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伊立替康联合顺铂治疗难治性小细胞肺癌的临床观察 被引量:4

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摘要 目的 观察伊立替康联合顺铂(IP组)二线治疗难治性小细胞肺癌的近期疗效及不良反应.方法 共32例患者,均为一线EP方案化疗失败或治疗后3~6个月内复发的小细胞肺癌患者.方法 伊立替康60mg/m2,第一,八天,顺铂25mg/m2,第一~三天,静脉滴注.21d为1个周期,每2周期评价1次.结果 32例患者中有1例患者因严重腹泻仅接受1个周期治疗,不能评价疗效,其余31例均接受2个周期以上治疗,均可评价疗效.CR1例,PR7例,SD10例,PD13例,总有效率为25.8%(8/31),疾病控制率为58.1%(18/31).中位疾病进展时间(mTTP)为3.0个月,中位生存期(MST)分别为8个月.不良反应:Ⅲ/Ⅳ度粒细胞下降为28.1%,Ⅲ/Ⅳ度血小板减少为9.4%,仅l例出现Ⅲ度腹泻.结论 伊立替康联合顺铂二线治疗难治性小细胞肺癌有较好疗效,不良反应均可以耐受.
机构地区 福建省肿瘤医院
出处 《海峡药学》 2013年第10期111-112,共2页 Strait Pharmaceutical Journal
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