首页|曲妥珠单抗联合多西他赛化疗对Ⅲ期乳腺癌患者的治疗效果及安全性的影响

曲妥珠单抗联合多西他赛化疗对Ⅲ期乳腺癌患者的治疗效果及安全性的影响

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目的 探讨曲妥珠单抗联合多西他赛化疗对Ⅲ期乳腺癌的治疗效果及安全性的影响.方法 选取2013年10月~2015年9月宁波市医疗中心李惠利东部医院确诊为Ⅲ期乳腺癌的患者150 例,按照随机数字表法分为实验组和对照组,每组各75例,对照组患者给予环磷酰胺联合多柔比星治疗,实验组患者给予曲妥珠单抗联合多西他赛化疗.以21 d 为1 疗程,所有患者均治疗3 个疗程.比较治疗前后2 组患者血清C 反应蛋白(C-reactive protein,CRP)水平变化,临床总有效率及不良反应发生率.结果 治疗后,2 组患者经血清CRP 水平显著降低,差异有统计学意义( P<.0.05);实验组血清CRP水平明显低于对照组,差异有统计学意义( P<.0.05);临床总有效率较高,差异有统计学意义( P<.0.05);不良反应发生率较低,差异有统计学意义( P<.0.05).结论 曲妥珠单抗联合多西他赛化疗能够有效降低Ⅲ期乳腺癌患者的炎症炎症反应,提高临床疗效,并有效减少患者的不良反应.
Effect of the efficacy and safety of trastuzumab combined with docetaxel chemotherapy in stage Ⅲ breast cancer
Objective To investigate the efficacy and safety of trastuzumab combined with docetaxel chemotherapy in the treatment of stage Ⅲ breast cancer.Methods 150 cases of stage Ⅲ breast cancer patients from October 2013 to September 2015 in our hospital were selected and randomly divided into experimental group and control group,75 cases in each group,the control group were treated with cyclophosphamide and doxorubicin treatment,experimental group were treated with trastuzumab combined with docetaxel chemotherapy.To 21 days for a course of treatment,all patients were treated three courses.The levels of serum C reactive protein(C-reactive protein,CRP),the total effective rate and the incidence of adverse reactions in two groups before and after treatment were compared.Results After treatment,the level of serum CRP in the two groups decreased significantly,the difference was statistically significant(P<0.05),the CRP levels of serum in experimental group was significantly lower than the control group,the difference was statistically significant(P<0.05),the clinical total effective rate is higher,the difference was statistically significant(P<0.05),the incidence rate of adverse reaction was lower,the difference was statistically significant(P<0.05).Conclusion Trastuzumab combined with docetaxel chemotherapy can effectively reduce the inflammatory response in patients with stage Ⅲ breast cancer,improve clinical efficacy,and effectively reduce the adverse reactions of patients.

trastuzumabdocetaxelbreast cancerclinical efficacysafety

李崎、吴伟主

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宁波市医疗中心李惠利东部医院 甲乳外科,浙江 宁波 315000

曲妥珠单抗 多西他赛 乳腺癌 临床疗效 安全性

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.(4)
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