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参芪扶正注射液联合多西他赛、氟尿嘧啶及亚叶酸钙治疗晚期胃癌的临床观察

[Clinical observation on treatment of advanced gastric cancer by combined use of Shenqi Fuzheng injection, docetaxel, flurouracil and calcium folinate].

作者信息

Zhao Jie-min, Wu Ai-zhen, Shi Liang-rong

机构信息

Department of Oncology, the First People's Hospital of Changzhou, Jiangsu.

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Aug;27(8):736-8.

PMID:17879541
Abstract

OBJECTIVE

To investigate the effects of Shenqi Fuzheng injection (SQFZI) combined with docetaxcl, flurouracil and calcium folinate in treating advanced gastric carcinoma, and to evaluate the action of SQFZI for enhancing therapeutic effect and alleviating adverse reaction of chemotherapy.

METHODS

Sixty advanced gastric cancer patients were assigned to two groups randomly, the control group treated with chemotherapy alone and the treated group treated with SQFZI combined chemotherapy. Chemotherapy regimens (TFC) was given to all patients consisting of docetaxel 75 mg/m2 intravenous dripping on the 1st day, flurouracil (5-FU) 350 mg/m2 and calcium folinate (CF) 120 mg/m2 intravenous dripping with micro-pump continuously from day 1 to 5, for 21-28 days as a cycle. To patients in the treated group, starting from 3 days before chemotherapy, SQFZI 250 mL was dripped every day for 14 successive days. The clinic effects were evaluated after two-cycle treatment.

RESULTS

The short-term effective rate was 40.0% in the treated group and 33.3% in the control group. As compared with those in the control group, patients in the treated group after treatment had a higher Karnofsky score (chi2 = 7.21, P < 0.05) and body weight (chi2 = 11.47, P < 0.05), lesser adverse reactions in decreasing of peripheral blood leucocyte, damage of peripheral nerve, adverse reaction of gastrointestinal tract, as well as better immune function.

CONCLUSION

SQFZI could effectively improve the clinical symptoms induced by chemotherapy regimen TFC, alleviate the adverse reaction, raise patients' quality of life and their immune function.

摘要

目的

探讨参芪扶正注射液(SQFZI)联合多西他赛、氟尿嘧啶及亚叶酸钙治疗晚期胃癌的疗效,评价SQFZI在增强化疗疗效及减轻化疗不良反应方面的作用。

方法

将60例晚期胃癌患者随机分为两组,对照组单纯化疗,治疗组采用SQFZI联合化疗。所有患者均采用化疗方案(TFC),即多西他赛75mg/m²于第1天静脉滴注,氟尿嘧啶(5-FU)350mg/m²及亚叶酸钙(CF)120mg/m²自第1天至第5天用微量泵持续静脉滴注,21-28天为1个周期。治疗组患者从化疗前3天开始,每天静脉滴注SQFZI 250mL,连续14天。两个周期治疗后评价临床疗效。

结果

治疗组近期有效率为40.0%,对照组为33.3%。与对照组相比,治疗组治疗后患者卡氏评分(χ² = 7.21,P < 0.05)及体重(χ² = 11.47,P < 0.05)更高,外周血白细胞减少、外周神经损伤、胃肠道不良反应等不良反应更少,免疫功能更好。

结论

SQFZI可有效改善化疗方案TFC所致临床症状,减轻不良反应,提高患者生活质量及免疫功能。

相似文献

1
[Clinical observation on treatment of advanced gastric cancer by combined use of Shenqi Fuzheng injection, docetaxel, flurouracil and calcium folinate].参芪扶正注射液联合多西他赛、氟尿嘧啶及亚叶酸钙治疗晚期胃癌的临床观察
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Aug;27(8):736-8.
2
[Clinical study on effect of shenqi fuzheng injection combined with chemotherapy in treating gastric cancer].参芪扶正注射液联合化疗治疗胃癌疗效的临床研究
Zhongguo Zhong Xi Yi Jie He Za Zhi. 1999 Jan;19(1):11-3.
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[Clinical study on Shenqi Fuzheng injection combined with chemotherapy in treating malignant tumor of digestive tract].
Zhongguo Zhong Xi Yi Jie He Za Zhi. 1998 Nov;18(11):658-61.
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Zhongguo Zhong Xi Yi Jie He Za Zhi. 2001 Jun;21(6):424-6.
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Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Oct;27(10):927-9.
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[Comparative study on treatment of advanced colorectal cancer by Aidi injection combined with FOLFOX4 regimen and by FOLFOX4 regimen alone].艾迪注射液联合FOLFOX4方案与单纯FOLFOX4方案治疗晚期结直肠癌的对比研究
Zhongguo Zhong Xi Yi Jie He Za Zhi. 2007 Dec;27(12):1086-9.
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[Effect of Shenqi Fuzheng injection combined with chemotherapy on thirty patients with advanced breast cancer].参芪扶正注射液联合化疗对30例晚期乳腺癌患者的疗效观察
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[Clinical study on effect of Shenqi Fuzheng Injection on erythrocyte immunity in patients after cardiopulmonary bypass].参芪扶正注射液对体外循环术后患者红细胞免疫影响的临床研究
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Phase III study of docetaxel and cisplatin plus fluorouracil compared with cisplatin and fluorouracil as first-line therapy for advanced gastric cancer: a report of the V325 Study Group.多西他赛、顺铂联合氟尿嘧啶与顺铂和氟尿嘧啶作为晚期胃癌一线治疗的III期研究:V325研究组报告
J Clin Oncol. 2006 Nov 1;24(31):4991-7. doi: 10.1200/JCO.2006.06.8429.

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