摘要
目的:对比观察多西他赛联合顺铂三周方案与每周方案治疗非小细胞肺癌临床疗效及毒副反应。方法:三周方案组(A组):多西他赛75mg/m2静滴,第1天,顺铂25mg/m2静滴,第1~3天,每3~4周重复;每周方案组(B组):多西他赛60mg静滴,第1天,40mg静滴,第8、15天,顺铂25mg/m2静滴,第1、8、15天,每4周重复。治疗2个周期评价疗效,每周期评价毒性。结果:两组共71例,无CR,三周方案组PR14例,SD13例,总有效率41.2%。每周方案组PR16例,SD14例,总有效率44.4%,两组中性粒细胞Ⅲ/Ⅳ度减少分别为70.6%和25%;非血液学毒性主要是疲劳乏力,两组分别为44.1%和19.4%。结论:多西他赛联合顺铂治疗非小细胞肺癌三周与每周治疗相比,疗效相似,但每周治疗血液学毒性反应与疲劳乏力感明显下降,耐受性好。
Purpose:To compare the response and toxic reaction of 3-weeks’ and weekly taxotere/cisplation treatment in non-small-cell lung cancer. Methods:Group A: Taxotere 75mg/m^2 IV d 1,cisplatin 25mg/m^2 d 1-3 q3-4w; Group B: Taxotere 60 mg IV d1, taxotere 40 mg IV d8,d15, cisplatin 25 mg/m^2 IV d 1,d 8,d 15 q3-4w. The clinical responses were assessed after two cycles. Toxicity was assessed every cycle. Results:There was no CR in the 71 cases . There were 14 PR, 13 SD in group A; there were 16 PR, 14 SD in group B. The overall response rates were 41.2% and 44.4% in group A and B. The rates of grade Ⅲ/Ⅳ neatropenia were 70.6% and 25% in group A and B. The major nonhematologic toxicity was weakness. The rates of weakness were 44.1% and 19.4% in group A and B. Conclusions:The response rates were similar between groups A and B. The occurrence of hematologic toxicity and weakness were lower in weekly treatment.
出处
《中国癌症杂志》
CAS
CSCD
2005年第2期169-170,共2页
China Oncology
关键词
非小细胞肺癌
多西他赛
顺铂
三周治疗
每周治疗
non-small-cell lung cancer
taxotere
cisplatin
3-weeks’ treatment
weekly treatment
