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培美曲塞联合顺铂治疗晚期非小细胞肺癌的近期疗效及安全性 被引量:38

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摘要 目的探讨培美曲塞联合顺铂治疗晚期非小细胞肺癌(NSCLC)的近期疗效及安全性。方法选择NSCLC患者93例,随机分为培美曲赛联合顺铂组(Ⅰ组)45例、多西他赛联合顺铂组(Ⅱ组)48例。Ⅰ组给予注射用培美曲塞二钠+顺铂方案化疗,Ⅱ组给予多西他赛+顺铂方案化疗,21 d为1个疗程,治疗4个疗程。比较两组临床疗效、毒性反应及中位生存期、1年生存率。结果Ⅰ组总有效率为44.4%,Ⅱ组总有效率为43.75%,两组比较P>0.05。随访至2013年1月,Ⅰ组中位生存期为11.6个月、1年生存率为45.2%,Ⅱ组分别为10.4个月、44.1%,两组中位生存期及1年生存率比较P均>0.05。除Ⅰ组Ⅲ~Ⅳ度白细胞减少发生率(6.66%)显著低于Ⅱ组(20.83%)外,其余毒性反应发生率比较差异均无统计学意义(P均>0.05)。结论培美曲塞联合顺铂治疗晚期NSCLC安全、有效,可作为NSCLC临床一线化疗药物。
出处 《山东医药》 CAS 2013年第21期62-64,共3页 Shandong Medical Journal
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