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白蛋白紫杉醇联合治疗不可切除胰腺癌的疗效对比

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为了探究白蛋白紫杉醇联合替吉奥(AS)方案和白蛋白紫杉醇联合吉西他滨(AG)方案在治疗不可切除胰腺癌中的疗效及安全性,选取接受AS治疗方案(24例)和AG治疗方案(16例)的不可切除进展期胰腺癌患者作为研究对象,比较了2组患者的客观缓解率、总生存期、无进展生存期、3/4级不良反应发生率差异.结果表明,在客观缓解率、中位生存期、中位无进展生存期上,AS组均高于AG组,组间差异不具有统计学意义(P>0.05);在3/4级周围神经毒性的发生率上,AS组显著低于AG组,组间差异具有统计学意义(P<0.05);在3/4级血小板数量下降、白细胞减少、血红蛋白水平下降、感染性发热、恶心/呕吐、肝功能损害、纳差的发生率上,AS组均低于AG组,组间差异不具有统计学意义(P>0.05).在治疗不可切除胰腺癌时,AS方案具有更低的不良反应风险.
Transformative Efficacy of Albumin-Bound Paclitaxel Combined with Tegafur,Gimeracil and Oteracil for Unresectable Pancreatic Cancer
In order to explore the efficacy and safety of albumin paclitaxel combined with tegafur(AS)regimen and albumin paclitaxel combined with gemcitabine(AG)regimen in the treatment of unresect-able pancreatic cancer,patients with unresectable advanced pancreatic cancer who received AS regimen(24 cases)and AG regimen(16 cases)were selected as study subjects.Objective response rate,overall survival,progression-free survival and the incidence of grade 3/4 adverse reactions were compared be-tween the two groups.The results showed that the objective response rate,median survival time and me-dian progression-free survival time in AS group were higher than those in AG group,and there was no statistical significance between groups(P>0.05).The incidence of grade 3/4 peripheral nerve toxicity in AS group was significantly lower than that in AG group,and the difference was statistically significant(P<0.05).The incidence of grade 3/4 platelet count decrease,leukopenia,hemoglobin level decrease,in-fectious fever,nausea/vomiting,liver function impairment and poor appetite in AS group was lower than that in AG group,and the difference was not statistically significant(P>0.05).In the treatment of unr-esectable pancreatic cancer,the AS regimen has a lower risk of adverse effects.

pancreatic canceralbumin paclitaxelTegafur,Gimeracil and Oteracilgemcitabine

宋新、周国超、杨定华、付华、周旅、蔡融民、田潭平

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湘西自治州人民医院普外二科,湖南吉首 416000

胰腺癌 白蛋白紫杉醇 替吉奥 吉西他滨

2024

吉首大学学报(自然科学版)
吉首大学

吉首大学学报(自然科学版)

影响因子:0.451
ISSN:1007-2985
年,卷(期):2024.45(6)