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CA(E)P方案治疗非小细胞肺癌的疗效评估

Observation on the effect of the plan of CA(E)P to treat non-small cell lung carcinoma

  • 摘要: 本文报告CA(E)P方案,即环磷酰胺、阿霉素或表阿霉素、顺铂治疗非小细胞肺癌的近期疗效。本组共125例,男性111例,女性14例。年龄从17岁至72岁,平均年龄53.5岁。鳞癌89例,腺癌36例。采用CA(E)P方案联合化疗,总有效率为52.0%(65/125)。此方案对鳞、腺癌疗效无差异。本组病例疗效与分期、病人年龄、机体功能状态有关。阿霉素对心肌毒性反应,做了心肌酶谱检查,全组病例化疗前、后心肌酶谱改变不大,无统计学意义。对18例化疗前心电有变化者,化疗三个周期后,心肌改变明显,统计学处理有意义,P<0.01。提示我们在化疗过程中有心电图改变的病人,应慎用阿霉素或表阿霉素。

     

    Abstract: Combined chemotherapy using to plan of CA (E)P that is cyclophosphamid,adviamycin, cisplatin to treat non-small cell lung carcinoma was studied. In 125cases, male 111 cases, female 14 cases. The median age was 53. 5 years (17-72years). adeno-carcinoma 89 cases, squamous carcinoma 36 cases. The tatal effectine rate is 52. 0% (65/125). There were no significant difference between the adeno-carcinoma group and the squamous carcinoma group.Using Myocardial Engyme spectrum to exame the cardiac toxic seaction of Adviamycin. There were nosignificant difference in all cases between before and after chemotherapy. In 18 cases who has changes in ECG before chemotherapy, ECG changes were advions. Thedifference was statistitly significant (P0. 01). It is suggested that the patientwith the change of ECG using chemotherapy of adviamycin and epirabicin must becautions.

     

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