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培美曲塞二线治疗非小细胞肺癌的临床观察

Clinical observation of pemetrexed in second-line treatment of non-small cell lung cancer
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摘要 目的观察培美曲塞二线单药治疗非小细胞肺癌(NSCLC)的临床疗效及毒副反应。方法选择经病理及细胞学诊断为NSCLC患者25例,均有可测量和评估的病灶。给予培美曲塞500 mg/m2加入0.9%氯化钠100 ml中静滴,21 d为1周期,连用2~4周期。结果总有效率为8%,临床获益率为72%。主要毒副反应是Ⅰ~Ⅱ度骨髓抑制。结论培美曲塞治疗复发、转移的NSCLC有较好的临床获益率,不良反应小,值得临床推广应用。 Objective To observe the clinical effect and toxicity of pemetrexed monotherapy in the treatment of advanced non-small cell lung cancer(NSCLC).Methods Twenty-five patients with advanced NSCLC diagnosed by pathology or cytology were enrolled into the study.The patients received pemetrexed 500 mg / m2on d1,intravenously every 21 days as one cycle and the effects were evaluated after 2 ~ 4 cycles.Results The total response rate was 8%.The clinical benefit rate was 72%.The main toxicity was Grade Ⅰ ~ Ⅱ hematological toxicity.Conclusion Pemetrexed is an effective therapy for the patients with advanced NSCLC.Its efficacy is better,the toxicities can be tolerated and is worth clinical promotion.
出处 《中国临床新医学》 2013年第9期876-877,共2页 CHINESE JOURNAL OF NEW CLINICAL MEDICINE
关键词 非小细胞肺癌 培美曲塞 疗效 毒副反应 Non-small cell lung cancer(NSCLC) Pemetrexed Clinical effect Toxicity
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