期刊文献+

培美曲塞单药或联合化学治疗晚期复发性非小细胞肺癌的临床研究 被引量:6

Clinical Study on Simple Pemetrexed or Combined Chemotherapy in the Treatment of Advanced Recurrent Non Small Cell Lung Cancer
下载PDF
导出
摘要 目的:比较培美曲塞单药和联合化学治疗(化疗)两种不同化疗方案在晚期复发性非小细胞肺癌(NSCLC)中的有效性和安全性。方法:纳入我院73例晚期复发性NSCLC患者作为研究对象,根据治疗方案不同,37例接受培美曲塞单药化疗(单药组),另36例接受培美曲塞联合铂类化疗(联合组)。结果:单药组与联合组客观缓解率(43.24%vs 38.89%)及疾病控制率(89.19%vs 86.11%)比较,无显著性差异(P>0.05)。结论:培美曲塞单药和联合铂类化疗方案化疗效果相当,尤其适用于非鳞癌患者,但单药化疗药物毒副作用少,因此对于晚期复发性NSCLC患者,推荐培美曲塞单药化疗方案。 Objective:To study the application value of simple pemetrexed or combined chemotherapy in the treatment of advanced recurrent non small cell lung cancer(NSCLC).Methods:Seventy-three patients with advanced recurrent NSCLC who were admitted in our hospital from March 2012 to March 2014 were selected as the study subjects.Among them,37 patients were treated with simple pemetrexed chemotherapy(single drug group),and 36 patients were treated with pemetrexed combined with platinum-based chemotherapy(combined group).Results:There were no significant differences in objective remission rate and disease control rate between the single drug group(43.24%,89.19%) and the combined group(38.89%,86.11%)(P〉0.05).Conclusion:The effects of simple pemetrexed and it combined with platinum-based chemotherapy are similar,especially suitable for patients without squamous carcinoma.The side effects of single drug chemotherapy are fewer.Therefore,for patients with advanced recurrent NSCLC,simple pemetrexed chemotherapy is recommended.
作者 杨茂楠
出处 《中国医药导刊》 2017年第2期168-169,175,共3页 Chinese Journal of Medicinal Guide
关键词 NSCLC 培美曲塞 联合化疗 单药 NSCLC Pemetrexed Combined chemotherapy Single drug
  • 相关文献

参考文献10

二级参考文献98

  • 1陈智伟,廖美琳,陈玉蓉,赵家美,张心敏,成柏君.WHO标准和RECIST标准评价肺癌化疗疗效的比较[J].循证医学,2004,4(2):83-84. 被引量:34
  • 2王淳,阎瑞芳.双环铂诱导肺癌细胞发生凋亡的初步评价[J].实用肿瘤学杂志,2005,19(1):21-22. 被引量:4
  • 3闫长会,施畅,李玉凤,廖明阳.新铂类药物双环铂与顺铂、卡铂体内毒性的比较研究[J].中国新药杂志,2005,14(10):1156-1159. 被引量:18
  • 4Zhao R, Qiu A,Tsai E, et al. The proton-coupled folale transporter: impact on pometrexed transport and on antifolates activities compared with the reduced folate carrier[ J]. Mol Pharm, 2008,74 (3) :854- 862.
  • 5Baldwin CM,Perry CM. Pemetrexed:a review of its use in the management d advanced non-squamous non-small cell lung cancer[J]. Drugs ,2009,69(16) :2279-2302.
  • 6Chattoopadhyay S,Moran RG, Goldman ID. Pemetrexed:biochemical and cellular pharmacologymechanismsand clinical applications [ J ]. Mol Cancer,2007,6 (2) :404-417.
  • 7Celli AC, Rothbart SB, Heyer CL, et al. Therapeutics by cytotoxic metabolite accumulation:pemetrexed causes ZMP accumulation- AMPK activation and mammalian target or rapamycin inhibition[J]. Cancer Res,2009,69 ( 13 ) :5467-5474.
  • 8Latz JE, Karlsson MO, Rusthoven JJ, et al. A semimechanistic-physiologic population Phannacokinetic/pharmacodynamlc model for neutropenia follow/ng pemetrexed therapy[ J]. Cancor Chemothor Pharmacol,2006,57 (4) :412-426.
  • 9Gridelli C, Kaukel E, Gregore V, et al. Single-agent pemetrexed or sequential pemetrexed/gemcltabine as frontoline treatment of advanced non-small ceU lung cancer in elderly patients or patients ineligible for phase II platinum-based chemotherapy: a trial[J]. J Thorac Oneol,2007,2(3) :221-229.
  • 10Tucker S. The role of pemetrexed in second-line chemotherapy for advanced non-small eel] lung cancer[J]. Curr Drug Targets ,2010, 11(1) :58-60.

共引文献1721

同被引文献43

二级引证文献43

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部