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国产紫杉醇联合方案对60 岁以上晚期非小细胞肺癌患者近期生存质量的影响

The Living Quality Infection of Combined Chemotherapy of Domestic Paclitaxel and Carboplatin for the Patients with Advanced Non-small Cell Lung Cancer and their Age was Up-ward 60 Years

  • 摘要: 目的 探讨国产紫杉醇对60岁以上晚期非小细胞肺癌患者的近期生存质量的影响。方法 将78例60岁以上晚期非小细胞肺癌患者随机分为两组,并分别给予国产紫杉醇和卡铂组成的CT方案及足叶乙甙和卡铂组成的CE方案化疗,并观察和比较两组患者的近期疗效和生存质量。结果 CT方案的客观疗效(47.50%)、中位缓解期(8个月)、中位生存时间(11个月)、病变进展时间(6个月)、1年生存率(30%)和临床受益疗效(行为状态阳性率52.50%,体重阳性率40%)均高于CE方案,有显著性差异(P〈0.05或0.01);但毒副反应两组无明显差别(P〉0.05),两种治疗方案均能显著改善60岁以上晚期非小细胞肺癌患者的近期生存质量,但CT方案治疗后1个月和4个月的QOL评分更优于CE方案,差异显著(P〈0.05)。结论 国产紫杉醇注射液联合卡铂组成的CT方案治疗老年晚期非小细胞肺癌的疗效明显优于Vp-16加卡铂组成的CE方案,并能更好地提高晚期老年非小细胞肺癌患者的生存质量和临床受益疗效。

     

    Abstract: Objective  To discuss the living quality infection of combined chemotherapy of domestic paclitaxel and carboplatin for the patients with advanced non-small cell lung cancer (NSCLC) and their age was upward 60 years. Methods  78 cases the aged patient with advanced non-small cell lung cancer were randomly divided into two groups, and were respectively t reated with CT-regimen ( domestic paclitaxel of making in our country and carboplatin) and CE-regimen (etoposide and carboplatin) . And to observed and compared recent effect and living quality. Results  The impersonality effect (47. 50 %), median remissive time (8 moths), median survival time (11 moths), pathological headway time (6 moths), one year subsistence rate (30 %) and clinical benefit response (masculine rate of action estate 52. 50 %, masculine rate of avoirdupois 40 %) of CT-regimen were higher than that of CE-regimen ( 23. 68 %, 4 moths, 7 moths, 4 moths, 13. 16 %, 28. 9 %, 13. 2 %), there were evidently difference ( P < 0. 05 or 0. 01), but the side-effect of two groups was not evidently difference ( P > 0. 05) . The two treatment regimen all could significantly improve the recent living quality of the aged patients with advanced NSCLC, but af ter treatment 1 and 4 moths, the QOL grades of CT-regimen was excelled than that of CE-regimen, and there were significant difference ( P < 0. 05) . Conclusion  The effect of CT-regimen (domestic paclitaxel of making in our count ry and carboplatin) was significantly excelled that of CE-regimen (etoposide and carboplatin) in treating the patient s with advanced NSCLC and their age was upward 60 years. And the CT-regimen can better increase their living quality and clinical benefit response.

     

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