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阿瑞匹坦对妇科恶性肿瘤化疗相关不良反应的影响

Effect of Aprepitant on Chemotherapy-induced Adverse Reactions in Gynecological Malignancy Patients

  • 摘要:
    目的 观察阿瑞匹坦治疗妇科恶性肿瘤患者化疗后恶心呕吐的疗效及对血红蛋白水平的影响。
    方法 收治我院85例妇科恶性肿瘤患者, 根据患者止吐药物使用情况分为阿瑞匹坦组和对照组, 对照组予以化疗及常规对症处理, 阿瑞匹坦组在对照组的基础上加用阿瑞匹坦, 观察两组恶心呕吐、血红蛋白水平以及外周血象等变化。
    结果 阿瑞匹坦组患者化疗后恶心、呕吐发生率低(P < 0.05), 但两组头晕、头痛等其他不良反应发生率差异均无明显统计学意义(P > 0.05)。化疗后红细胞数下降的程度稍轻于对照组(P > 0.05)。
    结论  阿瑞匹坦不仅可以有效预防化疗所致恶心、呕吐的发生, 提高患者生活质量和治疗依从性, 还可使患者尽早进食, 有利于血红蛋白的生成, 减弱肿瘤负荷和化疗所致贫血程度。

     

    Abstract:
    Objective To observe the curative effect of aprepitant on chemotherapy-induced nausea and vomiting(CINV) and hemoglobin level in gynecological malignancy patients.
    Methods A total of 85 gynecological malignancy patients in our hospital from July 2013 to June 2017 were divided into the aprepitant group and the control group, according to patients' anti-nausea drug usage.Both groups received chemotherapy and conventional symptomatic treatment; the aprepitant group was added with aprepitant.We observed nausea and vomiting, hemoglobin level and peripheral blood in two groups.
    Results The incidence of nausea and vomiting after chemotherapy was lower in the aprepitant group(P < 0.05), but there was no significant difference in the incidence of dizziness, headache or other adverse reactions between two groups (P > 0.05).The decrease of erythrocyte number after chemotherapy in the aprepitant group was slightly less than that in the control group(P > 0.05).
    Conclusion  The aprepitant could not only effectively prevent the occurrence of chemotherapy-induced nausea and vomiting, improve patients' quality of life and treatment compliance, but also make patients eat early, which is conducive tothe formation of hemoglobin and reducing tumor burden and chemotherapy-induced anemia.

     

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