首页|复方苦参注射液配合同期放化疗治疗鼻咽癌的临床观察

复方苦参注射液配合同期放化疗治疗鼻咽癌的临床观察

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目的:探讨复方苦参注射液配合同期放化疗治疗鼻咽癌的临床治疗效果及对放射性口腔黏膜炎、放射性皮炎和其他放化疗不良反应的影响。方法:采用回顾性分析,选取 2021-2022 年该院肿瘤科收治的 100 例鼻咽癌患者,依据治疗方法分为观察组(n=48)和对照组(n=52)。对照组患者的治疗方案为同步放化疗,调强适形放疗,期间使用顺铂治疗;观察组患者在对照组的基础上联合复方苦参注射液静脉滴注,1日1次,连续应用14 d,停用7 d;两组患者的治疗周期均为 6 周。比较两组患者的近期疗效,治疗期间放射性口腔黏膜炎、放射性皮炎及其他放化疗不良反应的发生率。结果:治疗后,观察组患者客观缓解率为 91。7%(44/48),高于对照组的88。5%(46/52),但差异无统计学意义(P>0。05)。治疗期间,观察组患者放射性口腔黏膜炎、放射性皮炎发生率低于对照组,差异均有统计学意义(P<0。05);两组患者骨髓抑制发生率的差异无统计学意义(P>0。05)。观察组患者消化道不良反应发生率低于对照组,差异有统计学意义(P<0。05)。结论:复方苦参注射液配合同步放化疗用于鼻咽癌患者,可减少放疗所致的放射性口腔黏膜炎、放射性皮炎,降低消化道不良反应发生率,提高同步放化疗的安全性。
Clinical Observation of Compound Kushen Injection Combined with Concurrent Radiochemo-therapy in the Treatment of Nasopharyngeal Carcinoma
OBJECTIVE:To probe into the clinical therapeutic effect of compound Kushen injection combined with concurrent chemoradiotherapy in the treatment of nasopharyngeal carcinoma and its effects on radiation oral mucositis,radiation dermatitis and other adverse drug reactions of chemoradiotherapy.METHODS:Retrospective analysis was adopted,100 patients with nasopharyngeal carcinoma admitted into oncology of the hospital from 2021 to 2022 were extracted to be divided into the observation group(n=48)and control group(n=52)according to different treatment methods.The control group received synchronous radiotherapy and chemotherapy:intensity-modulated conformal radiotherapy,during which cisplatin was used for treatment.Observation group was given intravenous infusion of compound Kushen injection on the basis of control group,once a day,for 14 d,and stopped for 7 d.The treatment period for both groups was 6 weeks.The short-term efficacy evaluation,incidence of radiation oral mucositis,radiation dermatitis and other adverse drug reactions of radiotherapy and chemotherapy were compared between two groups.RESULTS:After treatment,the objective remission rate of observation group was 91.7%(44/48),higher than 88.5%(46/52)of control group,the difference was not statistically significant(P>0.05).During treatment,the incidence of radiation oral mucositis and radiation dermatitis in observation group was lower than that in control group,with statistically significant difference(P<0.05).There was no significant difference in the incidence of bone marrow suppression between two groups(P>0.05).The incidence of gastrointestinal adverse drug reactions in observation group was lower than that in control group,the difference was statistically significant(P<0.05).CONCLUSIONS:Compound Kushen injection combined with concurrent chemoradiotherapy in the treatment of nasopharyngeal carcinoma can alleviate radiation induced oral mucosal inflammation and radiation dermatitis,decrease the incidence of gastrointestinal adverse drug reactions,and improve the safety of synchronous radiotherapy and chemotherapy.

Compound Kushen injectionConcurrent radiochemotherapyNasopharyngeal carcinomaSafety

李绍龙、黄伶茜、沈佳鹏、班海艳、黄芬

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钦州市第二人民医院肿瘤科,广西 钦州 535000

复方苦参注射液 同期放化疗 鼻咽癌 安全性

2024

中国医院用药评价与分析
中国医药生物技术协会,中国药房杂志社

中国医院用药评价与分析

CSTPCD
影响因子:1.142
ISSN:1672-2124
年,卷(期):2024.24(5)
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