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吉西他滨联合顺铂治疗Ⅲ~Ⅳ期非小细胞肺癌的临床观察

Combination chemotherapy with domestic gemcitabine (ZEFEI) plus cisplatin in the treatment of advanced non-small cell lung cancer

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【作者】 李卫东金川马磊申维玺邹青峰吴迪

【Author】 LI Wei-dong,JIN Chuan,MA Lei, et al.The Second Chemotherapy Department of Tumor Hospital of Guangzhou,Tumor Institute Centre of Medical College of Guangzhou,Guangzhou 510095

【机构】 广州医学院临床肿瘤中心广州医学院临床肿瘤中心 广州市肿瘤医院化疗二科510095广州广州市肿瘤医院化疗二科510095广州

【摘要】 目的:观察国产盐酸吉西他滨(泽菲)联合顺铂治疗Ⅲ~Ⅳ期非小细胞肺癌(NSCLC)的近期疗效及毒副反 应。方法:初治的Ⅲ~Ⅳ期NSCLC病例30例,以21天为1周期,泽菲1.0g/m2,静脉滴注,d1、d8,顺铂30mg/m2,静脉滴注,d1 ~d3,连用2个周期后评价疗效。结果:全组30例均可评价,有效率为40%(12/30),主要毒副反应为胃肠反应(20%)和血液 学毒性,Ⅲ~Ⅳ级白细胞下降和血小板下降分别为20%和13%。结论:泽菲联合顺铂治疗NSCLC有较好疗效,毒性较小可以 耐受。

【Abstract】 Objective:To evaluate the efficacy and toxicity reactions of domestic gemcitabine (ZEFEI) plus cisplatin in the treatment of advanced non-small cell lung cancer (NSCLC).Methods:Selecting 30 previously untreated patients with advanced NSCLC,Domestic gemcitabine (ZEFEI) was given on day 1,8 at a dose of 1.0g/m 2 and cisplatin at a dose of 30mg/m 2 on day 1-3.The chemotherapy was repeated every 21 days with two cycles.Results:The response rate was 40%(12/30).The main toxicity reactions were nausea/vomiting (Ⅲ~Ⅳ grade:20%) and hematologic toxicity.The prevalence of grade Ⅲ leukopenia and thrombocytopenia was 20% and 13% respectively.Conclusion:The domestic gemcitabine (ZEFEI) plus cisplatin combination is a highly effective regimen for patients with advanced NSCLC,with a manageable toxicity.

【关键词】 非小细胞肺癌化疗泽菲顺铂
【Key words】 Advanced non-small cell lung cancerChemotherapyZEFEICisplatin
  • 【文献出处】 临床肿瘤学杂志 ,Chinese Clinical Oncology , 编辑部邮箱 ,2005年01期
  • 【分类号】R734.2
  • 【被引频次】3
  • 【下载频次】99
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