不同制剂紫杉醇联合表柔比星治疗晚期乳腺癌的临床观察Efficacy of different formulations of paclitaxel combined with pirarubicin in treatment of advanced breast cancer
涂俊,杨娟,刘景丽,瞿广桥
摘要(Abstract):
目的探讨紫杉醇或白蛋白结合型紫杉醇联合表柔比星治疗晚期乳腺癌的临床疗效及不良反应。方法选取62例晚期乳腺癌患者,按照随机对照双盲的原则将其分为治疗组和对照组各31例,其中治疗组采用白蛋白结合型紫杉醇(260 mg/m~2)联合表柔比星(75 mg/m~2)治疗,对照组采用紫杉醇(175 mg/m~2)联合表柔比星(75mg/m~2)治疗。治疗2个周期后,观察比较两组患者的临床疗效及不良反应发生情况。结果治疗组的治疗总有效率93.5%(29/31)高于对照组的71.0%(22/31),差异具有统计学意义(χ~2=5.420,P=0.020)。两组不良反应发生率比较差异无统计学意义(P>0.05)。结论与紫杉醇联合多柔比星比较,白蛋白结合型紫杉醇联合表柔比星治疗晚期乳腺癌疗效好且不良反应可耐受。
关键词(KeyWords): 乳腺肿瘤/药物疗法;表柔比星/投药和剂量;表柔比星/治疗应用;药物疗法,联合;紫杉酚/投药和剂量;紫杉酚/类似物和衍生物;血清白蛋白;双盲法;治疗结果
基金项目(Foundation):
作者(Author): 涂俊,杨娟,刘景丽,瞿广桥
DOI: 10.13267/j.cnki.syzlzz.2017.02.015
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