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唑来膦酸合并放射治疗骨转移癌临床研究

CLINICAL STUDY OF METASTATIC BONE TUMOUR TREATED WITH ZOLEDRONIC ACID COMBINED WITH RADIOTHERAPY

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【作者】 曹辉单硕周光王海龙翁欣然郑汉光

【Author】 CAO Hui~1,SHAN Shuo~1,ZHOU Guang~1,WANG Hai-Long~1,WENG Xin-Ran~1,ZHENG Han-Guang~2(~1Department of Radiation Oncology,Wenzhou 2nd Municipal Medicine Hospital,Wenzhou 325000;~2Department of Pain Management,Integrated Traditional Chinese and Western Hospital of Zhejiang Province)

【机构】 温州市第二人民医院放疗科浙江省中西医结合医院疼痛科 温州325000温州325000

【摘要】 目的:观察唑来膦酸联合放射治疗对骨转移癌疼痛的疗效及不良反应。方法:98例骨转移癌患者随机分成观察组(51例)和对照组(47例)。观察组静滴唑来膦酸4 mg加局部放疗37.5GY/15F,之后再静滴唑来膦酸4 mg;对照组则单纯行放疗。结果:观察组与对照组止痛有效率分别为88.2%和74.5%(P>0.05),多发骨转移癌疼痛病灶研究组与对照组止痛有效率分别为86.5%和67.6%(P<0.05),随访2个月后观察组与对照组止痛有效率分别为86.3%和66.0%(P<0.05)。结论:唑来膦酸联合放射治疗骨转移癌疼痛疗效优于单纯放疗,唑来膦酸副作用轻。

【Abstract】 Objective: To evaluate the efficacy of zoledronic acid combined with radiotherapy to relieve pain due to metastatic bone tumours.Methods: 98 patients with metastatic bone tumours were randomly divided into observation group(51 cases) and control group(47 cases).Observation group was treated with zoledronic acid(4 mg,i.v.) and combined with radiotherapy(DT 37.5GY/15F);control group was only treated by radiotherapy.Results: The effective rate of the observation group and control group was 88.2% and 74.5%,respectively(P>0.05).For multiple focus of bone metastasis tumour pain,the effective rate of observation group was 86.5%,while the control group was 67.6%(P<0.05);after two-month follow-up,the effective rate of the observation group and control group was 86.3% and 66.0%,respectively(P<0.05).Conclusion: Acid combined with radiotherapy is effective to relieve pain from metastatic bone tumours,and the side effect was mild.

【关键词】 唑来膦酸放射治疗骨转移癌疼痛
【Key words】 Zoledronic acidRadiotherapyMetastatic bone tumourPain
【基金】 温州市医药卫生科研项目(2005047)
  • 【文献出处】 中国疼痛医学杂志 ,Chinese Journal of Pain Medicine , 编辑部邮箱 ,2006年01期
  • 【分类号】R738.1
  • 【被引频次】6
  • 【下载频次】96
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