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苦参碱加化疗治疗中晚期恶性肿瘤的临床观察 被引量:19

Clinical Investigation of Kosam Combined with Chemotherapy to Treat Advanced Malignant Tumors
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摘要 [目的]观察苦参碱 (吗特灵注射液 )加化疗治疗中晚期恶性肿瘤的疗效和毒副反应。[方法]126例患者随机分成治疗组65例 ,化疗同时联用吗特灵注射液 ,对照组61例单纯化疗。[结果]治疗组有效率48 4 % ,对照组有效率39 0 %。毒副反应 :白细胞下降Ⅲ~Ⅳ度治疗组有5例(7 7 %) ,对照组有15例(24 6 %) ,两组比较有显著差异(P<0 01)。Ⅲ度以上恶心、呕吐发生率治疗组12 3 %、6 2 % ,对照组57 4 %、42 6% ,两组比较有显著差异(P<0 01) ,卡氏评分治疗组升高42例(64 6%) ,对照组18例(29 5 %) ,两组比较有显著差异(P<0 01)。[结论]吗特灵联合化疗对中晚期肿瘤具有减轻毒副反应 ,提高病人的生存质量的作用 。 To study the effects and side effects of kosam(Mateling)combined chemotherapy in advanced malignanies. One hundred and twenty_six cases with cancer were randomly divided into two groups,65 cases were Mateling combined chemotherapy (Group A);the other cases were chemotherapy only (Group B).The response rate with group A and B is 48 4% and 39 0% respectively.Neutropenia at Ⅲ~Ⅳ degree was found in 5 cases (7 7%) and 15 cases (24 6%)with group A and B,respectively,and there was significant difference (P<0 01)between two groups .The proportion of vomiting and nausea with Ⅲ~Ⅳ degree was 12 3% and 6 2% in group A;57 4% and 42 6% in group B respectively.It was significantly different(P<0 01) in 2 groups.The Karnofsky Score improvement was found in 64 6% and 29 5% with group A and group B respectively (P<0 01).[Conclusion]Mateling can reduce side effects of chemotherapy and can improve the quality of life.So the combination of Mateling with chemotherapy was safe,feasible and effective in treating the malignant tumors.
机构地区 浙江省肿瘤医院
出处 《肿瘤学杂志》 CAS 2001年第2期95-97,共3页 Journal of Chinese Oncology
关键词 苦参子 药物疗法 肿瘤 生物碱 治疗 kosam drug therapy neoplasms alkaloid
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