多西他赛联合奥沙利铂治疗晚期非小细胞肺癌34例临床观察

    Treatment of advanced non-small cell lung cancer with combination therapy of docetaxel and oxaliplatin: A report of 34 cases

    • 摘要: 目的:观察多西他赛联合奥沙利铂治疗晚期非小细胞肺癌(NSCLC)的临床疗效和毒副反应。方法:选择Ⅲb期、Ⅳ期NSCLC癌患者34例(Karnofsky评分≥ 60分,预计生存期≥ 3个月),多西他赛75 mg/m2,静脉滴注,第1天;奥沙利铂130 mg/m2,静脉滴注,第2天。21天为1周期,连用2周期后评定疗效。结果:34例均可评价疗效,部分缓解(PR)8例,稳定(SD)19例,进展(PD)7例,总有效率(CR+PR)为23.5%。主要毒副反应为外周神经炎和骨髓抑制。结论:多西他赛联合奥沙利铂治疗晚期NSCLC癌有效,毒副反应可耐受,尤适于老年耐药患者。

       

      Abstract: Objective: To observe the effect and side effect of docetaxel combined with oxaliplatin in the treatment of non-small cell lung cancer(NSCLC).Methods: Thirty-four patients with advanced NSCLC(Karnofsky score ≥ 60,expectancy life span ≥ 3 months) were included in the sstudy.Docetaxel 75 mg/m2 was administrated in intravenous infusion at day 1 and oxaliplatin 130 mg/m2 was administrated at day 2.One cycle consisted of 21 days and the clinical response was assessed after two cycles.Results: Of the 34 patients,CR was achieved in 0,PR in 8,SD in 19 and PD in 7.The response rate was 23.5%.The main side effects were peripheral neuritis and inhibition of bone marrow.Conclusions: Combination therapy of docetaxel and oxaliplatin is effective on advanced NSCLC with acceptable toxicity and especially suitable for elderly and drug resistant patients.

       

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