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1、·66·床漁20生魚旦箜墊鲞笠魚塑髓魚!Y0l:墊.魚neQ替吉奧膠囊聯(lián)合貞芪扶正膠囊治療老年非小細(xì)胞肺癌臨床觀察劉靜,趙增虎,楊文[摘要】目的探討替吉奧膠囊聯(lián)合貞芪扶正膠囊治療老年非小細(xì)胞肺癌的臨床效果。方法選擇75歲以上的非小細(xì)胞肺癌患者66例,隨機(jī)分為觀察組32例及對照組34例。觀察組予替吉奧膠囊聯(lián)合貞芪扶正膠囊治療(替吉奧膠囊4O一60mg、2/d口服,治療14d,休息7d;貞芪扶正膠囊6粒、2/d口服)。對照組予消癌平膠囊聯(lián)合貞芪扶正膠囊治療(消癌平膠囊4~5粒、3/d口服,貞芪扶正膠囊6粒、2/d口服)。3周為1個(gè)周期,兩組均用藥6個(gè)周期評價(jià)
2、近期療效,之后繼續(xù)服藥至不能耐受停止用藥為止,隨訪至死亡,觀察遠(yuǎn)期療效。結(jié)果觀察組疾病控制率(DCR)為75.O%,對照組DCR為11.8%,兩組比較差異有統(tǒng)計(jì)學(xué)意義(P<0.O1);觀察組疾病進(jìn)展時(shí)間(TTP)(3.42-4-1.21)個(gè)月、總生存期(OS)(13.94±2.53)個(gè)月、1年生存率34.4%,對照組TTP(0.83±0.42)個(gè)月、OS(7.62±1.35)個(gè)月、1年生存率8.8%,兩組比較差異均有統(tǒng)計(jì)學(xué)意義(P<0.05);兩組血液毒性反應(yīng)及胃腸道毒性反應(yīng)發(fā)生率比較差異無統(tǒng)計(jì)學(xué)意義(P>0.05)。結(jié)論替吉奧膠囊聯(lián)合貞芪扶正膠囊治療老
3、年非小細(xì)胞肺癌安全有效。[關(guān)鍵詞]癌,非小細(xì)胞肺;老年人;替吉奧膠囊;貞芪扶正膠囊[中國圖書資料分類號】R730.26[文獻(xiàn)標(biāo)志碼】A[文章編號]1002—3429(2015)06-0066-04[DOI]10.3969/j.issn.1002—3429.2015.06.027ClinicalResearchofGimeracilCapsuleCombinedwithZhenStilbeneRightingCapsulesinTreatmentofSenileNon-smallCellLungCancerLIUJing,ZHAOZeng—hu,YANGW
4、en(1.DepartmentofGastr0enter0l0gy,GeneralHospitalofPLANavy,Beijing100048,China;2.DepartmentofOncology,251HospitalofPLA,Zhangjiakou,Hebei075000,China)[Abstract]ObjectiveTodiscusstheclinicalefectofGimeracilCapsulecombinedwithZhenStilbeneRightingcap·sulesintreatmentofsenilepatientsw
5、ithnon-smallcelllungcancer.Methods66non—smallcelllungcancerpatients(75yearsoldandover)wererandomlydividedintoobservationgroup(32cases)andcontrolgroup(34cases).ObservationgroupreceivedGimeracilcapsulescombinedwithZhenStilbeneRightingcapsules,Gimeraeilcapsules40—60mg/eachtime,twoti
6、mesperdayfor14daysandthenrestedfor7days.6ZhenStilbeneRightingcapsulesweregiveneachtime,twotimesperday.ControlgroupreceivedEliminatecancerFlatcapsulescombinedwithZhenStilbeneRightingcapsules,Eliminatecancerfiatcapsules(4-5grains/eachtime),threetimesperday,ZhenStilbeneRightingcapsu
7、les,(6grains/eachtime),twotimesperday.Threeweekswasacycle,andtherewere6cyclesandthecurativeeffectwasreviewed.Themedicationcontin—ueduntilthepatientwasnotabletotolerateandthenitwasstopped.Afollow—upwasca~iedouttillthepatientsdied.Re-suitsStatisticallysignificantdifferencebetweenth
8、etwogroupswasobservedwiththediseasecontr