Comparison of efficacy and toxicities of paclitaxel liposome and traditional paclitaxel combined with carboplatin in the treatment of ovarian cancer
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摘要: 目的 对比分析紫杉醇脂质体与传统紫杉醇联合卡铂治疗卵巢癌的疗效及不良反应。 方法 将92例晚期卵巢癌患者按照随机数字表法分为研究组和对照组,每组46例。研究组采用紫杉醇脂质体联合卡铂进行化疗;对照组采用传统紫杉醇联合卡铂进行化疗。对比2组治疗后临床疗效及治疗过程中不良反应发生情况。 结果 研究组总有效率为76.09%,对照组为69.57%,2组疗效对比差异无统计学意义(P>0.05);2组白细胞减少、血小板降低、血红蛋白减少、肾功能异常、腹泻、脱发、厌食的发生率对比,差异无统计学意义(P>0.05);研究组肌肉关节痛(4.35%)、呼吸困难(2.17%)、恶心呕吐(13.04%)、面部潮红(13.04%)、周围神经毒性(8.70%)、皮疹(4.35%)的发生率显著低于对照组(21.74%、15.22%、34.78%、36.96%、28.26%、19.57%),差异有统计学意义(χ2=6.133、4.929、5.974、7.015、5.845、5.060,P<0.05)。 结论 紫杉醇脂质体与传统紫杉醇联合卡铂治疗卵巢癌的疗效相当,但紫杉醇脂质体的不良反应发生率显著低于传统紫杉醇。Abstract: Objective To investigate the paclitaxel lipid body and traditional paclitaxel combined with carboplatin in the treatment of ovarian cancer the curative effect and adverse reaction of contrast analysis. Methods Altogether 92 patients with late-stage ovarian cancer were divided into two groups,with 46 cases in each group.Study group was treated with paclitaxel liposome combined with carboplatin chemotherapy.The control group used traditional paclitaxel and carboplatin chemotherapy.The clinical effect and adverse reaction of the two groups after treatment were compared. Results The total effectiveness rate was 76.09% in the study group and 69.57% in the control group.There was no significant difference between the two groups (P>0.05).The white blood cell reduction,thrombocytopenia,hemoglobin reduction,renal dysfunction,diarrhea,hair loss,and incidence of anorexia between the two groups were compared.The difference was not statistically significant (P>0.05).Muscle and joint pain (4.35%),dyspnea (2.17%),nausea (13.04%),vomiting (13.04%),facial flushing (8.70%),peripheral neurotoxicity (4.35%),rash of incidence of the study group were significantly lower than those of the control group (21.74%,15.22%,34.78%,36.96%,28.26%,19.57%).The difference was statistically significant (χ2=6.133,4.929,5.974,7.015,5.845,5.060,P<0.05). Conclusion The curative effects of paclitaxel lipid body and traditional paclitaxel plus carboplatin in the treatment of ovarian cancer were even,but the adverse reactions of paclitaxel liposome occurred was significantly lower than that of the conventional paclitaxel.
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Key words:
- Paclitaxel liposome /
- Paclitaxel /
- Ovarian cancer /
- Adverse drug reaction
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