中国当代医药2024,Vol.31Issue(6) :66-69.

单唾液酸四己糖神经节苷脂对非小细胞肺癌白蛋白结合型紫杉醇所致周围神经毒性的预防效果

Effect of Monosialteterahexosyl ganglioside on the prevention of peripher-al neurotoxicity induced by albumin-binding paclitaxel

熊鑫
中国当代医药2024,Vol.31Issue(6) :66-69.

单唾液酸四己糖神经节苷脂对非小细胞肺癌白蛋白结合型紫杉醇所致周围神经毒性的预防效果

Effect of Monosialteterahexosyl ganglioside on the prevention of peripher-al neurotoxicity induced by albumin-binding paclitaxel

熊鑫1
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作者信息

  • 1. 江西省胸科医院肿瘤二科,江西南昌 330006
  • 折叠

摘要

目的 观察探讨非小细胞肺癌(NSCLC)患者在白蛋白结合型紫杉醇化疗期间应用单唾液酸四己糖神经节苷脂防治化疗致周围神经毒性(CIPN)的临床效果.方法 选择2020年2月至2022年10月江西省胸科医院肿瘤科收治的80例NSCLC患者为研究对象,采用随机数字表法分为对照组(应用白蛋白结合型紫杉醇化疗)、治疗组(应用白蛋白结合型紫杉醇化疗同时静脉注射单唾液酸四己糖神经节苷脂),各40例.比较CIPN发生率、临床症状缓解时间、白细胞介素-6(IL-6)、皮质醇(Cor)、C反应蛋白(CRP)、不良反应.结果 治疗组CIPN发生率低于对照组,差异有统计学意义(P<0.05);治疗组四肢麻木、肢体疼痛、手足套感等症状缓解时间短于对照组,差异有统计学意义(P<0.05);两组治疗后IL-6、Cor、CRP水平低于治疗前,且治疗组治疗后低于对照组(P<0.05);两组皮疹、肝肾损害、心律不齐等不良反应比较,差异无统计学意义(P>0.05).结论 白蛋白结合型紫杉醇化疗治疗非小细胞肺癌患者期间静脉注射单唾液酸四己糖神经节苷脂,能够有效预防周围神经毒性,缓解临床症状,减轻炎症应激状态,安全性可,具有临床应用价值.

Abstract

Objective To investigate the clinical effect of Monosialteterahexosyl ganglioside in the prevention and treatment of chemotherapy-induced peripheral neurotoxicity(CIPN)in patients with non-small cell lung cancer(NSCLC)during albu-min-binding paclitaxel chemotherapy.Methods A total of 80 patients with NSCLC admitted to the Oncology Department of Jiangxi Chest Hospital from February 2020 to October 2022 were selected.Random number table method was used for con-trol observation.The control group(Albumin-binding Paclitaxel chemotherapy)and the treatment group(Albumin-binding Paclitaxel chemotherapy combined with intravenous injection of Monosialteterahexosyl ganglioside)included 40 patients each.CIPN incidence,clinical symptom remission time,interleukin-6(IL-6),cortisol(Cor),C-reactive protein(CRP)and adverse reactions were compared.Results The incidence of CIPN in the treatment group was lower than that in the control group,with a statistically significant difference(P<0.05).The relief time of symptoms such as limb numbness,limb pain,and hand foot sensation in the treatment group was shorter than that in the control group,with a statistically significant dif-ference(P<0.05).After treatment,the levels of IL-6,Cor,and CRP in both groups were lower than before treatment,and the treatment group was lower than the control group,with statistical significances(P<0.05).There was no statistically sig-nificant difference in adverse reactions such as rash,liver and kidney damage,and abnormal heartbeat between the two groups(P>0.05).Conclusion Intravenous injection of Monosialteterahexosyl ganglioside during the treatment of non-small cell lung cancer patients with albumin-binding paclitaxel chemotherapy can effectively prevent peripheral neurotoxicity,re-lieve clinical symptoms,reduce inflammatory stress state,safe and has clinical application value.

关键词

非小细胞肺癌/紫杉醇/单唾液酸四己糖神经节苷脂/周围神经毒性/炎症应激

Key words

Non-small cell lung cancer/Paclitaxel/Monosialteterahexosyl ganglioside/Peripheral neurotoxicity/Inflam-matory stress

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基金项目

江西省卫生健康委科技计划项目(SKJP220211390)

出版年

2024
中国当代医药
中国保健协会 当代创新(北京)医药科学研究院

中国当代医药

影响因子:1.215
ISSN:1674-4721
参考文献量20
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