotherapy patients with pathologically confirmed malignant Glioma were divided randomly into experiment group (n=20) and Control group (n=10) .In the experiment group, ACNU (2.5 mg/kg) was infused in 24 h, while the control group was infused in 2h. Each group was infused once per month for six times. Results: CR and DR of the experiment group were higher than that of the control group. The survival duration (14.23±7.62) months of the experiment group was longer than that of the control group (22.2±8.25 ) months, and there was a statistically significant difference between the two groups. Conclusion: The therapeutic effects of ACNU by continue small-volume infusion in treating Glioma is better than that with usual method.
出处 《中国医药导刊》 2009年第8期1318-1319,共2页 Chinese Journal of Medicinal Guide
基金 江苏省肿瘤医院青年科技基金项目(编号:ZQ200418)
关键词 脑胶质瘤 尼莫司汀 小剂量 Glioma ACNU Low-dose
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参考文献4

  • 1Isaka T, Maruno M, Nakata H et al. Effectiveness of spray applications of ACNU in the local of malignant gliomas:report of two cases. Neurol Res, 2002;22(2): 181.
  • 2Fujiwara T,Nakasone S, Matsumoto K, et al. Effect ofACNU, a water-soluble nitrosourea, on cell cycle of cultured glioma cells--flow cytometric analysis[J]. Gan ToKagaku Ryoho,1983;10(9):2055-2061.
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  • 4Gwak HS, Youn SM, Kwon AH,et al. ACNU-cisplatin continuous infusion chemotherapy as salvage therapy for recurrent glioblastomas: phase II study. J Neurooncol,2005; 75(2): 173 - 180.

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