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谷胱甘肽防治奥沙利铂神经毒性的临床观察

Efficacy of reduced glutathione in preventing and treating neurotoxicity of oxaliplatin

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【作者】 黄平逯华陈日新罗展雄徐艺安

【Author】 HUANG Ping,LU Hua,CHEN Ri-Xin,et al(Department of Oncology,Liuzhou People’s Hospital,the Five Affiliated Hospital of Guangxi Medical University,Liuzhou,Guangxi 545001,China)

【机构】 广西医科大学第五附属医院柳州市人民医院肿瘤科广西医科大学第五附属医院柳州市人民医院肿瘤科 广西柳州545001广西柳州545001

【摘要】 目的评价谷胱甘肽防治奥沙利铂神经毒性的临床疗效。方法将68例使用奥沙利铂方案化疗的患者随机分为两组。预防治疗组在奥沙利铂化疗前一天开始使用谷胱甘肽,每日3000 mg,加入5%葡萄糖注射液250 ml中静脉滴注,连用3 d;对照组只予对症治疗,不用谷胱甘肽。结果对照组奥沙利铂神经毒性发生率为81.8%(27/33),预防组34.3%(12/35),经χ2检验,差异有非常显著性(P<0.01)。结论谷胱甘肽对预防奥沙利铂的神经毒性有较好的效果,是预防奥沙利铂的神经毒性的主要措施之一。

【Abstract】 Objective To evaluate the efficacy of reduced glutathione in preventing and treating neurotoxicity of oxaliplatin.Methods Sixty-eight patients receiving chemotherapy with oxaliplatin were randomly divided into two groups.One day before chemotherapy with oxaliplatin,the prevention and treatment group received 250ml 5% glucose injection added with 3000 mg reduced glutathione intravenously every day for 3 days.Control group only received symptomatic treatment.Results The incidence rate of neurotoxicity in prevention and treatment group was 34.3%(12/35),while that in control group was 81.8%(27/33)(P<0.01).Conclusions Reduced glutathione has good efficacy in preventing and treating neurotoxicity of oxaliplatin,so it is one of the methods to prevent and treat neurotoxicity of oxaliplatin.

【关键词】 谷胱甘肽奥沙利铂神经毒素类预防
【Key words】 GlutathioneOxaliplatinNeurotoxicityPrevention
  • 【文献出处】 中国肿瘤临床与康复 ,Chinese Journal of Clinical Oncology and Rehabilitation , 编辑部邮箱 ,2007年02期
  • 【分类号】R730.5
  • 【被引频次】16
  • 【下载频次】142
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