Therapeutic effects and adverse reactions of bortezomib-containing combination chemotherapy on for multiple myeloma
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摘要: 目的 探讨以硼替佐米为基础的联合化疗治疗多发性骨髓瘤的临床疗效及化疗不良反应。 方法 选择2009年1月—2014年6月浙江省台州医院血液肿瘤科35例接受硼替佐米化疗患者作为研究对象,根据治疗情况分为初治组和复发难治组,根据化疗周期分为≥4个周期组和观察<4个周期组。观察各组患者的疗效;2年总生存率和2年无进展生存率的影响因素;化疗不良反应情况。 结果 初治组疗效优于复发难治组(Z=-2.842,P=0.004)。≥4个周期组疗效优于<4个周期组(Z=-2.224,P=0.026)。35例多发性骨髓瘤患者2年总生存率和ISS分期和疗效关系密切(P<0.05),和治疗前状态、髓外病变没有显著相关性,差异无统计学意义(P>0.05)。2年无进展生存率和髓外病变关系密切(P<0.05),和治疗前状态、ISS分期和疗效没有相关性,差异无统计学意义(P>0.05)。35例多发性骨髓瘤患者中出现消化道症状者14例,出现外周神经病变者13例,出现血小板减少者21例,出现白细胞减少者13例。 结论 以硼替佐米为基础的化疗对多发性骨髓瘤患者的治疗效果比较确切,对初始患者治疗效果较复发难治患者好,治疗4个周期以上的效果更佳,不良反应多数能够耐受。Abstract: Objective To explore the clinical efficacy and adverse reactions of Bortezomib-containing combination chemotherapy on multiple myeloma. Methods Total 35 cases of multiple myeloma treated with Bortezomib in Taizhou Hospital from January,2009 to June,2014 were enrolled and divided into newly diagnosed group and relapsed group that including ≥ 4 cycles group and <4 cycle group.The curative efficacy,2-year overall survival and progression-free survival at 2 years,and chemotherapy adverse reactions of the each groups were observed. Results The efficacy of newly diagnosed group was superior than that of the relapsed group(Z=-0.842,P=0.004).The efficacy of ≥ 4 cycles group was superior than that of <4 cycle groups(Z=-2.224,P=0.026).2-year overall survival was closely related to ISS staging and efficacy(P<0.05),there was no significant correlation with pre-treatment status and extramedullary lesion(P>0.05).The progression-free survival at 2 years was closely related to extramedullary disease(P<0.05) and was no significant correlation with the pre-treatment state,ISS staging and efficacy(P>0.05).In 35 cases of multiple myeloma,14 cases were with gastrointestinal symptoms,13 cases with peripheral neuropathy,21 cases with thrombocytopenia,and 13 cases with leukopenia. Conclusion The therapeutic effect of bortezomib-containing combination chemotherapy for multiple myeloma is more precise,especially for the newly diagnosed patients.The treatment of more than four cycles is usually with a better efficacy,and adverse reactions can also be tolerated.
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Key words:
- Bortezomib /
- Multiple myeloma /
- Efficacy /
- Adverse reactions
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