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多西他赛单药每周与三周疗法治疗老年晚期非小细胞肺癌的对比观察 被引量:6

Efficacy comparison of docetaxel in elderly advanced non-small cell lung cancer between weekly and 3-weekly monotherapy
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摘要 为了比较多西他赛单药每周与3周疗法治疗老年晚期非小细胞肺癌的效果,每周疗法组(A组)于d1、d8和d15给予多西他赛35mg/m2溶于100mL生理盐水静脉滴入,每4周为1个周期;3周疗法组(B组)于d1给予多西他赛75mg/m2溶于100mL生理盐水静脉滴入,每21d为1个周期。每2个周期评价疗效,筛选有效者继续化疗,6个周期后分析有效率、累积毒性、生活质量评分等。结果A、B组的有效率分别为25.0%和21.7%、中位疾病进展时间(TTP)分别为4.41和3.96个月,中位生存期分别为10.50和9.17个月。上述两组指标比较P均>0.05,差异无统计学意义。A组较B组的血液学毒性和脱发不良反应轻,生活质量有明显改善。初步研究结果提示,在不减低疗效的同时多西他赛单周疗法较3周疗法的血液学毒性低,且生活质量有明显改善。 The objective of this study was compare the efficacy of docetaxel monotherapy in senile advanced non small cell lung cancer by weekly and 3-weekly.Weekly therapy group (Group A) were adminstred docetaxel 35 mg/m2 solutioned by 100 mL saline on d1,d8,d15,and 4 weeks as one cycle;3-weekly therapy group (Group B) were adminitred docetaxel 75 mg/m2 on d1,and 3 weeks as one cycle.The efficacy was assessed every two cycles and keep on chemotheray for those who get good outcome.After 6 cycles the efficacy,accumulated toxicity and life quality scores were assessed.The efficacy,the median time to progress and median survival time were 25.0% and 21.7%,4.41 and 3.96 months,10.50 and 9.17 months respectivly.The values of P were all above 0.05,and the difference had no statis significency.Comparing to Group B,Group A had a mild hematoxicity and hairless,the life quality got significent approved.The prime study outcome indicated that the docetaxel mono weekly therapy has a milder hematoxcity and a better life quality without affecting efficacy than 3-weekly therapy.
作者 王英
出处 《中华肿瘤防治杂志》 CAS 2010年第16期1311-1312,共2页 Chinese Journal of Cancer Prevention and Treatment
关键词 非小细胞肺 多西他赛 药物疗法 carcinoma non-small-cell lung docetaxel drug therpy
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