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吉西他滨联合顺铂治疗老年晚期非小细胞肺癌的临床观察

Gemcitabine and Cisplatin Treatment of Advanced Non-small Cell Lung Cancer
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摘要 目的:探讨吉西他滨联合顺铂治疗老年晚期非小细胞肺癌的临床疗效。方法:回顾性分析我院近年来收治的80例老年晚期非小细胞肺癌患者的临床资料。结果:80例老年晚期非小细胞肺癌患者,中位生存时间38.6周,1年生存率为43.75%(35/80)。其中,鳞癌44例,客观有效率为43.18%,疾病控制率为77.27%。腺癌36例,客观有效率为38.89%,疾病控制率为75.0%。两种不同病理类型的晚期非小细胞肺癌患者,临床疗效经统计学分析,P>0.05,无明显差异性。白细胞下降Ⅲ~Ⅳ级发生率31.25%,居毒副反应的首位,但所有毒副反应经对症处理患者均可耐受,无化疗相关死亡病例。结论:吉西他滨联合顺铂治疗老年晚期非小细胞肺癌的临床疗效确切,毒副反应可以耐受,值得临床推广使用。 Objective:Gemcitabine and cisplatin treatment of advanced non-small cell lung cancer.Methods:Retrospective analysis of hospital in recent years,80 cases of elderly patients with advanced non-small cell lung cancer patients with clinical data.Results:80 cases of elderly patients with advanced non-small cell lung cancer patients,the median survival time was 38.6 weeks,1 year survival rate was 43.75%(35/80).Among them,44 cases of squamous cell carcinoma,objective response rate was 43.18%,disease control rate was 77.27%.36 cases of adenocarcinoma,objective response rate was 38.89%,disease control rate was 75.0%.Two different pathological types of advanced non small cell lung cancer patients,clinical efficacy by statistical analysis,P 0.05,no significant difference.Leukopenia grade Ⅲ ~ Ⅳ the incidence of 31.25%,the highest toxicity of the first,but the toxic side effects can be tolerated by symptomatic treatment of patients with no chemotherapy-related deaths.Conclusions:Gemcitabine and cisplatin treatment of advanced non-small cell lung cancer is effective,toxicity is tolerable for clinical use.
作者 叶世富
出处 《航空航天医药》 2010年第8期1447-1448,共2页 Aerospace Medicine
关键词 吉西他滨 顺铂 非小细胞肺癌 Gemcitabine Cisplatin Non-small cell lung cancer
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